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Hondros Fundamentals Exam 2 Study Guide.
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Hondros Fundamentals Exam 2 Study Guide.
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1Hondros Fundamentals Exam 2 Study Guide
Cold and Heat Therapy
Used to treat inflammatory responses- decreases edema, muscle spasms, pain, and
decreases blood flow to the area.
first 24 to 48 hours
when is cold and heat therapy recommended for an injury
LPN
whose responsibility is it to evaluate proper application, adverse signs and
symptoms and is also responsible for the patient's safety
red or blue areas
where should you not apply a cold pack to
every 5 minutes
how often should you check the skin of a patient who is using an electrical cooling
device or an electrical heating device
numbness and tingling
what are common symptoms when using an electrical cooling device
15 to 20 minutes
How long should you leave a cooling device in place
mottling, redness, burning, blistering and numbness
what are some adverse skin reactions when using a cooling device
what device you used, location, duration, patient response, patient teaching and
patients response to teaching
what should you record when using a cooling device or heating device
areas become mottled, red or blue/purple, or if the patient Is complaining of
pain/numbness
when should you immediately stop application of a cooling device
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skin becomes reddened and sensitive to touch, extreme warmth noted at the area,
and body part becomes painful to move
when should you immediately stop application of a heating device
20 to 30 minutes or as prescribed
How long should you leave the heating device in place
LPN
whose responsibility is it to assess skin areas prior to applications of heating and
cooling device and assess for risks
prevention and treatment of skin impairment
what is one of the nurse's highest priority of care
every hour
how often should you reposition a chair bound patient
every 2 hours at a 30 degree angle
how often should you reposition a patient that is bed bound
nurse
whose responsibility is it to properly collect a culture of the pressure ulcer
patients name, medical record number, date of birth, date and time of collection,
what the collection is for, your name and initials. send as quickly as possible to the
lab
how do you properly label a specimen
inside of body cavities
what are anaerobic collections of
wound secretions
what are aerobic collections of
shearing force
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, 3
occurs when the tissue layers of skin slide on each other , causing subcutaneous
blood vessels to kink or stretch resulting in an interruption of blood flow to the
skin
friction
the rubbing of skin against another surface produces what
shearing force and friction
what are the 2 mechanical factors that play a common role in the development of
pressure ulcers
chronically ill, debilitated, older, disabled, or incontinent patients, patients with
spinal cord injuries, circulatory impairment or poor overall nutrition
which patients are at risk for pressure ulcers
blanching the area
how can the nurse assess a patients skin for skin impairment
Stage 1
a pressure ulcer in a localized area of skin, typically over a bony prominence , that
is intact with nonblanchable redness. Areas may be painful, firm, soft, warm or
cool compared with adjacent tissue. difficult to detect in patients with dark skin
tones
Stage 2
partial thickness loss of dermis. shallow open ulcer, usually shiny or dry, with a
red-pink wound bed without slough or bruising. some may present as serum- filled
blisters
Stage 3
full tissue thickness loss in which subcutaneous fat is sometimes visible, but bone,
tendon, and muscle are not exposed. if slough is present it does not obscure the
depth of tissue loss. possible undermining and tunneling
Stage 4
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