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LPT NS Integumentary
nursing skills
Question | Answer |
---|---|
A stage two pressure sore would appear as red and____? | Blistered |
Postion should be changed every ___ hours for an immobile person | 2 |
The main cause of a pressure sore is | unrelieved pressure to an area |
Another name for pressure sore | decubitus |
A symptom of lack of activity to the GI system | Constipation |
A stage 3 pressure sore would appear as an open ____into the dermal layer | lesion |
A stage 1 pressure sore would appear as _____area that does not fade within 15-20 minutes after pressure is relieved | red |
Skin that is not intact is considered a(n) | open wound |
The first sign of skin breakdown is: | pale, white, reddened, or purple skin |
What common condition increases the risk of pressure ulcers? | immobility |
Benefits of applying heat to the body? | Heat increases the movement of oxygen and nutrients into the tissues. |
Warm and cold applications should generally be applied for? | 20 minutes |
A sitz bath is used to | Increase blood flow to the pelvic area |
Non-sterile dressing are applied to: | Dry wounds that have less chance of infections |
Heat causes vasodilation or vasoconstriction | vasodilation |
Warm and cold applications are completely safe and do not require an order. T/F | False, although you can use cold applications for first aid without an order |
You have very tight sore muscles after strenuous exercise. You would apply: | warm |
You have a splinter in you finger that you have removed. The finger is red and swollen. You would apply | warm |
____should never be applied directly to the skin | Cold or ice |
You can check the temperature of a hot pack by checking on the inside of your____? | wrist |
A member of you family has a bad cold with sinus congestion. What would be the best application? | warm |
A person has a nose bleed that is not relieved by applying pressure. The nurse may tell you to apply warm or cold? | cold |
Heat or cold: Which helps to localize an infection? | Warm |
Warm or cold applications are therapuetic and may eliminate the need for medication. T/F | True |
Dressings must be applied over clean, dry skin because: | dark, moist, warm areas promote growth of bacteria |
When cleaning a wound you clean from the center of wound to outside? | True: The outside intact skin is dirty. So you are cleaning from clean to dirty. |
You should lift with your legs and not your back? T/F | true |
In which position is a resident if he is lying flat on his back with his head and shoulders supported by a pillow? | supine |
In which postion is a resident if he is on his left side with his lower arm behind his back and his upper knee flexed? | Sim's |
How would you describe a high-Fowler's position? | A resident is sitting nearly straight up |
When transferring a resident who has a weak side: | The strong side moves first |
A resident who is ambulatory can: | get out of bed and walk |
When helping a visually impaired resident walk, where should the technician be: | standing slightly in front of the resident |