Pro Nursing Practice I 310-Test One Study Guide with Complete Solutions

Pro Nursing Practice I 310-Test One Study Guide with Complete Solutions During personal care, the nurse has the opportunity to assess the patient's integumentary system. What other activities of daily living allow for visualization of the patient's skin? - Ans:-Bathing Bathing allows assessment of the skin over the patient's entire body. What is the first line of defense against microorganisms? - Ans:-Skin The skin is the body's first line of defense against microorganisms, protecting its underlying structures from external elements. What is the function of sebaceous glands? - Ans:-Keeps the hair and skin soft. Sebaceous glands are an accessory organ of the skin that secretes an oily substance that keeps the hair and skin soft. GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 2/115 What is the function of mucous membranes? - Ans:-Protects the nasal, oral, vaginal, urethral, and anal passages and cavities of the body. Mucus membranes protect the nasal, oral, vaginal, urethral, and anal passages and cavities of the body. What aids the beginning of chemical digestion? - Ans:-Saliva Saliva secretes mucus, enzymes, and a watery fluid that forms saliva and begins the chemical breakdown of food and fluids. Which structure starts the process of mechanical digestion? - Ans:-Teeth Teeth are hard, bony structures found in the mouth. They begin the process of mechanical digestion by breaking up the food while chewing. Overview of the Integumentary System and Mucous Membranes - Ans:-Summary The integumentary system is composed of the skin and its accessory organs, the sweat glands, hair, the sebaceous glands and nails. Skin is the body's outer-most protective layer. Proper hygiene of the integumentary system is important for the health of a patient. GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 3/115 The mucous membrane, continuous with the skin, lines the oral cavity. Teeth and gums must be kept clean and healthy to maintain proper chewing, ingestion, and digestion of food. Like the skin, the mucous membranes also provide protection from outside elements. When assessing a newly admitted patient, the nurse observes a red area on the patient's sacrum. What action should the nurse implement? - Ans:-Turn the patient on the right side. Turning the patient on the right side is taking the pressure off of the sacrum and an intervention that the nurse should implement. Assess to see if the red area on the patient's sacrum blanches. Assessing to see if the red area on the patient's sacrum blanches is important to implement. If the site blanches, hopefully, the pressure being taken off of the sacrum will allow the site to heal. If the site does not blanche, the patient has a deeper tissue injury than the epidermis. A nurse is reviewing personal care procedures with nursing students. The nurse knows they understand the importance of hygiene when they make which statement? - Ans:-"Personal care is the best time to perform a skin assessment." GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 4/115 The nurse should use personal care as an opportunity to perform a full assessment of the skin and accessory organs, as well as enhance the nurse-patient relationship through communication. Why is it important for the nurse to participate in providing a patient's personal care? - Ans:- To spend time with the patient Spending time with the patient helps form a good nurse-patient relationship; this can be accomplished through providing a patient's personal care. To perform a more comprehensive assessment Performing a more comprehensive assessment allows the nurse to directly observe the patient's entire body, which the patient may otherwise be reluctant to allow viewing. To help gain the trust of the patient Spending time helping the patient with personal care helps the patient-nurse relationship, and helps build the trust of the patient. The nurse is caring for a patient who had a stroke that left him completely paralyzed. The patient is edentulous. How should mouth care be performed on this patient? - Ans:-Clean the mouth with mouth swabs. GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 5/115 The patient's mouth should be cleaned with mouth swabs. Moistening the patient's mouth is important to prevent bacteria from growing and for healthy gums. The nurse is caring for a patient who has had an incontinence episode of both urine and stool, and needs to perform her skin assessment for her shift. Place the nurse's next steps in order. - Ans:-Note that the patient has soiled the pad. Clean the patient's skin. Assess the patient's skin, noting any redness or breakdown. Place skin protectant paste on the patient's skin. When caring for a malnourished patient, the nurse performs her skin assessment. Which areas of the skin should the nurse especially observe for redness and breakdown?