NURC 1001 Exam 3 Questions with Correct Solutions, A+

Skin Tear - A break or rip in the outer layers of the skin Prevention of Skin Tears - -Move, turn, position, or transfer the person -prevent shearing and friction by using turn pads, sheets, pillows -keep yours and the residents nails short and smoothly filed -Do not wear rings with raised stones -Be patient -Dress and undress resident carefully and in soft clothes -Apply arm and leg protectors as ordered -Provide good lighting -Provide safe area for wandering -Remove tape carefully -Do not apply adhesive tape Characteristics of Aging skin - -skin becomes less elastic -skin loses strength -brown spots appear -fewer nerve endings and blood vessels -fatty tissues layer is lost -skin thins and sags -skin is fragile and easily injured -increased sensitivity to heat and cold Makes it harder for the elderly to heal quickly Pressure Ulcer Stages - Stage 1: intact skin with redness over bony prominence Stage 2: Partial-thickness skin loss Stage 3: Full-thickness tissue loss Stage 4: Full-thickness tissue loss with muscle, tendon, and bone exposure Prevention of pressure ulcers - Good nursing crae, cleanliness, and skin care -Manage mositure, good nutrition, and fluid balance, and relieving pressure How often should a resident change positions - every 2 hours (q2) How are pressure areas treated - Wound care productd, drugs, treatments, and equipment Protective devices such as bed cradle, heel and elbow protectors, heel and foot elevators, gel-or fluid- filled pads and cushions, special beds are used to help heal Review: bathing and all personal hygiene skills: Oral care, dressing, hair care, shaving, nail care, foot care, bed making - When dressing dress weak side undress strong side first NEVER cut nails Common skin and hair conditions for a resident - Hair loss (Alopecia), dandruff, lice, scabies, Hirsutism (excessive boy hair) Nutrition - The processes involved in the ingestion, digestion, absorption, and use of foods and fluids by the body