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Nursing II Wound Ostomy and Continence test 4 Question With Verified Solution 2024
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Nursing II Wound Ostomy and Continence test 4 Question With Verified Solution 2024
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Nursing II Wound Ostomy and Continence test 4Question With Verified Solution 2024
Why is skin care important for continence care? - ✔✔Prevention and treatment of
incontinence associated to dermatitis = stool and urine and also biofeedback
What does CFCN mean? - ✔✔Certified Foot Care Nurses
CFCN nurses have elevated the quality of care for patients in? - ✔✔Hospitals
Long-term care facilities
Podiatry offices
Patient's own home
Who can join the WOCN society? - ✔✔Any full time student studying to become a RN
with either AS, BSN, or diploma.
Nursing students get 50% off membership fees
What causes skin damage? - ✔✔Pressure
,How is pressure create? - ✔✔Pressure is created when the external surface against the skin and
the person's skeleton compresses soft tissue sufficiently to interrupt circulation to the skin
If circulation is interrupted for a long period what happens? - ✔✔Tissue ischemia and
tissue death occur
What is Hypoxia? - ✔✔The amount of pressure necessary to compress capillaries. It is
blocking the nutrient supply/removal of waste products varies
What is Ischemia? - ✔✔Is the result of deprivation of nutrients and changes in PH due to
wastes products that will eventually lead to tissue damage.
What is vasopressors? - ✔✔Types of medication to keep BP up
What type of patients are more of a risk for pressure? - ✔✔Patients with disease processes,
injury, those requiring vasopressor,or those with conditions resulting in impaired
oxygenation will require less pressure to create tissue ischemia.
Most common site for acute care? (pressure ulcers) - ✔✔Sacrum, coccyx, and heels can
be supine, lateral laying, and sitting = chair padding
What is a shear - ✔✔Is the interaction of gravity and friction causing twisting or kinking
of blood vessels
, When does shear occur? - ✔✔When the skeleton moves, but the skin remains fixed to an
external surface. Occurs with greater levels of physical force and damages the deeper
tissues. Keep the HOB below 30 when boosting up
What does shear do to the blood flow? - ✔✔Rather than completely interrupting blood flow,
shear diminishes circulation to tissue and damages both tissue and blood vessels integrity.
What is friction? - ✔✔It contributed to pressure ulcer formation by damaging the skin at
the epidermal-dermal interface, the basement membrane
Can friction ulcers be reversed? - ✔✔Yes they can be easily reversed, unless the cause is
not removed and they are generally superficial
Examples of shear and friction? - ✔✔Pulling patient up in bed
Patient is fowler's position who slides down in bed
sliding patient from bed to stretcher
Heels and elbows which aid in movement for bedridden patients
Agitated patients or those experiencing seizures
superficial abrasion or blistering
What is moisture? - ✔✔Moisture is a chemical cause of skin ulcers through caustic fluids
(stool, urine, gastic effluent) or non-caustic fluids (perspiration)
What does moisture weaken? - ✔✔It weakens the cell wall of individual skin cells
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