Study sets, textbooks, questions
Upgrade to remove ads
Unit 2 Nursing Essentials
Terms in this set (49)
Methods to keep the body clean
Skin not intact is considered an
A pressure ulcer w/ partial-thickness skin loss, looks like a blister/shallow crater is called
Stage 2 Pressure Ulcer
Residents are allowed to do their own perineal care because they're faster (T/F)
Which part of the body do fungal infections often occur and why?
Groin because it's a moist, dark area
When should NAs give nail care?
When bathing a resident
One NA responsibilities regarding eczema is what?
Reporting signs of infection
If a CNA noticed redness around a bony area during a massage, they should massage the area. (T/F)
What should be the high priority when bathing a resident?
What's normally done before any routine hygiene care?
Offer a chance for toileting (bedpan, toilet, commode, etc)
Warm or cold applications should generally be applied for how long?
When shaving a resident with an electric razor, the first step is what?
Wash and dry face so it's clean and free of oil
A burn that affects the epidermis and courses redness and pain is a what?
First-degree (superficial) burn
One benefit of applying heat to the body is what?
Heat increases movement of oxygen and nutrients into the tissues
What's true about giving a bath?
Place a towel or bed pad under the part of the body being washed
How do you promote independence with personal hygiene?
Encouraging and allowing them to do with themselves.
What type of bath is appropriate for a resident with dry skin?
What type of bath is appropriate for someone that is bed bound?
Who decides what type of bath the resident receives?
Nurse and Parient
What are some ways that bathing can be made safer?
Grab bars, slip mat, shoes, dry floor, lock chairs, appropriate water temperature
What are some general rules to remember related to infection control when bathing a resident?
Bathe in one direction with clean part of cloth every stroke
When bathing, what should be washed last?
What part of the body needs to be washed every day?
Face, axilla, perineal, hands, and areas where there is skin to skin
What is the procedure for giving a bed bath?
1) Fill basin 2/3 full of 105-110 degree F. water 2) wash each hand in basin, provide nail care if assigned 3) change water 4) eyes 5) face 6) neck and ears 7) far arm and axilla 8) near arm and axilla 9) chest 10) abdomen 11) far leg and foot 12) near leg and foot 13) back 14) perineal and buttocks 15) clean basin, return to storage area, dress resident with clean gown
How often should oral care be performed?
2-3 times a day (after every meal)
What are some important things to remember about oral care?
Gloves and putting water on the toothbrush before the toothpaste
What temperature should dentures be stored in?
Cold/ cool water
What is a risk for an unconscious resident?
When should you wear gloves?
1. whenever you might come in contact with blood or any body fluid, open wounds, or mucous membranes
2. when performing or helping with mouth care
3. when performing or helping with perineal care
4. when performing personal care on non-intact skin
5. when assisting with personal care when the NA has open sores or cuts on her hands
6. when shaving a resident
7. when disposing of soiled bed linens, gowns, dressings, and pads
8. when touching surfaces or equipment that is or may be contaminated
When should nail care be done?
When giving a bath and twice a week
What is important to remember when grooming hair?
No child styles and be gentle
How should I dress someone that has one sided weakness?
Dress the weak side first
Outermost layer of skin
What is the largest organ?
What are the different types of burns?
What is scabies and what are some of the symptoms?
A contagious skin infection caused by mites burrowing into the skin that results in pimple-like irritations, rashes, intense itching, and sores
What's the first sign of skin breakdown?
the skin becomes pale, white, or reddened. Darker skin may look purple initially. It may be dry, cracked,, or torn. Blisters, bruises, or rashes may be visible
What are the various stages of pressure ulcers?
Stage 1- Skin intact, but reddens or appears blue or gray or purple if darker skin tone. May be painful, swollen, feel warm or firm.
Stage 2- Partial-thickness skin loss involving epidermis and dermis. Ulcer is superficial and looks like a scraper blister, or shallow crater. It's painful and tender. Surrounding skin may be discolored.
Stage 3- Full-thickness skin loss (both epidermis and dermis gone), and the ulcer looks like a shallow or deep crater. Bottom of wound may have yellow, dead tissue and the damage may extend down to tissue that covers muscle.
Stage 4- Full-thickness skin loss extending through all skin, tissue, muscle, bone, and other structure layers. Ulcer will look like a deep crater and will have some necrotic tissue.
What are some factors that increase pressure ulcers?
Wrinkled linen, staying in one position for long period of time, malnutrition, dehydration, urinary and fecal incontinence, crumbs or other irritating objects in bed.
What's important to remember when applying heat?
Observe and report any tissue damage caused by the heat, wear gloves if there's non-intact skin or open sores on the resident and/or NA.
When would non-sterile dressing be applied?
For dry wounds that have less chance of infection
What's an important measure to remember when trying to prevent pressure ulcers?
Reposition resident every couple hours, keep linen wrinkle free, no eating in bed, and more
Why is it important to allow the resident to perform their own perineal care if able?
To promote independence, dignity, and proper body functioning
What is the proper way to brush hair?
Section hair into small sections. Hold lock of hair just above tangle so you don't pull at the scalp. Gently comb/brush through the tangle and be careful not to break hair or cause any discomfort.
What is the proper way to do perineal care on a male resident?
If the resident is uncircumcised, pull back the foreskin first. Gently push skin towards the base of the penis. Hold the penis by the shaft. Wash in a circular motion from the tip down to the base. Use a clean area of washcloth or clean washcloth for each stroke.
What can a CNA do related to nail care?
Pushing back cuticles, painting nails, washing, and filing.
What is the procedure for unconscious oral care?
1. Identify yourself and resident
2. Wash yours hands
3. Explain procedure then provide privacy for patient then adjust bed to safe level
4. Put on gloves
5. Turn resident on side or turn head to the side and place towel under their cheek and chin. Place em esos basin next to the cheek and chin for excess fluid
6. Hold mouth open with tongue depressor
7. Dip sponge swab in cleaning solution and squeeze out any extra. Wipe inner, outer, and chewing surfaces of the upper and lower teeth, gums, tongue, and inside surfaces of mouth. Remove debris with swab and be sure to change swab often until mouth is clean
8. Rinse with clean swab dipped in water.
9. Pat resident dry then clean up towel and basin and discard disposable supplies and gloves
10. Wash hands
11. Make resident comfortable and return bed to lowest position
12. Leave call light within reach and wash hands again
What is the proper way to wash your resident's eyes?
Wash it from the inner to outer area using different area of washcloth for every stroke
Other sets by this creator
AP Biology Roots (Set 5)
AP Biology (Set 3)
La Tienda De Ropa 3