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test 4 NA
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Bed bath is given for
Increase comfort and promote hygiene
First step when giving a bath
Wash eyes and face
Leaving patient soiled results in
Abuse and neglect
Safety when turning patient for bath
Rail up on turning side
After bath safety action
Lower the bed
Maintaining dignity during bath
Expose one body part at a time
Bathing effect
Stimulates circulation
If patient refuses bath
Change your approach
Clothing should be changed when
Wet or soiled
Using another resident clothing is
Misappropriation
Privacy during dressing
Close door and use curtain to limit exposure
Patient right of choice dressing
Let them choose outfit
Dressing weak side rule
Put on weak side first
If patient has pain during dressing
Report to nurse
POWS means
Put on weak side
TOSS means
Take off strong side
Pericare requires
Gloves
Safety during pericare turning
Rail up on turning side
Water temp for pericare
Resident preferred comfortable temp
Pericare cleaning direction
Clean to dirty
Bed raised during care for
Good body mechanics and safety
Proper pericare technique
Use different cloth area each stroke
Reuse unused linen in another room
No
When to change linens
When wet or soiled
Handling dirty linen
Roll dirty side inward
Place dirty linen on floor
No
Wrinkle free linens prevent
Pressure sores
Toenails need trimming
Report to nurse
Dry between toes because
Prevents microorganisms
Break in skin is
Portal of entry
Diabetic foot risk
Decreased circulation and sensation
Nails soften by
Soaking in warm water
Foot care abnormalities to report
Redness and breaks in skin
Fingernails must be clean
Because harbor microorganisms
Cutting diabetic nails
Never
Jagged nails risk
Injury
Nail cleaning tool
Orangewood stick
Oral care PPE
Gloves
Position for unconscious oral care
Sims or lateral
Water temp for dentures
Cool or moderate
Denture safety
Line sink with towel
Most important infection prevention
Handwashing
Handwashing time
At least 20 seconds
Hand rub use
When hands not visibly soiled
Missed handwashing areas
Fingertips thumbs between fingers
Elderly infection risk
Higher due to weak immune system
PPE purpose
Break chain of infection
Reuse gloves
No
Remove PPE
Before leaving room
Remove mask
Last before exiting room
Torn glove action
Remove wash hands replace
Contact precaution gown
Protects from fluids
Leaving room on precautions
Remove PPE before leaving
Standard precautions
Treat all as infectious
If unsure of BP
Retake and report
Vital signs purpose
Monitor organ function
5th vital sign
Pain
Low pulse action
Report immediately
Safety when weighing patient
Use non skid footwear
Before weighing patient
Zero the scale
Routine urine specimen mistake
Report and recollect
Catheter bag placement
Never on floor
5 rights specimen collection
Right patient specimen container time storage
Emptying elimination equipment
Into toilet
Fracture pan use
Fractured pelvis
HOB position on bedpan
Elevated 75 to 90 degrees
Before removing bedpan
Lower HOB and wear gloves
Incontinence definition
Involuntary urine
Incontinence normal aging
False
Urine measurement unit
mL or cc
Apply TED stockings
While patient in bed
Purpose of TED stockings
Improve circulation prevent clots
TED stockings opening purpose
Check circulation
Wrinkle free TEDs prevent
Pressure areas
Footwear with TEDs
Non skid shoes
TED schedule
Follow care plan
Female catheter care
Hold catheter clean 4 inches report changes
Empty catheter bag
Use barrier and clean tubing
UTI risk female
Short urethra close to rectum
Male catheter care
Retract foreskin clean return
Alzheimer feeding strategy
Quiet area and cue swallowing
Position for feeding
Upright 75 to 90 degrees
Encourage independence feeding
Use clock method
Fluid intake calculation
Liquids only
ROM requirement
Doctor order
Pain during ROM
Stop and report
Patient uncovered during ROM
False
Transfer risk
Falling
Safe transfer
Lock bed and wheelchair
Foot placement before standing
Flat on floor
Leg closest to chair
Stronger leg