Week One Flashcards

1
Q

what is the process of hygiene

A
assessment
plan
implementation
evaluation
document
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2
Q

what is in assessment

A

data collection, subjective and objective data

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3
Q

what is in planning

A

nursing diagnoses

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4
Q

what is in implementation

A

action

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5
Q

what are the 5 functions of the skin

A

protection, secretion, excretion, temp regulation and sensation

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6
Q

what are the primary layers of the skin

A

epidermis
dermis
subcutaneous tissue

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7
Q

shields underlying tissue

A

epidermis

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8
Q

contains bundles of collagen, nerve fibers, blood vessels, sweat glands, sebaceous glands and hair follicles

A

dermis

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9
Q

lies just beneath the skin; contains blood vessels, nerves, lymph, and loose connective tissue filled with fat cells

A

subcutaneous

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10
Q

what helps heat or cool you

A

subcutaneous

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11
Q

what requires special attention to prevent infection, odor, and injury

A

feet hands and nails

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12
Q

the condition of a patients hands and feet influences his or her abilities to

A

perform hygiene care

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13
Q

who do you NOT cut nails on

A

diabetic patients

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14
Q

what do you do if your patients toe nails are yellow and thick

A

get orders to refer patient to a podiatrist

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15
Q

what is the oral cavity lined with

A

mucous membranes

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16
Q

what does normal mucosa look like

A

light pink, soft, moist, smooth, and without lesions

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17
Q

what impairs salivary secretion

A

medications, exposure to radiation and mouth breathing

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18
Q

xerostomia

A

dry mouth

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19
Q

gingivitis

A

inflammation of gums

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20
Q

dental caries

A

tooth decay

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21
Q

why is oral care important

A

helps with digestion and nutrition (if sores in mouth it is difficult to eat)

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22
Q

what do you always need to secure in storage cup

A

dentures, artificial eye, hearing aid

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23
Q

what indicates general health status of hair

A

growth, distribution

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24
Q

what affect hair characteristics

A

hormonal changes, aging, infection and other illnesses

25
Q

what causes changes in hair color or condition

A

hormonal and nutrient deficiencies

26
Q

scaling of scalp

A

dandruff

27
Q

how do you check patient for head lice

A

glove, section hair with tongue blade and if lice is present notify head nurse

28
Q

what requires the most careful attention in hygiene

A

eyes, ears and nose

29
Q

no soap on

A

eyes- face (ask patient if they would like face wash or something)

30
Q

talking to patient means getting to know your patient=

A

therapeutic communication

31
Q

during hygiene what do you assess

A

emotional status
health promotion practices
health care education needs

32
Q

what factors influence the way a patient handles hygiene

A

religion and mobility

33
Q

why should you ALWAYS raise side rails

A

for patients safety

34
Q

what they can and cannot do for themselves

A

developmental stage

35
Q

able to afford products for hygiene

A

socioeconomic status

36
Q

let patient be apart of whatever it is that you are doing

A

autonomy (participation)

37
Q

during assessment of hygiene what should you ask

A

what kind of hygiene/grooming do they prefer

38
Q

what are common nursing diagnosis with hygiene

A

activity intolerance
bathing self deficit
dressing self care deficit
impaired physical mobility

39
Q

when assessing always check where blood is coming _____

A

from

40
Q

in the nursing process of Planning what are 2 goals and outcomes

A

partner with patients family
and
measurable, achievable, individualized care

41
Q

have to decide what assistance is required based on patient

A

physical ability

42
Q

what is important when figuring out when to give patient hygiene

A

timing

43
Q

what should you teach a patient

A

signs and symptoms of infection and when they should call

44
Q

always ask patient to verbalize back what you just _______ them

A

educated

45
Q

what happens if patient refuses hygiene

A

ultimately it is patients choose BUT if their condition warrants a certain hygiene skill, educate them about why it needs to be done

46
Q

who is responsible for hygiene of patients

A

RN and CNA

47
Q

what are the key points of implementation

A

make instruction so they understand
find out preferences and health benefits
include safety risks
determine that patient understands by repeating

48
Q

what are the bath guidlines

A
provide privacy
maintain safety
maintain warmth
promote independence
anticipate needs
49
Q

what are the patients with special needs of hygiene

A

diabetes, artificial airways, unconscious, chemotherapy

50
Q

when dentures are in container always have

A

luke warm water and lid

51
Q

what prevents tangles in hair

A

brushing and braiding hair

52
Q

what permission should you obtain when doing hair hygiene

A

before cutting or braiding

53
Q

why should you always wear gloves when shaving patient

A

bleeding could occur

54
Q

during hygiene always ask patient what they

A

prefer

55
Q

if patient is using oxygen what should you check while preforming hygiene

A

ears for redness and nose as well

56
Q

steps of bed bath before touching patient

A
collect equipment
privacy
explain procedure
offer bed pan or urinal
hand hygiene
gloves
lock wheels raise bed
place bath blanket on pt
obtain water (pt check water)
57
Q

what is the process of washing the patients body in bed bath

A

wash eyes from inner to outer (dif side of towel) then dry
face then dry
upper body to lower body long strokes then dry
keep cleaned areas covered
when getting to perineal care change water and gloves and towel then dry

58
Q

when done with hygiene always ask the patient if they feel

A

clean and comfortable

59
Q

what are 6 important guidelines for nursing skills in hygiene

A
  • identify patient with two identifiers
  • move from cleanest to less clean area
  • use clean gloves for contact with non-intact skin, secretions,blood
  • test temp of water or solutions
  • use body mech to take car of your back
  • give proper direction to NAP when delegating