Caring For Seriously Ill Patients
37 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is an essential consideration when providing bed care for seriously ill patients?

  • Discussing joint actions with the patient for comfort. (correct)
  • Encouraging the patient to avoid using a urinal.
  • Ensuring the patient is fully capable of performing personal hygiene.
  • Making personal hygiene activities a group activity.

    • What equipment should a nurse use to prevent occupational infections while caring for a patient?

  • Only hand sanitizer for cleanliness.
  • No specific equipment is required.
  • Standard clothing to maintain a professional appearance.
  • Protective equipment such as gloves and masks. (correct)

    • Which condition primarily necessitates a functional bed design?

  • Patients needing normal movement capabilities.
  • Patients who are seriously ill and have limited mobility. (correct)
  • Patients suffering from infectious diseases.
  • Patients requiring physical therapy sessions.

    • What is the first defined stage in the formation of pressure bedsores?

    <p>The skin showing redness.</p> Signup and view all the answers

    Which method is recommended for washing a seriously ill patient in bed?

    <p>Utilize a no-rinse body wash and maintain patient comfort.</p> Signup and view all the answers

    What is the recommended time frame for changing bedding and underwear for a seriously ill patient?

    <p>1 time in 7-10 days</p> Signup and view all the answers

    When a patient's hand is damaged or paralyzed, how should the shirt be removed?

    <p>Remove from the healthy hand first</p> Signup and view all the answers

    What should be done when changing the underwear of a debilitated patient?

    <p>Inspect for pressure bedsores</p> Signup and view all the answers

    How is a bedpan disinfected?

    <p>Filling with disinfectant solution and closing the lid</p> Signup and view all the answers

    Which solution is recommended for disinfecting bedpans and urinals?

    <p>0.5% Clarified bleach</p> Signup and view all the answers

    What is a primary reason for skin damage or sores in patients?

    <p>Not eating and drinking enough</p> Signup and view all the answers

    What should be done to the urinal after use?

    <p>Disinfect it and then wash it</p> Signup and view all the answers

    What type of pad should be placed under the bed sheet for patients with serious conditions experiencing incontinence?

    <p>Waterproof oilcloth</p> Signup and view all the answers

    What should the condition of the mattress be for effective patient care?

    <p>Resilient and supportive</p> Signup and view all the answers

    What action is recommended for turning a patient?

    <p>Raise the patient slightly and then rotate.</p> Signup and view all the answers

    Which score on the Norton Scale indicates that a patient is 'at risk' for bedsores?

    <p>Score of 14 or less</p> Signup and view all the answers

    What is a symptom characteristic of the 1st stage of bedsores?

    <p>Areas with cyanotic red color without clear boundaries</p> Signup and view all the answers

    What treatment is suggested for the 2nd stage of bedsores?

    <p>Application of brilliant green and potassium permanganate solutions</p> Signup and view all the answers

    Which chart assesses bedsores risk based on physical and mental condition?

    <p>Norton Scale</p> Signup and view all the answers

    What should be used for skin treatment in the 1st stage of bedsores?

    <p>Alcohol-based antiseptic solutions</p> Signup and view all the answers

    What is a key feature to look for in bedsores during assessment?

    <p>Cyanotic color changes</p> Signup and view all the answers

    What is one of the main issues caused by aphthous ulcers?

    <p>Self-doubt</p> Signup and view all the answers

    What is a safe practice for ear care to prevent complications?

    <p>Cleaning the ears with warm water and soap regularly</p> Signup and view all the answers

    Which of the following tools should not be used when removing ear wax?

    <p>Cotton swabs</p> Signup and view all the answers

    During nose care, what is the preferred method for removing dry crusts?

    <p>Moistening with petroleum jelly on turunds</p> Signup and view all the answers

    What should be done if a patient feels worse during a hygienic bath?

    <p>Stop the bath and provide first aid</p> Signup and view all the answers

    What is one of the main licenses for using antiseptic solutions during eye care?

    <p>To clean the eyelashes and eyelids</p> Signup and view all the answers

    Which method is recommended for removing liquid discharge from the nose?

    <p>Squeezing a pear-shaped balloon</p> Signup and view all the answers

    What is a recommended frequency for conducting a hygienic bath for patients on prolonged bed rest?

    <p>At least once weekly</p> Signup and view all the answers

    What treatment is typically used for pressure sores in the first stage?

    <p>Antiseptic solutions with 10% camphor alcohol</p> Signup and view all the answers

    What is a common consequence of untreated dentures?

    <p>Increased risk of gum irritation</p> Signup and view all the answers

    Which of the following is correct about the cleaning of dentures?

    <p>They should be cleaned and soaked overnight in a 1% sodium hydrochloride solution if possible.</p> Signup and view all the answers

    In the fourth stage of pressure sores, which method is used to manage necrosis?

    <p>Applying a bandage with a 0.5% potassium permanganate solution</p> Signup and view all the answers

    What is a characteristic of halitosis?

    <p>It means an unpleasant odor from the mouth.</p> Signup and view all the answers

    Which of the following statements about pressure sores is false?

    <p>Only surgical intervention is required after stage one.</p> Signup and view all the answers

    Why do dentures need to be cleaned regularly?

    <p>To avoid irritation of the gums and halitosis.</p> Signup and view all the answers

    What indicates the presence of pus in a pressure sore?

    <p>Need for antiseptic solution application.</p> Signup and view all the answers

    Study Notes

    Caring For Seriously Ill Patients

    • Seriously ill patients may have difficulty performing personal hygiene tasks due to their conditions.
    • Nurses should be considerate and discuss procedures with patients when washing, providing bedpans, or urinators.
    • Precautionary measures for nurses include using protective equipment like gloves and masks to prevent contact with patient secretions.
    • Patient Delivery:
      • The method of transporting patients (stretcher, wheelchair, etc.) is determined by the doctor based on the severity of the patient's condition.
    • Bed Linen:
      • Change bedding and underwear as they become soiled.
      • Bed linen is changed weekly, but more frequently as needed.
      • Hand Care: When one hand is damaged or paralyzed, remove the shirt sleeve from the healthy hand first, then from the patient's injured hand and wear it the other way around.
      • Skin Inspections: Always inspect the skin for pressure bedsores when changing underwear.
    • Bedpans and Urinals:
      • For debilitated patients, fecal incontinence or urine, a rubber bedpan is used.
      • Supply process: The patient's legs are bent and spread, then a gauze napkin is wrapped around the genitals during the process. The urinal is inserted and removed.
      • Disinfection: After use, the urinal and bedpan should be disinfected with solutions like Desencon-1, bleach, or chloramine.

    Pressure Bedsores (Pressure Ulcers)

    • Causes: Pressure sores develop due to prolonged pressure on the skin, often caused by immobility, poor nutrition, and incontinence.
    • Risk Assessment: The Waterlow method and the Norton scale are used to assess the risk of developing pressure sores.
    • Stages:
      • Stage 1: Reddened areas without clear boundaries.
      • Stage 2: Blisters form.
      • Stage 3: Ulcers appear when blisters burst.
      • Stage 4: Necrosis of skin, subcutaneous tissue, and other soft tissues occurs.
    • Preventative measures:
      • Maintain clean skin.
      • Use a resilient mattress and soft, smooth sheets.
      • Turn the patient regularly, first raising them slightly before rotating them carefully.

    Denture Care

    • Dentures contribute to gum irritation, ulcers, and can become a reservoir for Candida if not regularly cleaned.
    • Cleaning and Soaking: Dentures should be removed nightly, cleaned, and soaked in a 1% sodium hydrochloride solution to reduce Candida colonization.

    Oral Care

    • Halitosis: Unpleasant mouth odor due to inadequate oral hygiene.
    • Aphthous Ulcers: These painful ulcers can have several causes and typically require a culture for diagnosis.

    Eye Care

    • Wiping: Eyelashes and eyelids should be wiped with warm water every day for morning toilette.
    • Antiseptics: For discharge, use an antiseptic solution.
    • Washing: Active patient participation is required for eye washing. This procedure is not performed after surgery or for patients who are immobilized, paralyzed, or in the terminal stage of cachexia.

    Ear Care

    • Regular care prevents sulfur accumulation in external auditory canals.
    • Wash ears regularly with warm water and soap.
    • Warning: Avoid using hard objects to remove sulfur as it can damage the eardrum or ear canal, leading to hearing loss or otitis media.

    Nose Care

    • Seriously ill patients often have discharge from their noses, leading to crust formation.
    • Dry Crust Removal: Moisten crusts with oil or petroleum jelly using tweezers.
    • Mucus and Pus removal: Dry cotton turundas are used to remove mucus and pus from the nasal passages.
    • Liquid Nasal Drainage: A sterile pear-shaped balloon is used to suction out the contents of the nasal passages.

    Hygienic Bath

    • Hygienic baths are given upon hospital admission and for patients on prolonged bed rest.
    • Baths should be given at least once a week.
    • Warning: During a bath, the nurse should monitor the patient's well-being, appearance, and pulse. If the patient's condition worsens, stop the bath and provide immediate medical attention.
    • Alternative: If baths are not possible, rubbing or washing can be used.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Care Of Lying Patient PDF

    Description

    This quiz covers essential care practices for seriously ill patients. It includes hygiene procedures, patient transportation methods, and precautions for nurses. Understanding these aspects ensures proper treatment and comfort for patients during their recovery.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser