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NURC 1001 Exam 3 (1)
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NURC 1001 Exam 3 (1)
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NURC 1001 Exam 3Skin 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
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