Exam (elaborations)
HCA 115 unit 4&5 test
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HCA 115 unit 4&5 test
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Name: Score:98 Multiple choice questions
Term 1 of 98
Greatest risk for injury is when using restraints
Penrose - tube,
Hemovac - pressure like blood pressure cuff
Jackson-Pratt larger pressure drainage
Confused and disoriented
Small in size
Poor control of muscles or seizure activity
Medicated people
The blood is not reaching down - high blood pressure, narrowing of arteries due to aging,
smoking
Treat cause, wound care, walking
Muscle and bone are exposed and damaged
Drainage is likely
Especially in feet
Definition 2 of 98
When clients are unconscious or sedated or confused or disoriented
How to observe for a wound what to note
Went to use bedrails as a restraint
What causes pressure injuries
What is apparent in stage two of pressure sores
,Term 3 of 98
What can I do to help prevent pressure injuries
The blood is not being taken away from the legs, swelling, pitting Adema, blood pooling in
lakes
Prevention-TEDs -tension elastic devices
Skin check - look for redness Bruce's blisters or open areas each day
Keep moving - move or change position at least every two hours
I deal moisture balance - keep skin clean and a witness against the skin can make it fragile
moisturize dry skin, never grease the crease
Nutrition and hydration Dash eat a well-balanced diet and drink enough fluids
Surface - use your question or mattress and check it daily to ensure that is in good working
order
Do you not massage boney prominences - never massage red area
He'll off bad Dash head off bed
Protective devices Dash Patti
Elevating you get out before raising head of bed HOB
When seating remind clients to shift positions Q 15 minutes - assist
Report signed a breakdown or pressure ulcers
Special mattresses - form, air and Rojo, but cradle
If previous ulcer, reoccurrence is likely
Never grease the crease
1. Primary -closing on purpose heals easily example surgical incision
2. Secondary - gaping wound with blood clot example one that left to heal on its own
3. Tertiary - usually when I won't is dirty presence of infection
,Term 4 of 98
Vascular ulcers
Simple
Compound
Green stick
Comminuted - broken in many little places
Impacted
Penrose - tube,
Hemovac - pressure like blood pressure cuff
Jackson-Pratt larger pressure drainage
Persistent and progressive systematic condition affecting condition connective tissue
throughout the body
Swollen inflamed synovial membrane
Movement helps, heat helps
Open wounds on the lower legs and feet caused by decreased blood flow through veins
and arteries
Definition 5 of 98
Joint inflammation
Arthritis
Pronation
Extension
Flexion
, Definition 6 of 98
Movement towards the midline
Adduction
What are the functions of the skeletal system
What are the three types of joints in the skeletal system classified by movement they permit
Guidelines for use of restraints must have
Term 7 of 98
What is apparent in stage two of pressure sores
The epidermis is gone the skin cracks, blisters or peels
Area shiny or dry was shallow else or without slough or bruising
The blood is not being taken away from the legs, swelling, pitting Adema, blood pooling in
lakes
Prevention-TEDs -tension elastic devices
Adequate diet including fluid intake
Frequent positioning changes every 15 minutes if they can't move independently
Cleanliness
Excellent skin care
Mobility - gate is speed you surveyed comfort with movement
Range of motion
Strength
Endurance
Pasta
Muscle bulk - equal bilateral
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