Skills Test Ch 18 21 22 26 27

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kaitierowe
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208262
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Skills Test Ch 18 21 22 26 27
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2013-03-19 17:11:47
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Skills Test 18 21 22 26 27
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Skills Test Ch 18 21 22 26 27
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  1. Rebound phenomenon
    when treatments result in worsening of the original condition rather than improving it
  2. Leaving heat packs in place longer than 45 minutes can cause constriction of vessels instead of dilation. This is known as ..?
    Rebound phenomenon
  3. List six safety precautions when applying a warm pack
    • have a barrier between the skin and pack
    • leave on for 20-30 minutes
    • check skin every 15-20 minutes
    • Check temp. before applying >105 F
    • If too hot, have pt ring call bell
    • assess skin every 5 minutes
  4. How does cold therapy help with pain in sprains?
    • Cold therapy casues vasoconstriction
    • reduces the amount of fluid that leaves the capillaries and leaks into the interstitial space
    • results in less edema and pain
  5. How long do you use cold therapy after an injury?
    For the first 48-72 hours after the injury occurs
  6. When do you use a hyperthemia blanket use?
    • To reduce high fevers 105F +
    • Disease or stroke
  7. What do you use to treat phlebitis?
    Warm compress
  8. What heating device can cause orthostatic hypotension?
    Sitz Bath
  9. What are you observing for with skin assessment after cold therapy that would indicate cold therapy was applied for too long?
    • Pallor - pale or white
    • Mottling - Purplish blue, irregular blotches
  10. List two complications of cold therapy
    • Burning
    • Pain
  11. List six techniques used during physical assessment?
    • Interview
    • Inspection
    • Auscultation
    • Percussion
    • Palpation
    • Olfaction
  12.  Signs vs Symptoms
    • Signs - Uses four senses, objective, measurable
    • Symptoms - Verbalized by pt, subjective, not directly measurable
  13. Establishing a rapport with a surgical patient
    • Smile
    • Greet pt using his or her surname
    • Provide privacy
    • introduce yourself and explain intent
    • exhibit open and relaxed posture
    • be professional
    • demonstrate active listening
    • be attentive to pt responses and needs
    • be aware of cultural influences and restrictions
    • be sincere
    • be nonjudgmental
    • use touch purposefully and judiciously
  14. What can cause hypoactive bowel sounds?
    Anesthesia
  15. What slows down in the elderly population that can cause constipation?
    Peristalsis
  16. What do you do if you are having difficulty auscultating heart tones?
    Have pt lean forward and to the left
  17. How would you know the pt's condition is deteriorating after MVA?
    • LOC
    • Level of orientation
    • Assess orientation of person, place, time, and situation
  18. When do you do daily weights?
    • Before breakfast
    • wearing the same type of clothing
  19. What is included in assessing the skin?
    • Color
    • temp
    • moisture
    • turgor
    • integrity
  20. What supplies would you gather for a simple dressing change?
    • sterile field
    • sterile dressing
    • clean and sterile gloves
    • sterile solution
    • googles
  21. What is sterile technique and sterile field?
    Sterile technique - method used to prevent contamination during invasive procedures, or procedures that involve entering body cavities

    sterile field - an area that is free from all microorganisms
  22. How do you add items to a sterile field?
    You drop the item onto the sterile field
  23. When do you use sterile techniques and with what procedures?
    • Open sterile packages
    • Peel the pack away from you
  24. How do you know sterile gloves are the appropriate size for you?
    • They should fit closely
    • no wrinkles
    • no excessive materials at fingertips
    • no bowing due to tightness
  25. What are the three phases of healing?
    • Inflammatory
    • reconstruction
    • maturation
  26. Describe the Inflammatory healing stage
    • wound is fresh
    • includes hemostasis and phagocytosis
    • signs include warmth, redness, pain, and edema
  27. Describe the reconstruction phase of healing
    • wound begins to heal, lasting for about 21 days after injury
    • there is a presence of fibroblasts = produce collagen
    • as new tissue begins to grow and fill wound, it looks red and semitransparent
  28. Describe the maturation phase of healing
    • wound contracts and scar strengthens
    • healing ridge develops
    • phase can last from 1 - 2 years
    • scar thins and lightens in color, becomes firm and less elastic than skin around it
  29. Why do you irrigate a wound from superior to inferior area?
    you want to clean from the least contaminated to the most contaminated
  30. When is it appropriate to use a hydrocolloid?
    When a wound has minimal drainage
  31. When do you use a jackson-pratt drain?
    The suction drains fluid out into container
  32. Describe the first stage of wound healing
    • its dry
    • edges are approximated
    • wound sutures are closed
  33. Describe the second stage of wound healing
    • greater tissue loss
    • wound edges are irregular
    • must be left open to gradually heal by filling in with granulation tissue
  34. Describe the third stage of wound healing
    • wound is left open for a time to allow granulation tissue to form
    • sutured close
  35. Abrasion
    • Superficial open wound
    • ex: scratches, scrapes
  36. Puncture
    open wound when a sharp item pierces skin - round hold in skin extends down into deeper tissue
  37. Penetrating
    offending object remain embedded in tissue
  38. Lacerations
    open wound made by accidental cutting or tearing of tissue
  39. Pressure Ulcers
    wound from pressure and friction
  40. What would be signs of an infected wound?
    • purulent - containing pus
    • necrotic tissue - dead tissue
    • erythema - redness
    • increased warmth
    • edema - swelling
    • pain
    • odor
    • drainage
  41. How would you treat a wound evisceration?
    cover exposed organs with sterile dressing soaked in saline and call for help
  42. There are no orders for a dressing change. What would you do?
    Mark dressing and reinforce
  43. You are doing a focused assessment on CV system. what are you assessing for?
    • BP and Pulse
    • Skin color, moisture, and temp
    • color of mucous membranes
    • jugular vein distention
    • heart sounds
    • capillary refill
    • edema
    • activity tolerance
  44. What items are disinfected instead of sterilized after each pt use?
    • IVAC and poles
    • over bed table
    • bedside commode
    • wires
    • tube feeding pumps
    • wound vac
  45. Lethargy
    drowsiness or mental sluggishness
  46. Eschar
    hard, dry, dead tissue that has a leathery appearance
  47. Ischemia
    reduced blood flow to an area
  48. Name 4 assessments included in a neurological exam
    • vital signs
    • response to simple commands
    • speech clarity facial symmetry
  49. IF YOU DONT KNOW THE ANSWER YOU SHOULD PUT...
    lethargy
  50. What should you assess on a diabetic patient?
    parasthesia
  51. Parathesia
    numbness or decreased sensation
  52. Abdomen Assessment
    • 1. inspect
    • 2. ausculate
    • 3. palpate

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