Podcast
Questions and Answers
What is primarily assessed to determine the presence of tissue damage?
What is primarily assessed to determine the presence of tissue damage?
- Blanchable and non-blanchable erythema (correct)
- Blood flow rates
- Skin temperature variations
- Capillary refill time
Which nursing intervention is essential for preventing pressure ulcers?
Which nursing intervention is essential for preventing pressure ulcers?
- Changing position at least every 2 hours (correct)
- Encouraging bed mobility only
- Providing long bed rest periods
- Administering medications for anxiety
Which factor does NOT contribute to tissue damage?
Which factor does NOT contribute to tissue damage?
- Pressure intensity
- Tissue ischemia
- Skin moisture (correct)
- Pressure duration
Which type of skin loss is indicated by the presence of a blister?
Which type of skin loss is indicated by the presence of a blister?
What device can be used to alleviate pressure on bony prominences?
What device can be used to alleviate pressure on bony prominences?
Which activity is NOT considered an Activity of Daily Living (ADL)?
Which activity is NOT considered an Activity of Daily Living (ADL)?
What does the Katz Index of Independence measure?
What does the Katz Index of Independence measure?
Which intervention can help minimize friction when moving a patient?
Which intervention can help minimize friction when moving a patient?
What is the first step in denture care?
What is the first step in denture care?
Which technique should be used when brushing and combing hair?
Which technique should be used when brushing and combing hair?
What should be done before trimming fingernails?
What should be done before trimming fingernails?
Which of the following is contraindicated for diabetic patients during foot care?
Which of the following is contraindicated for diabetic patients during foot care?
What is important to keep in mind when providing hair care?
What is important to keep in mind when providing hair care?
What is a key consideration when using a safety razor for shaving a male patient?
What is a key consideration when using a safety razor for shaving a male patient?
Why is it necessary to moisten hair before brushing or combing?
Why is it necessary to moisten hair before brushing or combing?
What is the primary goal of a complete bed bath?
What is the primary goal of a complete bed bath?
Which of the following is NOT a benefit of back massage?
Which of the following is NOT a benefit of back massage?
Which technique should be avoided during perineal care?
Which technique should be avoided during perineal care?
How should hair care be performed for a patient with long hair?
How should hair care be performed for a patient with long hair?
What is the purpose of using a bag bath?
What is the purpose of using a bag bath?
What is the recommended frequency for bathing specific body areas like the face and axillae?
What is the recommended frequency for bathing specific body areas like the face and axillae?
What should patients with dry skin be encouraged to use?
What should patients with dry skin be encouraged to use?
Which statement regarding denture care is accurate?
Which statement regarding denture care is accurate?
What is a primary consideration to maintain skin integrity?
What is a primary consideration to maintain skin integrity?
What position should patients be in for effective back massage?
What position should patients be in for effective back massage?
For which group of individuals is gentle skin care particularly crucial?
For which group of individuals is gentle skin care particularly crucial?
What technique is emphasized for cleansing during a bag bath?
What technique is emphasized for cleansing during a bag bath?
Flashcards are hidden until you start studying
Study Notes
Oral Care and Hygiene for Dependent Patients
- Denture care includes removal, cleaning, inspection, and returning to the mouth, using a washcloth to prevent drops.
- Oral hygiene for unconscious patients requires the head of the bed to be lowered, turning the head to the side, and having suction available.
- Independent patients can perform oral hygiene themselves; nurses provide supplies when assistance is needed.
Hair Care and Nail Care
- Hair care involves brushing, shampooing, and respecting patient preferences; consider cultural factors and obtain provider orders for those with limited mobility.
- Nail care includes soaking nails in warm water, clipping straight across, and checking agency policies for specific nail trimming actions.
- Toenail care is often performed by a podiatrist.
Skin Properties and Care Principles
- Skin is the largest organ, providing protection, sensation, temperature regulation, and synthesizing Vitamin D.
- Intact skin serves as a critical defense mechanism; maintain clean, wrinkle-free linens, and avoid harsh rubbing.
- Dry skin is more susceptible to infections; moisturizing creams and reduced bathing frequency are recommended.
- Address body odor with cleanliness; apply deodorants only after washing.
Hygiene Procedures and Types of Baths
- Personal hygiene encompasses various tasks like bathing, grooming, and oral care, crucial for patients' comfort and well-being.
- Bed baths vary based on patient abilities: complete bed bath for total dependence, partial for select areas, and assist bed baths to promote independence.
- Privacy, safety, and hand hygiene are vital during any bathing procedure.
Back Massage and Skin Assessments
- Back massages promote relaxation and circulation; avoid contraindications such as open wounds or areas of redness that do not blanch.
- Regular total body skin assessments help identify potential issues; maintain skin cleanliness and dryness while minimizing pressure and friction.
Activities of Daily Living (ADLs)
- ADLs include essential actions such as ambulation, dressing, and grooming; assistance is often required for elderly or ill patients.
- Functional status assessment detects changes in health and is critical in managing care for older adults during hospitalization.
Katz Index for ADLs
- The Katz Index measures independence in six key functions: bathing, dressing, toileting, transferring, continence, and feeding.
- Evaluating a patient’s ability in these areas aids in developing personalized care plans.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
