NUR 215 Exam with Verified Solutions

What are the different types of baths administered in the hospital setting? - Assist bath- Areas hard to reach Complete bath Partial bath-Bathe only areas absolutely necessary include peritoneal, a complete bath may be too stressful Towel bath Bag/ package Shower Tub bath Therapeutic bath-Eczema, diaper rash Important factors to remember while preforming oral care - Decreases risk of infection that causes pneumonia, Risk for aspiration, impaired swallowing or decreased gag reflex Important factors to remember when performing oral care on altered patient - have suction ready, Do not place fingers in the mouth, Keep head turned to one side Important factors of foot care - Prevents skin breakdown, pain, and infection that could interfere with gait Avoid applying moisturizer in between toes Avoid alcohol products Diabetes-Should be cared for by a qualified personnel to prevent injury and evaluate feet Important factors while preforming scalp care - Essential component of personal hygiene Brushing/combing hair- Removes tangles, stimulates the scalp and circulation Use of soft bristle to prevent trauma Important factors of nail care - Observe size, shape, and condition of nails and nail beds Check from cracking, clubbing, and fungus Do not soak due to infection File nails instead of cutting Acute pain characteristics - protective, temporary, usually self-limiting has a direct cause Physiologic response (sympathetic nervous system) tachycardia, hypertension, anxiety, diaphoresis, muscle tension Behavioral response- grimacing, moaning, flinching, and guarding Management aims to treat cause Chronic pain characteristics - ongoing or recurs frequently, lasting longer than 6 months Physiological responses do not affect vital signs, clients can have depression, fatigue and a decreased level of functioning Management aims to treat symptomatic pain Idiopathic pain - a chronic pain w/o a known cause Ex. Migraine or joint Nociceptive pain characteristics - arises from damage or inflammation of tissue, which triggers nociceptors and causes pain Typically acute pain, responds to pain medication Throbbing, aching or localizing Three types of nociceptive pain - Somatic- pain in bone, muscle, joints or connective tissue Visceral- pain in internal organs, stomach or intestines Cutaneous Neuropathic pain characteristics - arises from abnormal or damaged nerves, includes phantom pain, diabetic neuropathy, sciatica Responds to adjuvant medications Topical medication can cause some relieve, antispasmodics Pins and needles, intense shoot pains, burning