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What temp must you keep foods cold? - 40 degrees Gloves are required when - You may be exposed to blood or bodily fluids When should you check a clients skin - Anytime you do personal care HIV is hard to kill on household surfaces - False To prevent pressure ulcers for clients in wheelchairs, you should? - Encourage them to shift their weight frequently You just Finished cutting raw meat on a cutting board. Do you need to cut potatoes for salad what must you do to p...

Professional boundaries are necessary in caregiving because they help the home care aid - Keep a healthy relationship with the client A client's son asks the home care aide to do the family's laundry along with the client's. The HCA should: - Explain that the HCA can only provide services for the client A client's daughter is visiting from out of town and asks the HCA about her father's health. The best response is: - suggest the daughter ask her father directly about his hea...

WEB WOC Ostomy Care Questions with 100% Correct Solutions Rated A Exam Bundle

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Steps to heal by Secondary Intention - Formation of granulation tissue, contraction of the wound bed edges, and epithelialization Partial thickness repair - Inflammatory response, epithelial proliferation and migration, epidermal reestablishment and differentiation What characterizes a chronic wound healing environment - Low levels of growth factors and receptor sites. They are needed to move cells out of the inflammatory phase and into the proliferative/Rebuilding Phase What V...

Which of the following statements accurately reflects the origins of the WOC nursing specialty? A) the first education programs were 8 weeks long and required the learner be in residence during that period. B) the 1st WOC nurse specialized in wound care C) the first education programs had no precepted clinical practicum D) the origin of the specialty began with a patient who had a stoma. - D) the origin of the specialty began with a patient who had a stoma. Margaret is a graduate of ...

How often does epidermal turnover occur? - Every 26-42 days Epidermal Cells: Keratinocytes - Produce keratin, make of 80% of the epidermis Epidermal Cells: Melanocytes - Determine the color of the skin Epidermal Cells: Langerhans Cells - Assist with skin immune system Epidermal Cells: Merkel Cells - Provide tactile reception, produce nerve growth factor Rete Ridges/Pegs - Fingerlike extensions that anchor the epidermis to the dermis Skin pH - 4.5-6.5 Der...

What is WOCN Society? - Wound Ostomy or Continence When was WOCN Society founded? - In 1968 How many health care professionals are in WOCN society? - 4,800 What members are included in the WOCN? - RNS, who are experts in WOC and food and nail care Who are WOC Nurses? - Formerly known as Enterostomal Therapy (ET) nurses - Ar RN with BSN or higher degrees What does a WOC nurse specialize in? - In the care of patients with wounds, ostomies, or continence disorders...

A patient with a newly created continent urinary reservoir requires self-care education prior to discharge. Which of the following would explain the purpose for maintaining a secured catheter in the reservoir? - Decompress the reservoir. The WOC nurse is instructing a patient on safe and effective use of an ostomy belt. Which response is most accurate? - The belt should fit snugly against the abdomen. When teaching ostomy care to a 12 year old child, which of the following should be ...

Which of the following statements accurately reflects the history of the WOC Nursing Specialty? a. The origin of the specialty began with a nurse who recognized the unmet needs of patients with ostomies. b. The first education programs were 8 weeks long and required the learner be in residence during that period. c. Patient consumers began the specialty. d. The first education programs had no precepted clinical practicum. - c. Patient consumers began the specialty. An ESSENTIAL compo...

jejunostomy location - LUQ *frequently not marked by the WOC nurse jejunostomy disease and procedure - ischemic bowel, crohn's, trauma, necrotizing enterocolitis diversion of small bowel at jejunum, with or without colectomy, with or without small bowel resection, loop or end stoma jejunostomy function and management - *function begins in 24-48 hours *initially gas, then watery clear/green output (fluid and digestive enzymes) *output up to 2400ml/day *empty pouch when 1/3 ...

The patient who is NPO for several days is at risk for atrophy of which of the following structures in the mucosal surface of the small bowel? Select one: a. Ligament of Treitz. b. Villi. c. Ampulla of Vater. d. Sphincter of Oddi. - b. Villi. A bowel prep preoperatively for ostomy surgery is routinely utilized to decrease bacteria in the bowel. The section of the bowel with the greatest level of bacteria is: Select one: a. Distal portion of the colon. b. Proximal portion of t...

From a safety stand point which of the following is a lagging indicator? - OSHA incidence rate A safety program begins begins by: - Developing a policy statement. How should a manager discipline a first offense minor rule infraction. - Oral reprimand. What is the most important factor in accident prevention. - Management support. Which federal agency is likely user an activity hazard analysis on a construction project? - U.S. Army corps of Engineers It is generally ...

Upper GI consists of mouth, pharynx, esophagus, stomach (mouth to 1st part of duodenum) GERD gastroesophageal reflux disease Reflux of stomach acid into lower esophagus GERD LES lower esophageal sphincter In GERN the LES opens due to many factors including pregnancy, meds, obesity GERD sxs - Heartburn - Dyspepsia - Regurgitation GERD extra-esophageal sxs - ear pain - dysphagia - cough (dry) - Hoarseness - dental erosin - Water Brash (mix of saliva & acid) --> leading to de...

IBS irritable bowel syndrome Abdominal discomfort and alteration of bowel habits w/ no organic cause IBS In IBS, abd pain is usually cramping, often related to defecation Rome IV criteria for IBS Recurrent abdominal pain associated with two or more additional symptoms at least 1 day per week in the last 3 months. These symptoms include pain related to defecation, a change in stool frequency, or a change in stool form. 3 types of IBS IBS-C (constipation) IBS-D (diarrhea)...

small bowel obstruction is an obstruction in the small intestine small bowel obstructions can be - mechanical (tumor) - functional / paralytic (ie. diabetes / surgery) Sxs of small bowel obstructions - Abd pain - Distention - Vomiting (may be fecal material) - FVD - Bowel sounds (hyperactive above obstruction; hypoactive after obstruction) What happens in SBO (small bowel obstruction)? Stool gets stuck in small intestine & water is pulled (absorbed from) the feces, making...

Viral Hepatitis includes what types Hep A, B, C, D and E Hepatitis A & E transmission route fecal-oral route (the vowels are in the bowels) Hepatitis B, C, D transmission route blood & blood products, sexual activity Risk factors for catching Hep B,C & D - IV drug use - multiple partners / unprotected How does one develop Hep D? They must have Hep B to develop Hep D Acute Hepatitis can last for 1-6 months Clinical Manifestations of Acute Hepatitis - Asymptomatic - N/V - Jaundice,...

Enteral pertaining to the intestines Parenteral outside of intestines or alimentary canal; popularly used to refer to injection routes Indications for Enteral / Parenteral Nutrition - oral intake absent / likely to be absent for a period >5-7 days - Malnutrition - Weight, screening tools (if risk identified --> dietician referral) Labs that would show that Malnourishment / Malnutrition is present Albumin is Low Why would albumin being low be an indication of malnutrition Albumin...

A nurse is preparing to mix short-acting and intermediate-acting insulin in one syringe to administer to a client who has type 1 diabetes mellitus. Identify the sequence the nurse should follow. 1: Draw up the volume of insulin from the intermediate-acting insulin vial. 2: Inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial. 3: Inject the volume of air equal to the insulin dose form the short-acting insulin vial 4: Withdraw the ...