Pressure Ulcers
This stage of a pressure ulcer involves red, intact skin that does not blanch when pressed.
Stage 1
_________ is a thin film that sticks to teeth and causes tooth decay
Plaque
Excessive sweating
Diaphoresis
What is the normal range for HR
60-100
This type of bed is made for a patient who is not currently in the bed or in the room
Closed bed
This is the most important nursing assistant intervention for preventing pressure ulcers in an immobile patient.
What is repositioning every 2 Hours
The American Dental Association recommends flossing at least
The ___________ is the outer layer of the skin
Epidermis
What pulse point do we use when we take a BP
brachial
When making an occupied bed, the patient should be turned to this position when changing the linens on one side of the bed.
Side lying/lateral position
This bony area is one of the most common locations for pressure ulcers in patients who spend a lot of time lying on their back.
The sacrum
What is used to clean the mouths of patients who have sore/tender mouths or are unconscious
Sponge Swabs
_________ can help absorb moisture and precent friction
Powders
This is the normal resting respiratory rate for an adult, measured in breaths per minute.
12-20
When making a bed, the sheets should be kept off the floor and away from your uniform to prevent this.
Contamination
This stage of a pressure ulcer involves partial-thickness skin loss and may look like a shallow open wound or blister.
Stage 2
Oral hygiene should be provided every __________
Two hours
The temperature of a bed bath should be
110-115 degrees F
A BP of 180/102 is considered
Hypertension
What is washed in a partial bed bath
face, hands, underarms, back, buttock and perineal area
What is the medical term for a pressure ulcer
Decubitus ulcers
What position should you place an unconscious patient in to perform oral care
the lateral position
Always wipe __________ when providing perinal care
FRONT TO BACK
This vital sign measures the amount of oxygen being carried in the blood and is commonly measured with a pulse oximeter.
What product can be very drying of the skin if used in excess