NURC 1001 EXAM #3 QUESTIONS WITH 100% CORRECT ANSWERS 2024

Skin Tear - ANSA break or rip in the outer layers of the skin Prevention of Skin Tears - ANS-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 - ANS-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 - ANSStage 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 - ANSGood nursing crae, cleanliness, and skin care -Manage mositure, good nutrition, and fluid balance, and relieving pressure How often should a resident change positions - ANSevery 2 hours (q2) How are pressure areas treated - ANSWound care productd, drugs, treatments, and equipment Protective devices such as bed cradle, heel and elbow protectors, heel and foot elevators, gel-or fluid- filled pads and cushions, special beds are used to help heal Review: bathing and all personal hygiene skills: Oral care, dressing, hair care, shaving, nail care, foot care, bed making - ANSWhen dressing dress weak side undress strong side first NEVER cut nails Common skin and hair conditions for a resident - ANSHair loss (Alopecia), dandruff, lice, scabies, Hirsutism (excessive boy hair) Nutrition - ANSThe processes involved in the ingestion, digestion, absorption, and use of foods and fluids by the body How does a poor diet affect the LTCF resident? - ANSA poor diet can compromise the health of an LTCF resident. Poor hydration and nutrition can mess up the digestive system, skin, happiness. Going off your diet can compromise your health by creating a choking hazard, or risk of edema/swelling. What factors may affect the nutrition of an older person? - ANSculture, religion, appetite, illnss, drugs, chewing problems, swallowing problems, disability, impaired cognitive function What food/nutrients help wounds heal - ANSProtein (Meat, fish, poultry, eggs, milk, milk products, cereals, beans, peas, and nuts MyPlate - ANSEncourages well-balanced meals with foods from 5 food groups (Grains, Vegetables, Fruits, Dairy, Protein) feeding precautions - ANS-Use teaspoons to feed resident -Teaspoon is 1/3 full to swallow and chew easily -Rotate between food and fluids Use numbers on a clock for a visually impaired person -place food on strong side of person -Check food temperature -Do not rush resident dysphagia - ANSdifficulty swallowing Care for resident with Dysphagia - ANSThickened liquid-No Lumps Medium Thick- Nectar like Extra Thick- Thick like honey Yogurt like- Thick like pudding or yogurt Puree- No lumps, mound on a plate -Know signs and symptoms -feed according to plan -follow aspiration precautions -report changes in how resident eats -observe for signs and symptoms of aspiration What is meant by swallowing precautions - ANSTaking preautions in food that is given to residents for example avoid foods that need chewing, food that is a certain txture or temperature -watch to see if the patient has difficulty swallowing foods What is the difference between a clear liquid and a full liquid diet - ANSDAIRY ML=OZ - ANS30mL=1oz intake - ANSthe amount of fluid/food taken in output - ANSurine, vomitus, diarrhea, and wound drainage Diabetes - ANSA condition in which the body is unable to produce enough insulin, the hormone required for the metabolism of sugar How to care for a diabetic resident - ANS-Treated with insulin, drugs, diet, and exercise Consistency is key!! Same amount of carbohydrates, proteinm and fat are eaten each day Eating meals and snacks at same time each day Report what the person did and did not eat Symptoms of Diabetes - ANS-Being very thirsty -Frequent Urination -Feeling very hungry or tired -weight loss without trying