Nursing Test
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| A. Age, malnutrition, obesity, hypoxia, smoking, drugs (steroids), DM, radiation, anemia, cancer, renal insufficiency, hypovolemia, immune system compromise, surgery >3 hrsB. Protection, aiding hemostasis, promoting healing, supporting or splinting wound site, promoting thermal insulation, providing moist environmentC. Assess the skin of areas distal to the bandage for: pallor, paresthesia, pain, pulselessness, paralysisD. Aquathermia pads: Kpads, Therma-zone pads. Instant hot packs. Hot water bottles. Thermal warming blankets. Sitz baths. Warm soaks.E. Fractures, laceration, muscle strains, arthritis, trauma, puncture wound, sprains, sports injuryF. Prolonged heat & moisture on skin may cause epithelial cells to deteriorate. Place and support body part to be bandaged in normal functioning position. Place pins or knots well away from wound. G. Creating pressure over a body part. Immobilizing body part. Supporting a wound, reducing or preventing edema, securing a splint, securing a dressing, usually rolled gauze, kerlix, kling, and ace wrapH. Surgical wounds, hemorrhoids, episiotomies, phlebitis, IV infiltration, arthritis, muscle spasms, cramps, low back painI. Inspect skin. Cover exposed wounds or open abrasions with sterile dressing. Assess condition of underlying dressings and changing if soiled. Assess 5 P's of circulationJ. Age of pt, level of consciousness, circulatory impairment, sensory deficits, skin integrity, pt diagnosis, metallic implants. |
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