fundamentals: hygiene Exam, Exams of Nursing

Download fundamentals: hygiene Exam and more Exams Nursing in PDF only on Docsity! fundamentals: hygiene alopecia - hair loss cerumen - ear wax effleurage - outward strokes of back massage halitosis - bad breath glossitis - inflammation of the tongue maceration - wrinkly skin from water and softened by soaking xerostomia - dry mouth dental caries - tooth decay produced by interaction of food with bacteria cheilitis - cracked lips complete bed bath - bath administered to totally dependent pt in bed endentulous - without teeth gingivitis - inflammation of the gums mucositis - painful inflammation of oral mucous membranes partial bed bath - bed bah that consists of bathing only body parts that would cause discomfort if left unbathed ex: hands, face, axilla, peri area pediculosis capitis - head lice perineal care - bathing genitals and surrounding area stomatitis causes.. - burning pain and changes in food and fluid tolerance 9 ways to act as a nurse role model - 1. clean hair/nails 2. hair kept away from face 3. no strong perfumes or lotion 4. cover tattoos 5. clean uniform/shoes 6. clean/trimmed beard 7. no piercings except 1 earring in each 8. wear t shirt If you have a lot of chest hair 9. under scrubs need to be a coordinating color when should you perform hand hygiene - 1. before and after each pt encounter 2. when coming in contact w/ body fluids or before touching eyes, nose, or mouth 3. when exposed to spores like c diff how should u clean ur hands after being exposed to c diff - with soap and water how should u use hand sanitizer - rub hands for several seconds until alcohol is completely dry when should you use hand sanitizer - if your hands aren't completely soiled 5 times you must use handsanitzer - 1. before, after, and b/w pt contact 2. after contact with surfaces in a pt room 3. before putting on gloves what do u complete in evening care? - 1. changing soiled linens, gowns, or pjs 2. wash face, oral hygiene 3. back massage 4. providing bedpan/urinal 5. provide beverage if allowed hirsutism - women with excessive facial hair in women with hirsutism what should you prioritize - 1. pain 2. vomitting what type of bath do pts with hirsutism need - partial baths allowing frequent breaks where do you provide hygiene care - everywhere ex: home health, school health, post mortem care facility schedules or physician/prescriber beliefs should not.... - take priority over the pts religious or cultural beliefs things to evaluate about the cultural aspects of care - 1. privacy 2. touch 3. cutting or shaving hair toileting practices 4. personal space what are ADLS and provide examples - activity of daily living examples: 1. washing 2. dressing 3. feeding 4. mobility 5. transferring 6. toileting what should you keep in mind when observing or helping a pt with their ADLS - you should intervene as "needed' and allow as much independence as possible when doing a skin assessment what should you assess - 1. smooth, warm, flexiblity 2. elasticity 3. making sure its not easily broken 4. capillary refill what portion should u always assess when doing the skin assessment on a female - the breasts what portion should u always assess when doing the skin assessment on a male - the scrotum hyperemic changes - when pressure is relieved blood vessels vasodilator to restore blood flow to tissues hyperemia= - redness normal reactive hyperemia - reddened skin will blanch (whiten) with pressure then turn red/pink again when pressure is removed abnormal reactive hyperemia - blanching does not occur with pressure what is abnormal reactive hyperemia a sign of - deep tissue damage what is the lifecycle of a bruise - it starts out as red, at 5-10 weeks turns yellow, at 10-12 weeks its brown when does a bruise normally go away - in 2 weeks what is peripheral neuropathy - decreased nerve function signs and symptoms of peripheral neuropathy - 1. abnormal gait 2. decreased/absent vibratory sensation 3. infections 4. foot deformities 5. absence of deep tendon reflexes 6. muscle wasting of low extremities what is vascular insufficiency - When blood begins to flow backwards signs and symptoms of vascular insufficiency - 1. absent/decreased pulses 2. decreased hair growth on legs/feet 3. infection in foot 4. poor wound healing 5. thickened nails 6. shiny appearance of skin 7. blanching of skin on elevation what type of patients are at risk for hygiene problems - 1. immobile 2. pts unable to perform hygiene 3. injuries 4. chemotherapy: ulcerations of the mouth what is dry skin - flaky, rough texture on exposed areas such as hands, arms, face, or legs what are skin rashes - skin eruptions that result from overexposure to sun or moisture from allergic reactions