Hygiene and Care of the Patient’s Environment chapter 9

What is one way to help a patient conserve energy for the recovery process?

Controlling stimuli in the patient’s personal environment

Which bed position facilitates Venus return in patient with poor peripheral circulation

Trensdelenburg

Which position aids in dilation of large vessels for central line placement

Trendelenburg

Which bed position facilitates in the removal of secretions with postural drainage

Trendelenburg

Which bad position is sometimes ordered after a lumbar puncture is performed

Semi-Fowlers (Low Fowlers)

Bed position where the head of the bed is raised to an angle of 45° up to 90°

Fowler‘s to high Fowler’s

Which bed position is the appropriate position for eating or drinking to prevent aspiration?

fowler’s or high Fowler’

which preposition is beneficial during breathing exercise exercises or to promote full lung expansion

fowler’s to high Fowler’s

Which bad position is often used for patients who cannot tolerate Fowler’s or high Fowler’s

Semi-Fowlers(Low Fowler’s)

Which bad position is ordered after a lumbar puncture

Semi-Fowlers(Low Fowler’s)

Which bed position raises the head of a bed approximately 30°

Semi-Fowlers(Low Fowler’s)

What degrees should the head of the bed be raised in Fowler’s to high Fowler’s

45° up to 90°

What degrees should the head of the bed approximately be raised in Semi-Fowlers(Low Fowler’s)

Approximately 30°

What bed position is the entire bed tilted downward with no break in the middle of the bed

Trendelenburg’s

which bed position is the entire bedframe tilted downward towards the foot of the bed with no break in the middle of the bed

Reverse Trendelenburg’s

Which bad position promotes, gastric, emptying and prevents Esophageal reflux

Reverse Trendelenburg’s

Which bad position facilitates arterial circulation to the lower extremities

Reverse Trendelenburg’s

Which position is the entire bedframe parallel with the floor?

Flat

Which position is for patients with vertebral injuries?

Flat

Which position is used immediately after lumbar puncture and in cervical traction

Flat

which bed position is generally preferred by patient for sleeping

Flat

Water temperature when applying heat to an affected area

110°

vertigo

dizziness

syncope

fainting

Tepid

Only slightly warm; lukewarm.

The recommended room temperature

68°F to 74°F

Perineal care involves

cleaning and maintaining the hygiene of the area of skin between the anus and the vulva (in females) or scrotum (in males).

With hygiene what can neurologic changes affect

decrease the persons ability to sense temperature

canthus

corner of eye

How do you wash around a patients eye

inner to outer canthus

diaphoresis

excessive sweating

erythematous [pertaining to erythema or redness]

nevi

moles

refers to the rigidity or firmness of cells or tissues

Turgor

What causes a pressure injury to occur

When significant pressure on the skin causes the blood vessels in the area to collapse. The flow of blood and fluid to the cell is impaired, reducing and ischemia, or lack of oxygen and nutrients to the cells

What are the two mechanical factors that play a common role in the development of pressure injuries?

Shearing force

Friction

Which stage of pressure injury is risk for osteomyelitis

Stage 4

Which stage of pressure injury has full thickness, tissue loss with bone, tendons, cartilage, or muscle exposed

Stage 4

Which stage of pressure injury often includes undermining and tunneling

Stage 4

What stage of pressure injury can slough or Escher possibly be present in some parts of the wound bed

Stage 4

Which stage of pressure injury includes full thickness tissue loss subcutaneous fat may be visible, but no bone, tendons or muscle

Stage 3

Which stage of pressure injury may possibly feature undermining and tunneling

Stage 3

Which stage of pressure injury would possibly show Escobar and slough

Stage 3

Which stage of pressure ulcer has a partial thickness loss of the dermis

Stage 2

Which stage of pressure ulcers appears as a shallow open injury, usually dry and shiny with red – pink wound bed without slough or bruising

Stage 2

Which stage of pressure injury Maybe painful, firm, soft, warm, or cool compared with adjacent tissue

Stage 1

Which stage of pressure injury is localized on the skin, typically over a bony prominence, that is intact with non-blanchable redness

Stage 1

Which pressure injury involves full thickness, tissue loss, a wound base covered by slough or eschar

unstageable/unclassified

Which stage of pressure injury would the wound appear as a localized, purple or maroon area of discolored intact skin or a blood filled blister?

Suspected deep tissue pressure injury

What are three systemic reactions to heat therapy?

Rapid pulse

Faint

Difficulty breathing

What is the systemic reaction to cold therapy?

Shivering

At what temperature would someone start experiencing numbness, followed by pain?

Temperatures below 59°F

At what temperature would someone experience pain and burning?

Temperatures above 113°F

Name three contraindications to heat therapy

Any bleeding

Inflammation

Cardiovascular problems

Name three contraindications to cold therapy

Edema (The cold decreases circulation to the area, prevent prevents absorption of the interstitial fluids that has accumulated, and prolonged resolution of the edema)

Anyone with impaired circulation

Nerve damage

Orthostatic hypotention

Female perineal care water tempature?

105-109 F

circumorbital

circular area around the eye

Postoperative is a form of opened or closed bed?

Open bed

The top sheet and the spread are not mitered or tucked in at the corners. The top linens usually are fanfolded lengthwise or crosswise at the foot of the patient’s bed.

what is the purpose of a toe pleat when making the bed?

Prevents unnecessary pressure on patient’s feet, possibly causing foot drop.