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Chapter 53
Bandages and Binders
| Question | Answer |
|---|---|
| List the purposes and benefits of bandages. | to support limb, joint, hold dressing, cold and heat pack, immobilize joint, shape stump, and provide compression for venous return |
| List the different types of application wrapping of bandages. | figure eight, spiral, spiral-reverse, circular, recurrent |
| What does PNA stand for. | peripheral neurovascular assessment |
| What does CMS-ET stand for | color of fingers or toes, motion or mobility, sensitivity or sensation, edema and swelling, temperature |
| List the different types of bandages. | roller bandage, kerlix, stretch-net bandages, antiembolism stockings, thromboembolic disease stockings (teds) |
| When would a nurse apply ted hose? | before client gets out of bed, legs must be elevated at least 15 minutes before applying |
| List some reasons why ted hose are used. | prevents pulling of fluid or blood in the leg, which increases the pressure from the stockings and alters there effects., prevents blood clots and used for ortho hypostatic hypotension |
| Why is the PCD machine used? | to provide alternating pressure to the legs, pneumatic compression device, sequential compression device, intermittent sequential compression device, these machines support circulation used after surgery and dx circulatory d/o |
| _____________ a flat wide piece of fabric that is applied to support a specific body part or to hold a dressing in place. | arm sling, t-binder, breast binder, abdominal binder |
| ________________ should be applied with compression on the most distal point of the limb, with pressure gradually decreasing as the bandage is applied, moving up the limb. | ELASTIC BANDAGE |
| Why is hypoallergenic tape used for | holds a client's dressing in place, supports sprained ankles, fractured ribs, or fractured toes, allows ventilation and helps to prevent skin maceration. |
| ______________ may be used if frequent dressing changes are needed , helps prevent skin irritation | montgomery straps |
| What should the nurse do if client complaints of pain or itching while any bandage is in place. | nurse should assess the area for redness, swelling or any other abnormalities and report to charge nurse |
| List reason for nurse to perform PNA | TO ENSURE BANDAGE IS NOT TO TIGHT CAUSING DAMAGE. |
| List some reasons to be concerned when checking the skin of a patient with a cast. | colors that are white, mottled, dusky, cyanotic, pale. |
| list some findings that would alarm you when assessing a person with a cast or bandage | faint pulses or no pulse, cyanosis to ext, coolness to ext, capillary refill greater than 3 seconds |
| What is a stretch or ne bandage used for? | TO HOLD DSG IN PLACE, USED IN BURN VICTIMS |
| WHAT IS ANOTHER NAME FOR TED HOSE | THROMBOEMOLITIC DISEASE STOCKING |
| WHAT ARE THE STEPS OF APPLYING TED HOSE | CHECK DOCTORS ORDERS, EDUCATE PATIENT ON REASON AND PROCEDURE, ENSURE PATIENT IS IN BED OR IF PUT TO BED YOU MUST WAIT 15 MINUTES BEFORE APPLYING. MEASURE PATIENT FOR APPROPRIATE SIZE, APPLYING TED HOSE MAY APPLY POWDER IF NO RESP PROBLEMS. CHART PT OUTC |
| HOW OFTEN SHOULD THE NURSE ASSESS A PATIENT WITH TED HOSE, OR BANDAGES | EVERY 2 HOURS |
| HOW OFTEN SHOULD THE NURSE REMOVE THE BANDAGES OR TED HOSE TO ASSESS THE SKIN AND WASH IT. | 4-8 HOURS |
| SCD'S ARE USED FOR WHAT? | IT ALTERNATES PRESSURE TO LOWER EXT. |
| EXPLAIN HOW THE SCD'S WORK | THEY ALTERNATE AND INFLATE. IT STARTS AT FOOT AND GOES UP. IT PUSHES THE BLOOD TO THE HEART ONCE IT REACHES THE TOP CHAMBER IT DEFLATES AND THE CYCLE BEGINS AGAIN. |
| _____________________ - FLAT PIECE OF FABRIC APPLIED TO SUPPORT A SPECIAL BODY PART OR HOLD DRESSING IN PLACE. | BINDERS |
| ____________________- HOLDS VAGINAL, GROIN, OR ANAL DRESSING. THEY CAN ALSO BE USED TO HOLD PERINEAL PAD IN PLACE | T-BINDER |
| _________________- USED TO HOLD DSG IN PLACE STRAPS ARE TAPED TO THE SKIN AT DISTAL END. IT ALLOWS DSG TO BE CHANGES OFTEN. | MONTGOMERY |
| ___________________ ITS USED TO HOLD DSG IN PLCE ND GIVE SUPPORT SUCH AS ANKLES, TOES, RIBS | TAPE |
| TRUE OR FALSE A RATIONALE FOR APPLICATION OF A BANDAGE OR BINDER WOULD INCLUDE PROVIDING COMPRESSION TO PROMOTE VENOUS RETURN OR PREVENT EDEMA | TRUE |
| TRUE OR FALSE THE TERM FOR EVALUATING THE STATUS OF AN EXTREMITY OF AN EXTREMITY ENCASED IN A BANDAGE OR A CAST IS PERIPHERAL NEUROVACULAR ASSESSEMENT ND WOULD INCLUDE SENSATION IN FINGERS AND TOES AND DISTAL PULSES | TRUE |
| TRUE OR FALSE THE PURPOSE OF ANTIEMBOLISM STOCKINGS IS TO PROMOTE VENOUS CIRCULATION AND PREVENT BLOOD CLOTS. | TRUE |
| ______________________ IS THE SKIN SOFTENING AND BREAKDOWN DUE TO MOISTURE ACCUMULATION AND LACK OF CIRCULATION | MACERATION |
| THE PERIPHERL NEUROVASCULAR ASSESSMENT SHOULD BE PERFORMED AT LEAST EVERY_____________ HOURS, OR MORE OFTEN WHEN A PATIENT HAS A BANDAGE IN PLACE | TWO |
| A __________________ BANDAGE OCCURS WHEN WRAPPING A LIMB IN ASCENDING PATH, PARTIALLY COVERING THE PREVIOUS WRAPPING WHILE MOVING UP THE LIMB | SPIRAL |
| BEFORE APPLYING AN ANTIEMBOLISM STOCKING, IT IS ENSURED THAT THE CLIENT HAS BEEN LYING DOWN FOR AT LEAST _____________________ MINUTES. | 15 |
Created by:
rosegraffagnini
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