NUR 101 EXAM 2 UPDATED ACTUAL Questions and CORRECT
Answers
6 factors that affect hygiene - culture
- socioeconomic class
- spiritual practices
- developmental level
- health state
- personal preferances
what does early morning care consist of? - toileting
- washing hands and face
- oral care
- provide comfort measures to refresh patient for the day
when is morning care done? after breakfast
what does morning care consist of ? -toileting -oral care -bathing -hair care/cosmetics -dressing (if they wish) -change
linens -tidy up room -make sure patient is comfortable
when is afternoon care done? after lunch
what does afternoon care consist of? - make sure patient is comfortable
- assist with any hand washing, toileting or oral care
- straighten linens -help reposition
when is hour of sleep care done? right before patient goes to bed
what is done during HS care? - change soiled linens or clothing
- offer assistance with washing, toileting, oral care
-offer back massage
- assure everything is in reach of the patent
- ensure patient is comfortable
some reasons for bathing - cleanses skin
- conditions skin
- promotes circulation
- stimulates respiration
- improves self image
- relaxes patient
only assist patient with hygiene if they ....... are incapable of doing it themselves
, 8 functions of the skin - protection
- body temperature regulation
- psychosocial
- sensation
- vitamin D production
- immunologic
- absorption
- elimination
psychosocial function of the skin external appearance, self esteem
what causes a pressure injury - pressure of bone against hard surface that pinches blood vessels
- friction of skin against a surface
5 major areas of pressure injuries - sacrum
- back of head
- heels
- hips
- shoulder blades
what are the 4 phases of wound healing? - hemostasis
- inflammatory
- proliferation
- maturation
hemostasis occurs...... immediately after injury
what happens during hemostasis - blood vessels constrict and clotting begins
- exudate forms which causes swelling and pain
- followed by heat and redness
exudate fluid that accumulates in a wound (platelets, bacteria, etc)
how long does the inflammatory stage last? 2-3 days
what happens during the inflammatory stage? - white blood cells and macrophages come to clean up the area by ingesting debris
the inflammatory phase can cause _______ ________ symptoms flu like
how long does the proliferation phase last? several weeks
what happens during the proliferation phase? - fibroblasts form new tissue
- capillaries form to create a blood supply
when does the maturation phase begin? 3 weeks after injury
what happens during maturation phase? - collogen is remodeled and new collogen tissue is deposited
- scar forms
how long could you be in the maturation phase for? months to years
Answers
6 factors that affect hygiene - culture
- socioeconomic class
- spiritual practices
- developmental level
- health state
- personal preferances
what does early morning care consist of? - toileting
- washing hands and face
- oral care
- provide comfort measures to refresh patient for the day
when is morning care done? after breakfast
what does morning care consist of ? -toileting -oral care -bathing -hair care/cosmetics -dressing (if they wish) -change
linens -tidy up room -make sure patient is comfortable
when is afternoon care done? after lunch
what does afternoon care consist of? - make sure patient is comfortable
- assist with any hand washing, toileting or oral care
- straighten linens -help reposition
when is hour of sleep care done? right before patient goes to bed
what is done during HS care? - change soiled linens or clothing
- offer assistance with washing, toileting, oral care
-offer back massage
- assure everything is in reach of the patent
- ensure patient is comfortable
some reasons for bathing - cleanses skin
- conditions skin
- promotes circulation
- stimulates respiration
- improves self image
- relaxes patient
only assist patient with hygiene if they ....... are incapable of doing it themselves
, 8 functions of the skin - protection
- body temperature regulation
- psychosocial
- sensation
- vitamin D production
- immunologic
- absorption
- elimination
psychosocial function of the skin external appearance, self esteem
what causes a pressure injury - pressure of bone against hard surface that pinches blood vessels
- friction of skin against a surface
5 major areas of pressure injuries - sacrum
- back of head
- heels
- hips
- shoulder blades
what are the 4 phases of wound healing? - hemostasis
- inflammatory
- proliferation
- maturation
hemostasis occurs...... immediately after injury
what happens during hemostasis - blood vessels constrict and clotting begins
- exudate forms which causes swelling and pain
- followed by heat and redness
exudate fluid that accumulates in a wound (platelets, bacteria, etc)
how long does the inflammatory stage last? 2-3 days
what happens during the inflammatory stage? - white blood cells and macrophages come to clean up the area by ingesting debris
the inflammatory phase can cause _______ ________ symptoms flu like
how long does the proliferation phase last? several weeks
what happens during the proliferation phase? - fibroblasts form new tissue
- capillaries form to create a blood supply
when does the maturation phase begin? 3 weeks after injury
what happens during maturation phase? - collogen is remodeled and new collogen tissue is deposited
- scar forms
how long could you be in the maturation phase for? months to years
