Skin Care
Changes in a person’s skin color could be a sign of illness
True or False
True
Symptoms of contracture:
a.) stiffness in muscles, joints or other soft tissues, and musculoskeletal pain
b.) redness and swelling in joints
c.) increased range of motion and overall ability
a.) stiffness in muscles, joints or other soft tissues, and musculoskeletal pain
When do you perform the catheter care for the residents?
At least once a shift and every after period of incontinence.
A little blister on a resident’s skin is normal and nothing to be concerned about.
True or False
False
What is the most common cause of contracture?
Immobility
The following should be observed when draining the urine from the drainage bag:
a.) observe standard precautions and wear a gown and gloves
b.) always perform hand hygiene and wear a gown, gloves, and N95
c.) A clean collecting container may be used for both residents in the same room
a.) observe standard precautions and wear a gown and gloves
Older people tend to feel cold because_____________.
a.) the fatty tissue layer is thinner, and the blood vessels don’t expand and contract as well
b.) they don’t wear enough clothes
c.) their internal thermostat doesn’t work anymore
a.) the fatty tissue layer is thinner, and the blood vessels don’t expand and contract as well
How can you prevent contractures?
Perform the range of motion or stretches
Give at least 3 instances where the urine drainage bag must be drained
1. The bag is 2/3 full
2. bed transfer
3. transfer from bed to wheelchair & vice versa
4. ambulance transport
5. before turning
Older people heal slowly because the skin is not getting enough_____________.
a.) enzymes and hormones
b.) oxygen and nutrition
c.) sugar and energy
b.) oxygen and nutrition
What are the two types of Range of Motion (ROM)?
1. Active ROM
2. Passive ROM
Other than draining the urine bag, state 5 things you must observe when a resident has an indwelling urethral catheter?
1. green clip, clipped in the bed sheet
2. catheter is secured with the stat lock
3. no loops or kinks
4. drainage bag below the bladder and not touching the floor
5. bag fully covered with a dignity bag
You should report a reddened area on the skin to the nurse or your supervisor if _______.
a.) if has a dark black or brown center
b.) if doesn’t turn white under your thumb when you press on
c.) if you remove all pressure from it and it still doesn’t return to a normal skin color after 20 minute
d.) b and c
e.) All the above
d.) b and c
What is passive range of motion?
Passive ROM - a part of the body or joint is moved or stretched by someone else. There is no muscle contraction involved.
What should you report to your RN?
a.) Missing green clip
b.) Tea colored urine or amber colored urine
c.) Urine output of 500 cc at the end of your shift
d.) Temperature of 99 degrees Fahrenheit
b.) Tea colored urine or amber colored urine