Ulcer Stages and Patient Positioning Fundamentals 3A Part 3

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following devices is used to lift a patient up in bed?

Draw sheets (correct)

Trapeze

Slide Sheets

Logrolling

What is the purpose of using pillows behind the back and between the legs when turning a patient in bed?

To provide comfort and support

To keep the patient's body in alignment

To protect bone on bone (correct)

To maintain a strong abdominal contraction

Which device is used to transfer a patient from bed to a stretcher or stretcher to bed?

Lifts

Slide/Transfer Boards (correct)

Sit-to-Stand Lifts

Transfer/Gait Belts

What is the purpose of using slide sheets?

To reduce friction when transferring the patient Signup and view all the answers

Which technique is used to turn a patient's body as one unit after spinal surgery or injury?

Logrolling Signup and view all the answers

What is the purpose of using a trapeze device suspended over the patient on an overbed frame?

To lift some or all of the patient's weight off of the bed Signup and view all the answers

What is the purpose of using transfer/gait belts during transfers or ambulation?

To provide a place for nurse to grasp the patient Signup and view all the answers

Which stage of pressure ulcer involves full-thickness skin and tissue loss, including deep tissue necrosis of muscle, fascia, tendon, joint capsule, and sometimes bone?

Stage IV Signup and view all the answers

Which stage of pressure ulcer involves partial-thickness loss and exposed dermis, with intact serum-filled blisters and broken blisters that reveal a shallow, pink or red ulceration that is moist?

Stage II Signup and view all the answers

Which stage of pressure ulcer involves erythema of intact skin, generally over a bony prominence, with no blanching and a warm and firm, soft, or boggy area?

Stage I Signup and view all the answers

Which stage of pressure ulcer involves full-thickness loss involving damage to the epidermis, dermis, and subcutaneous tissue but not involving muscle or bone?

Stage III Signup and view all the answers

Which stage of pressure ulcer involves full-thickness tissue loss that is unstageable due to the wound bed being obscured by eschar or excessive slough?

Unstageable Signup and view all the answers

Which stage of pressure ulcer involves undermining and tunneling, tends to be infected, and requires granulation tissue to be produced to fill the wound and repair the damage?

Stage III Signup and view all the answers

Which stage of pressure ulcer involves the skin appearing darkened rather than red in darker-skinned individuals?

Stage I Signup and view all the answers

Which of the following is a complication of immobility in the musculoskeletal system?

Footdrop Signup and view all the answers

Which of the following is a complication of immobility in the cardiovascular system?

Orthostatic hypotension Signup and view all the answers

Which of the following is a complication of immobility in the respiratory system?

Pooling of respiratory secretions Signup and view all the answers

Which of the following is a complication of immobility in the gastrointestinal system?

Constipation Signup and view all the answers

Which of the following is a complication of immobility in the urinary system?

Urinary Tract Infection Signup and view all the answers

Which of the following is a complication of immobility in the integumentary system?

Pressure injuries Signup and view all the answers

Which of the following is a common position used for physical examination of the abdomen and genitalia?

Dorsal Recumbent Signup and view all the answers

Which theory states that pain impulses can be regulated or blocked by gating mechanisms in the spinal cord and CNS?

Gate Control Theory Signup and view all the answers

Which type of pain is felt in an area other than where the pain was produced?

Referred Pain Signup and view all the answers

Which type of pain is perceived at the source of the pain and extends to nearby tissue?

Radiating Pain Signup and view all the answers

Which type of pain is a painful sensation perceived in a body part that is missing, such as an amputated leg?

Phantom Pain Signup and view all the answers

Which type of pain relief technique stimulates the production of endorphins by providing a continuous mild electrical current to the skin via electrodes?

TENS Signup and view all the answers

Which type of analgesic medication is used for mild to moderate pain and blocks pain at the Peripheral Nervous System level?

Tylenol (Acetaminophen) Signup and view all the answers

Which type of analgesic medication is used for severe pain and blocks pain at the Central Nervous System level?

Narcotic Analgesics/Opioids Signup and view all the answers

What is the main purpose of sleep?

To repair and recover body systems Signup and view all the answers

Which organization states that all clients have the right to appropriate assessment of pain and directs that pain assessment be done with each vital assessment and PRN?

JCAHO Signup and view all the answers

Which stage of pressure ulcer involves full-thickness skin and tissue loss, including deep tissue necrosis of muscle, fascia, tendon, joint capsule, and sometimes bone?

Stage IV Signup and view all the answers

Which stage of pressure ulcer involves the skin appearing darkened rather than red in darker-skinned individuals?

Stage I Signup and view all the answers

Which type of pain is perceived at the source of the pain and extends to nearby tissue?

Acute pain Signup and view all the answers

Which stage of pressure ulcer involves erythema of intact skin, generally over a bony prominence, with no blanching and a warm and firm, soft, or boggy area?

Stage I Signup and view all the answers

Which stage of pressure ulcer involves partial-thickness loss and exposed dermis, with intact serum-filled blisters and broken blisters that reveal a shallow, pink or red ulceration that is moist?

Stage II Signup and view all the answers

Which stage of pressure ulcer involves full-thickness loss involving damage to the epidermis, dermis, and subcutaneous tissue but not involving muscle or bone?

Stage III Signup and view all the answers

Which stage of pressure ulcer involves full-thickness tissue loss that is unstageable due to the wound bed being obscured by eschar or excessive slough?

Unstageable Signup and view all the answers

Which of the following is a complication of immobility in the neurological system?

Compression neuropathy Signup and view all the answers

Which position is used for rectal exams and administering enemas?

Sim's Position Signup and view all the answers

Which position is used for vaginal exams, pelvic and gynecological surgery and procedures?

Lithotomy Position Signup and view all the answers

Which position is used to treat shock by positioning the bed so that the foot is higher than the head?

Trendelenburg Signup and view all the answers

Which position is used for physical examination of the abdomen and genitalia, perineal care, and insertion of urinary catheter?

Dorsal Recumbent Signup and view all the answers

Which position is used for resting or sleeping and after certain procedures such as lumbar punctures and back surgery?

Supine Signup and view all the answers

Which position is used to assist patients in severe respiratory distress by allowing the chest to expand to maximum capacity?

Orthopneic Signup and view all the answers

What is the purpose of using draw sheets (lift sheets) when moving and turning a patient in bed?

To protect bone on bone Signup and view all the answers

Which device is used to lift some or all of a patient's weight off of the bed?

Trapeze Signup and view all the answers

What is the purpose of using transfer/gait belts during transfers or ambulation?

To provide a place for the nurse to grasp the patient Signup and view all the answers

What is the purpose of using slide sheets?

To reduce friction when moving the patient Signup and view all the answers

Which device is used to transfer a patient from bed to a stretcher or stretcher to bed?

Slide/transfer boards Signup and view all the answers

What is the purpose of using lifts (i.e. Hoyer lifts, Transaids) when transferring a patient?

To assist the patient who is non-weight bearing Signup and view all the answers

What is the purpose of range of motion exercises?

To move each joint through all of its natural actions Signup and view all the answers

Which theory states that pain impulses can be regulated or blocked by gating mechanisms in the spinal cord and CNS?

Gate Control Theory Signup and view all the answers

Which type of pain relief technique stimulates the production of endorphins by providing a continuous mild electrical current to the skin via electrodes?

TENS Signup and view all the answers

Which type of analgesic medication is used for severe pain and blocks pain at the Central Nervous System level, therefore decreasing respiratory rate?

Narcotic analgesics/opioids Signup and view all the answers

Which type of analgesic medication is used for mild to moderate pain and blocks pain at the Peripheral Nervous System level?

Non-narcotic analgesics Signup and view all the answers

Which type of pain is perceived at the source of the pain and extends to nearby tissue?

Radiating pain Signup and view all the answers

Which type of pain is felt in an area other than where the pain was produced?

Referred pain Signup and view all the answers

Which organization states that all clients have the right to appropriate assessment of pain and directs that pain assessment be done with each vital assessment and PRN?

JCAHO Signup and view all the answers

Which stage of pressure ulcer involves full-thickness tissue loss that is unstageable due to the wound bed being obscured by eschar or excessive slough?

Stage 4 Signup and view all the answers

Which stage of pressure ulcer involves full-thickness loss involving damage to the epidermis, dermis, and subcutaneous tissue but not involving muscle or bone?

Stage 3 Signup and view all the answers

Which stage of pressure ulcer involves full-thickness skin and tissue loss, including deep tissue necrosis of muscle, fascia, tendon, joint capsule, and sometimes bone?

Stage IV Signup and view all the answers

Which stage of pressure ulcer involves partial-thickness loss and exposed dermis, with intact serum-filled blisters and broken blisters that reveal a shallow, pink or red ulceration that is moist?

Stage II Signup and view all the answers

Which stage of pressure ulcer involves full-thickness loss involving damage to the epidermis, dermis, and subcutaneous tissue but not involving muscle or bone?

Stage III Signup and view all the answers

Which of the following is a complication of immobility in the musculoskeletal system?

Osteoporosis Signup and view all the answers

Which position is used for rectal exams and administering enemas?

Lithotomy position Signup and view all the answers

Which of the following is a complication of immobility in the urinary system?

Urinary incontinence Signup and view all the answers

Which device is used to transfer a patient from bed to a stretcher or stretcher to bed?

Slide/Transfer Boards Signup and view all the answers

What is the purpose of using slide sheets?

To move and turn the patient in bed Signup and view all the answers

What is the purpose of range of motion exercises?

To improve joint mobility and prevent contractures Signup and view all the answers

Which theory states that pain impulses can be regulated or blocked by gating mechanisms in the spinal cord and CNS?

Gate Control Theory Signup and view all the answers

Which type of pain is felt in an area other than where the pain was produced?

Referred Pain Signup and view all the answers

Which type of analgesic medication is used for mild to moderate pain and blocks pain at the Peripheral Nervous System level?

Tylenol (Acetaminophen) Signup and view all the answers

Which stage of pressure ulcer involves full-thickness loss involving damage to the epidermis, dermis, and subcutaneous tissue but not involving muscle or bone?

Stage 3 Signup and view all the answers

Which organization states that all clients have the right to appropriate assessment of pain and directs that pain assessment be done with each vital assessment and PRN?

JCAHO Signup and view all the answers

Which type of pain relief technique stimulates the production of endorphins by providing a continuous mild electrical current to the skin via electrodes?

TENS Signup and view all the answers

Study Notes

Pressure Ulcers and Effects of Immobility

Pressure ulcers have different stages, ranging from erythema of intact skin to full-thickness skin and tissue loss.
Stage I pressure ulcers are characterized by erythema, warmth, and a burning or tingling sensation.
Stage II pressure ulcers involve partial-thickness loss and may have blisters or shallow ulcerations.
Stage III pressure ulcers involve full-thickness loss and may have undermining and tunneling.
Stage IV pressure ulcers involve deep tissue necrosis and can lead to bone infection.
Unstageable pressure ulcers have full-thickness tissue loss but are obscured by eschar or slough.
Immobility can have various effects on different body systems.
Musculoskeletal effects include muscle weakness, atrophy, and contractures.
Cardiovascular effects include decreased cardiac output and increased risk of blood clots.
Respiratory effects include decreased lung expansion and increased risk of pneumonia.
Gastrointestinal effects include decreased peristalsis and increased gas and constipation.
Neurological effects include compression neuropathy and impaired level of consciousness.

Studying That Suits You

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

Description

This quiz tests your knowledge on positioning, moving, and lifting clients in bed. Learn about the use of draw sheets (lift sheets) for safely moving and turning patients, as well as the importance of maintaining a strong abdominal contraction throughout the activity. Test your understanding of these devices and techniques used in healthcare settings.