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Wound Care

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What is a break in the skin or mucous membrane?   Wound  
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What is an accident or violent act that injures the skin, mucous membranes, bones, and organs?   Trauma  
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When a person has a _____________, infection is a major threat.   Infection  
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Wound care involves ________________ infection and further injury to the wound and nearby tissues.   Preventing  
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What is a partial-thickness wound caused by the scraping away or rubbing of the skin?   Abrasion  
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What is a closed wound caused by a blow to the body (a bruise), Also called a deep tissue injury?   Contusion  
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What is a cut produced surgically by a sharp instrument that creates an opening into an organ or body space?   Incision  
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What is an open wound with torn tissues and jagged edges?   Laceration  
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What type of wound is created for therapy?   Intentional  
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What do you call a wound in which the skin and mucous membrane is broken?   Open  
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What do you call a wound in which tissues are injured but the skin is not broken?   Closed  
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Bruises, twists, and sprains are examples of which type of wound?   Closed  
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What type of wound is not infected?   Clean  
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Which type of wound occurs from the surgical entry of the reproductive, urinary, respiratory, or GI system?   Clean-contaminated  
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Which type of wound has a high risk of infection?   Contaminated  
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Which type of wound contains large amounts of microbes and shows signs of infection; also called a dirty wound?   Infected  
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Which type of wound does not heal easily; for example pressure ulcers and circulatory ulcers?   Chronic  
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What type of wound involves the dermis and epidermis being broken?   Partial-thickness  
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What type of wound involves the dermis, epidermis, and subcutaneous tissue are penetrated; may involve bone or muscle?   Full-thickness  
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What is an open wound that breaks the skin and enters a body area, organ, or cavity?   Penetrating  
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What is an open wound made by a sharp object?   Puncture  
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With a puncture wound, entry of the skin and underlying tissues may be intentional or __________________.   Unintentional  
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What is a break or rip in the outer layers of the skin?   Skin tear  
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Measures to prevent skin tears include keeping your _______________ short and smoothly filed.   Fingernails  
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Measures to prevent skin tears include following safety rules to handle, move, turn, position, or ______________ a person.   Transfer  
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Measures to prevent skin tears include taking measures to prevent __________ and shearing.   Friction  
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Measures to prevent skin tears include using an ___________ device to move and turn the person in bed.   Assist  
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Measures to prevent skin tears include using ______________ to support arms and legs.   Pillows  
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Measures to prevent skin tears include ______________ bed rails and wheelchair arms, footplates, and leg supports.   Padding  
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Measures to prevent skin tears include dressing the person in __________ clothes with long sleeves and long pants.   Soft  
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Skin tears are caused by friction, ____________, pulling, or pressure on the skin.   Shearing  
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Skin tears are painful and are a portal of entry for microbes making _____________ a risk.   Infection  
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What is swelling caused by fluid collecting in tissues?   Edema  
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What is a condition in which there is death of tissue?   Gangrene  
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Measures to prevent vascular ulcers include reminding the person not to sit with the legs _____________.   Crossed  
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Measures to prevent vascular ulcers include repositioning the person at least every ________ hours.   Two  
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Measures to prevent vascular ulcers include not using ____________ or rubber band-type garters to hold socks or hose in place.   Elastic  
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Measures to prevent vascular ulcers include not dressing the person in _____________ clothing.   Tight  
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Measures to prevent vascular ulcers include not ______________ or rubbing the skin to bathe or dry.   Scrubbing  
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Measures to prevent vascular ulcers include keeping linens clean, dry, and _____________-___________.   Wrinkle-free  
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Measures to prevent vascular ulcers include keeping ____________ off the heels and other bony areas.   Pressure  
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Measures to prevent vascular ulcers include using _______________ and other devices for support.   Pillows  
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Measures to prevent vascular ulcers include not _____________ over pressure points.   Massaging  
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What are open sores on the lower legs or feet?   Vascular ulcers  
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Vascular ulcers are caused by decreased ____________ _____________ through the arteries or veins.   Blood flow  
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What are open sores on the lower legs or feet, also called stasis ulcers?   Venous ulcers  
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Venous ulcers are caused by poor ____________ blood flow.   Venous  
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When a person has a venous ulcer the skin on their legs is dry, leathery, ____________, and hard.   Flaky  
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When a person has a venous ulcer ____________ is a common symptom.   Itching  
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Venous ulcers are painful and ______________ is difficult.   Walking  
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What is an inflammation of a vein?   Phlebitis  
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The doctor may order _________________ stockings or elastic bandages for a person with venous ulcers.   Compression  
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Compression stockings or elastic bandages ________________ comfort.   Promote  
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Compression stockings or elastic bandages promote _______________ by providing support and pressure to the veins.   Circulation  
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Compression stockings or elastic bandages prevent ____________ and promote healing.   Injury  
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What do you call a blood clot?   Thrombus  
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What is a blood clot that travels through the vascular system and becomes lodged in a vessel?   Embolus  
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Anti-embolism stockings, TED hose, or elastic stockings are other terms for ______________ ________________.   Compression stockings  
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When delegated to apply compression stockings you need to know what ______________ to use.   Size  
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When delegated to apply compression stockings you need to know when to _____________ them and for how long.   Remove  
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Generally compression stockings are removed every __________ hours for 30 minutes.   Eight  
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For safety, when a person is wearing compression stockings, it is important that you never __________ over the top of the stocking.   Fold  
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Compression stockings are applied ______________ the person gets out of bed.   Before  
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Generally the person _______ in bed when their compression stockings are off.   Lies  
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Elastic bandages are applied to the ____________ and legs.   Arms  
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When applying elastic bandages: ___________ the person during the procedure.   Face  
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When applying elastic bandages: Start at the ___________ (distal) part of the extremity.   Lower  
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When applying elastic bandages: Work upwards towards to __________ (proximal) part of the extremity.   Top  
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When applying elastic bandages: Expose fingers or ___________ if possible.   Toes  
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When applying elastic bandages: Apply the bandage with a firm, ___________ pressure and a 50% overlay.   Even  
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When applying elastic bandages: Check the color and temperature of the extremity every __________.   Hour  
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When applying elastic bandages: __________ a loose or wrinkled bandage.   Re-apply  
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Elastic bandages must be firm and ________ but not tight.   Snug  
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What are open wounds on the lower legs or feet caused by poor arterial blood flow?   Arterial ulcers  
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During which phase of wound healing does bleeding stop and a scab form over the wound?   Inflammatory  
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________________ foot ulcers are open wounds on the foot caused by complications of diabetes.   Diabetic  
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Wound edges are brought together to close the wound in ___________ intention wound healing.   Primary  
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Sutures (stitches), staples, clips, special glue, or adhesive strips hold the ____________ edges together.   Wound  
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_______________ intention wound healing is used for contaminated and infected wounds.   Secondary  
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Wounds are cleaned and ___________ _____________ is removed in secondary intention wound healing.   Dead tissue  
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Wound ___________ are not brought together in secondary intention wound healing   Edges  
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Infection is a great risk during ___________ intention wound healing.   Secondary  
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During secondary wound healing and takes longer and leaves a larger ______________.   Scar  
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The wound is left open and closed later during __________ intention wound healing.   Tertiary  
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Infection and poor _______________ are common reasons for tertiary intention.   Circulation  
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What nutrient is needed for tissue growth and repair?   Protein  
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What is the separation of wound layers that may involve the skin layer and underlying tissues?   Dehiscence  
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What is the separation of the wound with the protrusion of abdominal organs?   Evisceration  
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What type of wound drainage is clear and watery?   Serous  
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What type of wound drainage is bloody?   Sanguineous  
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Serosanguineous drainage is thin, watery drainage that is tinged with _____________.   Blood  
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What type of wound drainage is thick, green, yellow, or brown drainage?   Purulent  
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What does the doctor insert when large amounts of drainage are expected?   Drain  
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Drainage is measured by noting the number and ____________ of dressings with drainage.   Size  
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Dressings are ___________ to calculate the amount of drainage.   Weighed  
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Drainage can be measured by measuring the amount of drainage in the ______________ container.   Collection  
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You can observe the surrounding skin of a wound by noting if it is _____________.   Intact  
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When making wound observations you should note the ___________ of surrounding skin.   Color  
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When making wound observations you should note if the surrounding ________ are swollen.   Tissues  
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Wound dressings have many functions including protecting the wounds from injury and ______________.   Microbes  
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Wound dressings have many functions including _______________ drainage.   Absorbing  
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Wound dressings have many functions including removing _____________ tissue.   Dead  
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Wound dressings have many functions including ______________ comfort.   Promoting  
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Wound dressings have many functions including ____________ unsightly wounds.   Covering  
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Wound dressings have many functions including providing a ______________ environment for wound healing.   Moist  
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Wound dressings have many functions including to apply _____________ to help control bleeding.   Pressure  
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What type of dressings absorb moisture and drainage?   Gauze  
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Dressings must be ______________ over wounds.   Secured  
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If a dressing is dislodged then _______________ can enter the wound and drainage can escape.   Microbes  
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Adhesive, paper, plastic, cloth and elastic __________ are commonly used to secure dressings.   Tapes  
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What occurs if skin is removed with tape?   Abrasion  
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Elastic tape allows _______________ of body parts.   Movement  
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Tape is applied to the top, _____________, and bottom parts of the dressing.   Middle  
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Rules for applying dressings include waiting about 30 minutes for _______ ___________ to take effect.   Pain medications  
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Dressing _____________may cause discomfort.   Changes  
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Wound odors, appearance, and _______________ may be unpleasant.   Drainage  
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Rules for dressing changes include controlling your ____________ communication.   Nonverbal  
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Rules for dressing changes include removing soiled dressing so the person cannot ____________ the soiled side.   See  
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When removing tape, you should pull it ______________ the wound.   Toward  
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What are wide bands of elastic fabric applied to the abdomen, chest, or perineal areas?   Binders  
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You should re-apply the binder if it is _______________ or wrinkled.   Loose  
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When applying a binder you need to secure safety pins so the point _________ from the wound.   Away  
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Change binders that are _____________ or soiled.   Moist  
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Warm and cold applications promote healing and reduce __________ swelling.   Tissue  
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Warm applications are often used for _____________ - _______________ injuries or problems.   Musculo-skeletal  
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Warm applications relieve ____________.   Pain  
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Warm applications relax _____________.   Muscles  
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Warm applications decreases ____________ stiffness.   Joint  
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Warm applications promote _________________.   Healing  
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Warm applications reduces _________ swelling.   Tissue  
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When heat is applied to the skin, ______________ __________ in the area dilate.   Blood vessels  
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What word means to expand or open wider?   Dilate  
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When blood vessels dilate, blood ___________ increases.   Flow  
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When heat is applied to the skin, the area becomes ___________ and warm.   Red  
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Heat can cause burns so you should report pain, excessive redness or ____________ at once.   Blisters  
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What happens to blood vessels when heat is applied for too long?   Constrict  
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What word means to become more narrow?   Constrict  
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When blood vessels constrict, blood flow ______________.   Decreases  
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Older and fair-skinned persons have fragile skin that is ___________ easily.   Burned  
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Do not apply heat over an area with a metal or ceramic ___________.   Implant  
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When applying a moist heat application, ____________ is in contact with the skin.   Water  
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Heat penetrates _____________ and quicker with a moist heat application.   Deeper  
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What is a soft pad applied over a body area?   Compress  
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To maintain the temperature of the compress, sometimes an ________________ pad is applied over the compress.   Aquathermia  
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During a ________ ___________ the perineal and rectal areas are immersed in warm water.   Sitz bath  
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Sitz baths are common for _____________ and after rectal or pelvic surgeries.   Hemorrhoids  
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What involves wrapping a body part with a wet or dry application?   Pack  
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Some warm packs and aquathermia pads are __________ heat.   Dry  
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The aquathermia pad is an _____________ device in which the tubes are filled with distilled water.   Electrical  
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When cold is applied to the skin, blood vessels ____________ and blood flow decreases.   Constrict  
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Cold has a ______________ effect on the skin.   Numbing  
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Burns and _____________ occur from intense cold.   Blisters  
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When cold is applied for a long time, blood vessels ___________ and blood flow increase.   Dilate  
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When applying warm and cold applications how often should you check the person and the application site?   5 minutes  
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A cold compress is a ____________ cold application.   Moist  
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Ice bags, ice collars, and ice gloves are all _________ cold applications.   Dry  
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Rules for applying warm and cold applications include measuring the ______________ of a moist applications.   Temperature  
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Rules for applying warm and cold applications include not applying very hot (106F +) temperature applications because ______________ damage can occur.   Tissue  
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Rules for applying warm and cold applications include ____________ dry warm or cold applications before applying them.   Covering  
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Rules for applying warm and cold applications include covering dry warm or cold applications with a flannel cover or _____________ as directed.   Towel  
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Rules for applying warm and cold applications include keeping the application on for no more that ________ to 20 minutes.   15  
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Rules for applying warm and cold applications include following the rules of _______________ safety when using electrical appliances to apply heat.   Electrical  
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Rules for applying warm and cold applications include placing the _________ ___________ withing the person's reach.   Call light  
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To promote safety and comfort when applying warm and cold you should __________ on the person every 5 minutes.   Check  
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The person may become weak or feel faint from a ____________ bath.   Sitz  
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When giving a sitz bath you must understand that ______________ may occur from the bath's relaxing effect.   Drowsiness  
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To promote safety and comfort when applying warm and cold you should always read _____________ labels and follow manufacturer instructions.   Warning  
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To promote safety and comfort when applying warm and cold you should place the aquathermia pad heating unit on an _________, uncluttered surface.   Even  
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To promote safety and comfort when applying warm and cold you should make sure the _____________ on the aquathermia pad do not have kinks or bubbles.   Hoses  
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When using an aquathermia pad you should ____________ it in place with ties, tape, or rolled gauze - not pins.   Secure  
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When using an aquathermia pad you should not place the pad __________ the person or under a body part.   Under  
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Placing an aquathermia pad under a body part or person prevents the _______________ of heat.   Escape  
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When using an aquathermia pad you should give the __________ used to set the temperature to the nurse to prevent anyone from changing the temperature.   Key  
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What do you call a body temperature that is much higher than the person's normal range?   Hyperthermia  
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What is placed over the cooling blanker used to treat a person with hyperthermia?   Sheet  
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What do you call a very low body temperature?   Hypothermia  
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What kind of blanket is used to treat hypothermia?   Warming  
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When using warming and cooling blankets, _________ ________ are measured often.   Vital signs  
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Wounds cause pain and discomfort and often affect breathing and _______________.   Movement  
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