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Concepts of Nursing
Chapter 15
| Question | Answer |
|---|---|
| Activities of daily living (ADLs) | bathing, applying lotion or moisturizers, eating, dressing, brushing teeth, nail and toe care, grooming hair, shaving, putting shoes on, making up bed, etc. |
| Assisted Care | providing partial assistance for a patient who can assisted themselves with daily living skills or activities |
| Bath Blanket | blanket placed under a patient when performing a bed bath (a large lightweight flannel blanket, during the bath to prevent exposure) |
| Draw Sheets | sheets placed under a patient to help slide and lift a patient up in bed; also used to protect the bottom sheet from minor soiling |
| Excoriation (skin assessing) | Scrapes on the skin |
| Hygiene | Keeping one's self-clean and well-groomed |
| Lesion | a blister or welp from a disease |
| Leukoplakia | White patches on the tongue or oral mucosa; can be precancerous |
| Lice | parasite or infectious insect |
| Maceration (skin assessing) | softened skin caused by continuous exposure to moisture |
| Mitered Corner | A slanted corner; the purpose is to anchor the linens more firmly than if they were only tucked at the foot of the mattress |
| Mottling (circulation) | A purplish blotching of the skin when circulation slow greatly (circulation is decreasing) normally happens when a patient is dying |
| Nits | Clear bumps affixed tightly to the shaft of the hair (eggs of lice) |
| Ocular Prothesis | False eyeballs (Artificial) it does not move |
| Seborrhea | Thick, oily scales on the scalp (an overproduction of sebum); called cradle cap in infants |
| Self-care | Providing daily living skills to self without assistance from healthcare personnel |
| Special Mouth Care | Providing routine mouth care for a patient that cannot do for themselves |
| Tinea Capitis | A fungal infection that can affect any part of the body and can be spread from one person to another (around area of hair loss with a lesion possibly indicating a ringworm) |
| Total Care | Providing total assistance for a patient who can do anything for themselves |
| Venous Return (circulation) | Washing from distal to prosomal extremities to return blood back to the heart (promotes blood circulation) |
| An (unoccupied bed) Open Bed is? | This bed is made with the top of the linens fan folded to the foot of the bed so that the patient can easily slip into bed and pull them up |
| An (unoccupied bed) Closed Bed is? | In acute care this bed is only used when the patient is discharged; will turn into an open bed when staff is alerted of a patient's admission |
| An (unoccupied bed) Surgical Bed is? | This bed is made with the top linens fan folded to the side of the bed (the side away from the door) |
| Bed positioning supports.. | Patient comfort, therapeutic reasons, can help them prevent shortness of breath, and shock |
| How do you clean/care for hearing aids? | take the battery out; check for wax build up in ear peace put in a damp cloth not water |
| What is a hospital bed? | A special type of bed designed to be placed in a variety of positions |
| What are some common bed positions? | Flat, Fowlers, Semi-Fowlers, Trendelenburg's, and Reverse Trendelenburg's |
| What is the purpose of the flat bed position? | used for resting or sleeping after certain procedures such as lumbar punctures and back surgery |
| General Routine Care is normally doing at what times of the day... | Early Morning (Early AM), Morning (AM), Afternoon (PM), |
| Tub Bath | A patient can sit in a tub of water that may or may not include a whirlpool; cleanses the full body |
| Shower | The patient can stand under a sprayer of water, sit on a shower chair, or bench for cleansing of the body |
| Therapeutic Bath | A tub bath given for a specific reason such as to soak with medication added to soothe itching or skin disorders; can also be a whirlpool bath for the removal of infected or necrotic tissue from wounds |
| Partial Bath | Only selected parts of the body are washed such as hands, face, axilla, buttocks, perineal area, or parts of the body that would cause odor if not washed. (normally done when patient is in pain or nauseated) |
| Commercially Prepared Bathing Product | A kit that contains disposable wipes that are heated in the microwave. used on one area of the body then disposed to prevent cross contamination |
| Assisted or Help Bath | The bath may be given sitting in bed or in a chair sitting upright and the patient participates as much as possible |
| Complete Bed Bath Using a Commercial Prepared Bathing Product | The bath is given by using special wipes that are packaged specifically for bathing (Are warmed) Used on one area of the body and disposed of (complaints of wipes leaving the skin feeling sticky) |
| Complete Bed Bath | The bath is accomplished using a basin of water at the bedside; all parts of the body are washed (generally the patient is too ill to assist so nurse performs the bath) |
| Occupied Bed | This bed is considered occupied if the linens are changed with the patient still in the bed |
| What is the purpose of the Fowlers position? | Knees slightly elevated to prevent sliding down; used when patient want to sit up in bed and watch tv or converse with visitors |
| What is the purpose of the Semi-Fowlers position? | Used for patients on continuous tube feedings to prevent aspiration and for comfort when patient does not wish to be completely flat |
| What is the purpose of the Trendelenburg position? | Used for patients that have very low blood pressure (shock) to return blood to the brain and the vital organs (keeping the bed flat and the feet elevated for patients with breathing difficulty or head injury) |
| What is the purpose of the Reverse Trendelenburg's position? | Used to elevate the patients head without bending at the waist for patients who have returned from a procedure requiring that the legs be kept straight at the groin such as cardiac catheterization |
| Sordes | Dried crusty mouth secretions in unconscious patients |
| Benefits of cleansing the skin are... (a select all that apply question) | Cleansing the skin, provides an opportunity to assess the skin, increases circulation and sensation, provides comfort and relaxation, provides improved self-esteem, and contributes to the establishment of the Nurse-Patient relationship |
| In some cultures, it is not appropriate for a person to be bathed by the opposite sex | True |
| Never leave a patient in the shower by themselves | True |
| You should perform oral care every 2hrs on an unconscious patient or patient that is immobile | True |
| You should have a suction machine for patient that cannot perform oral care and need assistance doing so | True |
| Humidifiers are nursing measures and do not need a doctor's order | True |
| Denture care is performed how? | Remove dentures, put dentures in denture cup with water, then add Efferdent tablet for cleansing |
| Shaving patients, you do what? | Do not go against the grain it causes in grown hairs |
| Anticoagulant medications do what? | Delay blood clotting |
| Patients taking anticoagulants should be shave with what? | An electric razor because they could cause excessive bleeding if the patient were accidentally cut |
| If the patient is a diabetic how are nails managed? | The nails are filed instead of clipped to prevent accidentally clipping toe tissue |
| Patients with diabetes have... | poor circulation |
| Soap, water, and alcohol are generally used for what? | Care of piercing sites |
| Intubation involves what? | Passing a tube through the mouth to the trachea |
| What is an overbed table? | Designed to be placed alongside the bed or across the bed |
| What are sternotomies | patients who have had surgical openings of the sternum to access the heart and lungs |
| Thrombus is a | blood clot |
Created by:
Daarina Jones