Question | Answer |
What position is "laying flat on your back" face up? | Supine Position |
What is the Lateral position? | Laying on your side |
What is the Sim's Position? | Left side lying with right leg sharply flexed so that it is not resting on the left leg. Left arm postioned along along the clients side and right arm bent upwards. Use pillows Used for administering enema's |
What is the Prone position? | Front lying or lying on your stomach/abdomen. |
What position is best for doing Perineal Care? | Supine |
What is used to prevent Foot drop or Plantar Flexion? | Foot Board |
What is provided every 2 hours to unconsciuos residents to them from aspirating saliva? | Oral Hygiene |
What do you practice when providing "Oral Hygiene", trimming fingernails or shaving a client, because youmight come in contact with a resident's blood | Precautions |
List 3 types of clients that are at risk of developing decubitus ulcers? | Very Old- Confined to bed & Immobile
Diabetic-Poor Nutrition
Very thin or Very Obese- |
What are 5 pressure points on the body? | ear, coccyx, clavicle/shoulder, Patella/knees(inner & outer), heel(inner & outer), & elbows( inner & outer |
List four functions of the skin | 1. protective covering of the body
2. Senses both pleasant & unpleasant stimulations
3. Helps regulate body temperature
4. Protects organs from injury |
What are 2 parts of the Skin? | Dermis & Epidermis |
What is the outer layer of skin called? | Epidermis |
What is the Inner layer of skin? | Dermis |
What is the fatty layer if skin tissue called? | Subcutaneous |
List 3 age related changes of the skin? | Loss of Elasticity
Wrinkles
Thinning of the skin
Age/Brown Spots |
What are 5 factors that put a client at risk of developing decubitus ulcers? | Age
Mobility
Dehydration
poor nutrition
Incontinence |
List 5 ways you can prevent a client from developing decubitus ulcers? | Reposition every 2 hrs.
Moisturize dry skin
Make sure linens are clean & Wrinkle free
Make sure clothes are clean
Changed soiled products
Hydrate
Airbag/Airflow Matress |
List 5 places a client could develop a pressure area when lying in the "Supine" position? | shoulders/clavicle, heels, elbows, coccyx, inner knees, ankles |
Why should moisturizer be used bathing a client? | Helps with Relaxation, and moisturizes the skin |
The PSW should provide for what rights when bathing a client: | Privacy & Choice |
A back massage promotes_________________________? | Good circulation, relaxation & helps build rapour with client |
Perineal care is done from ____________to________________? | Ureathral to Anal
Cleanest to dirtiest |
What is important to do to the skin before shaving? | Soften & Moisten the skin |
A PSW should always encourage the client to do what? | Do as much on there own and a PSW shlould always promote the clients independence |
Bathing Promotes? | Good Hygiene
reduces risk of infections
promotes circulation |
Bath time is a good time to promote what kind of communication? | one on one, trust, reporting observations |
Does a PSW cut toe nails? | No ( unless care plan advises) |
Who cuts a "Diabetics" toenails? | Podiatrist or Chiropodist |
Podiatrist treats what part of the body? | Feet & Toes |
How should a PSW motivate a client to bath who has lost interst & has body odour? | Encourage them and explain the benefits
Listen to them be polite & honest
Provide choices
Offer rewards |
What are comfort measures to help refresh and relax a client? | Bathing & Massage |
How often is mouth care done for the average client? | 2-3 times daily (Minimum) |
List 5 conditions that would require mouth care & fluid in mouth every 2 hrs? | NPO-tube feed
Pallitive
Fever
On Oxygen therapy
Mouth Breathing
Unconscious |
How many teeth in permanent dentition? | 32 |
Plaque is caused by______________? | Food Debris |
Dentures should be washed in______________________? | Warm water & cleaning agent |
Dentures should be stored in ______________________? | Cool Water in a denture cup |
List 5 things to report about the skin? | Colour
Temperature
Swelling
Rashes & Sores
Odours
Damage |
List 5 enemies of the skin? | Sun exposure
SmokingTabacco
Drugs
Dryness/Dehydration
Alcohol |
What are the stages of wounds and describe each stage? | Red skin- no open breaks or tears
Cracked or blister- skin breaks open expands into deeper layers
Tissue exposed- forms small crater
Exposed muscle /bone- very deep into tissues, tendons & muscle or bone |
What is the largest organ of the body? | Skin |
What soes the skin excrete? | Sweat, water, oils & waste products |
Explain how the skin protects the body from infection? | Its the first line of defence. Barrier from microbes |
What is the Epidermis made up of? | Living & dead cells |
What structures are found in the dermis layer of skin? | Hair, Sweat & oil glands |
How do Pressure Ulcers Occur? | From poor circulation
on a boney prominence (Knees, elbows, clavicles |
How does skin regulate bosy temperature? | Sweat glands help by removing fluid waste through perspiration. Blood vessels dialate to release heat and contract to retain heat |
What is a full bed bath? | From head to toe |
What is a Partial bedbath? | face, hands, underarms,back,buttocks, and perineal care |
When making a bed you fold the bedding toward the foot of the bed and fan bedding? | Open Bed |
When making a bed you place the top sheet and bed spread so it is covering the entire bed. What is this called? | Closed Bed |
Vaseline can be used to remove stool from the skin? True of False | True |