Partial preview of the text
Download Anatomy and Physiology: Oral Health and Skin Care and more Quizzes Nursing in PDF only on Docsity!
3 layers of
skin
epidermisdermissubcutaneous
TERM 2
can tell if pt cares for themselves by looking
at what 3
DEFINITION 2
feet, hands, nails
TERM 3
foot pain changes what 2
DEFINITION 3
normal gait and fall risk
TERM 4
inadequate nutrition is reflected in what 2
DEFINITION 4
condition and shape of nails
TERM 5
condition and shape of nails can show what?
DEFINITION 5
lung status
teeth are designed to do what 4
chew, cut, tear, grind
TERM 7
difficulty in chewing is caused by what 2
DEFINITION 7
loose teeth and poor gum condition
TERM 8
2 prob assess with oral cavity and teeth
DEFINITION 8
gingivities and dental caries
TERM 9
can impact ability to take in adeq nutrition 2
DEFINITION 9
gingivities and dental caries
TERM 10
pts that cant swallow can block
what
DEFINITION 10
airway
mouth breating oxygen delivery are both
what
very drying to mouth
TERM 17
hair is influenced by what 4 factors
DEFINITION 17
hormone changesemotional and physical
stressaginginfection
TERM 18
purpose of bath (9)
DEFINITION 18
cleanses skinskin conditionerrelaxes ptpromotes
circulationhelps encourage muscolosketal
exercisesstimulates rate and depth of respirationspromotes
comfort through muscle relaxations and skin stimul.improves
self imagehelps build nurse pt relationship
TERM 19
nurse washes entire pts body
DEFINITION 19
complete bed bath
TERM 20
only areas that are washed that cause
discomfort or odor (hands, face, perineal)
DEFINITION 20
partial bath
pt sits in chair at sink to bathe, nurse assists
with hard to reach areas
sponge bath at sink
TERM 22
commerically prepared and
disposable
DEFINITION 22
bag bath
TERM 23
pt washed in tub
DEFINITION 23
tub bath
TERM 24
full self care while
standing
DEFINITION 24
shower
TERM 25
incontinence requres
what
DEFINITION 25
freq bathing
for ear care in bath, do
what
wash external ear with washcloth covered finger, dont use
quitips
TERM 32
for nose care when bathing, do what
DEFINITION 32
clean nose by having pt blowremove crusted secretions and
apply jelly
TERM 33
if on blood thinners or anti-coagulents, do
what for shaving
DEFINITION 33
use electric shaver
TERM 34
for perineal care in women do
what
DEFINITION 34
wash front to backuse diff part of wash cloth for each stroke
TERM 35
for perineal care in men do what
DEFINITION 35
circular motion washing trip of penis first
when do change bed linens
daily, when linen becomes wet or soiled
TERM 37
never hold linens against
DEFINITION 37
uniform
TERM 38
HOB raised 45-60 degrees
DEFINITION 38
fowlers
TERM 39
HOB raised 30 degrees
DEFINITION 39
semi-fowlers
TERM 40
entire bed tilted with HOB downwards
DEFINITION 40
trendelenbergs
in nursing diagnosis for hygiene look at what
if pt has actual problem if at risk for problem
TERM 47
common nurisng diagnosis-
DEFINITION 47
activity intoleranceineffective health maintenancerisk for
infectionimpaired physical mobilityimpaired oral mucous
membrancebathing self care deficitdressing self care deficit
TERM 48
implementation in hygiene includes 9
DEFINITION 48
health promotion, acute care, restorative care, continuing
carept teaching regarding hygiene, nutrition,
circulationteach how to avoid injuryreinforce infection control
TERM 49
make room temp between what
DEFINITION 49
TERM 50
for pt with dry skin, RN would do
what
DEFINITION 50
apply moisturizer
after bath, RN notices raised rash on chest.
RN should do what
assess for any other areas with similar rash
TERM 52
uncontrolled electronical neuronal discharges
from brain that interrupts normal brain fxn
DEFINITION 52
seizures
TERM 53
causes of seizures-
DEFINITION 53
brain tumor or traumaconcussioninfectionmetabolic
disorderswithdrawl from alcoholidiopathic
TERM 54
assessment of seizure includes 10
DEFINITION 54
witnessed or notprecipitating factorswhere did it start and
progresstypes of mvt of
extrememitesgazeincontinencemental statushow long did
lastmental status aftermotor weakness and injury from seizer
TERM 55
biggest nursing diagnosis for seizure
DEFINITION 55
airway clearance
RN notices that BP that is hypotensive, RN
would check pt for what 3
decreased HRdizziness or lightheadness
TERM 62
decrease in hemoglobin will do what to
respiratory rate bc doesnt transfer enough o
DEFINITION 62
increase
TERM 63
when do measure vital signs 3
DEFINITION 63
when pt enters facilityassessing pt conditionbefore. during
after- any procedure, blood transfusion, any change in pt,
medication
TERM 64
vital signs give us
what
DEFINITION 64
assessment data on how pts doing
TERM 65
body temp =
DEFINITION 65
heat production - heat loss
body temp ranges
36-38 C96.8-100.4F
TERM 67
influence tempature on neural
side
DEFINITION 67
hypothalamus
TERM 68
heat loss occurs how
DEFINITION 68
radiationconductionconvectionevaporation
TERM 69
pt loses heat loss to environment is
DEFINITION 69
radiation heat loss
TERM 70
fan blowing on you to blow heat away
is
DEFINITION 70
convection heat loss
hypothalmus does what when temp too low
vasoconstricts so shiver to raise temp
TERM 77
temp alterations occur by 3
DEFINITION 77
fever, hyperthermia, hypothermia
TERM 78
fever or pyrexia is what
DEFINITION 78
defense mechanism of the body
TERM 79
overload on the temp release mechanism
DEFINITION 79
hyperthermia
TERM 80
when hyperthemia body is what
DEFINITION 80
temp is over 104, your in heat emergency- heat stroke
prolonged exposure where hypothalamus
cannot control ht in body
hyperthermia
TERM 82
those at risk for hyperthermia are 6
DEFINITION 82
ppl with COPD, diabeticshead trauma pplyoung/oldno air
conditioning
TERM 83
heat loss as resulting from prolonged
exposure to cold
DEFINITION 83
hypothermia
TERM 84
interventions for hyperthermia 3
DEFINITION 84
move out of sun, cool down, cool drink
TERM 85
when hyperthermia you cannot what
DEFINITION 85
sweat, you have hot dry skin
seizures related to high temp
febrile
TERM 92
febrile seizures normally occur between what
ages
DEFINITION 92
6 months - 3 yrover 5 yrs is unusual
TERM 93
elevated temp when given anesthia, pt must
be taken out of sx AND cooled
DEFINITION 93
malignant hyperthermia
TERM 94
seizures that are medication related normally
are 2
DEFINITION 94
hypersentivity responseallergy symtoms
TERM 95
core temp sites 3
DEFINITION 95
PAesophagusbladder
surface temp sites 4
oral, rectum, axilla, temporal
TERM 97
4 types of thermometers
DEFINITION 97
electronicinfrareddigitaldisposable chemical dot
TERM 98
rectal temp is what compared to oral
DEFINITION 98
1 degree higher
TERM 99
tympanic and axillary is normally what than
oral
DEFINITION 99
1 degree lower
TERM 100
7 symptoms of
fever
DEFINITION 100
increased hrincreased RR/depthshiveringpale, cool
skinfeeling coldflushed warm skinsweating
