question

Term refers to the narrowing of veins and capillaries?

answer

Vasoconstriction

question

This may be caused by the application of ice to a site?

answer

Vasoconstriction

question

Term refers to an increase in capillary permeability and cellular metabolism?

answer

Vasodilation

question

This can be caused by the application of heat to a site?

answer

Vasodilation

question

Term for swelling due to excess fluid in interstitial space?

answer

Edema

question

Term refers to irregular blotch in or purplish coloring on the skin?

answer

Mottling

question

Term for pale or smooth skin tone?

answer

Pallor

question

Term refers to inflammation of a vein due to IV therapy?

answer

Phlebitis

question

What are the 4 main conditions related to the application of heat and cold?

answer

Vasodilation of vessels in underlying sites, Increase in nutrient rich blood flow to site, Increase in permeability of pores in capillary wall, increased plasma red and white blood cells and nutrients travel from capillaries into cells and the interstatial space between the cells.

question

The application of heat results in the decrease of what 3 thimgs?

answer

Decreased blood flow to site results in decreased bleeding, Decreased inflammatory response slowing bacterial growth, Decreased capillary refill and cellular metabolism

question

What 2 other things does the application of heat result in?

answer

Prevention. Of edema, Relaxation of muscles decreasing pain

question

On of the effects of cold and heat application is the Of Blood Flow To site, Which. Bleeding

answer

Decrease of blood flow to site which decreases bleeding

question

One of the effects of the application of ice is the relaxation of. .

answer

Muscle spasms

question

One of the effects of the application of cold is. Relief.

answer

Pain

question

The application of cold supports what process?

answer

The Healing process

question

Once Edema stabilizes it can be further reduced with what?

answer

Application of cold

question

The application of cold can be used to elevate what?

answer

Body temperature

question

This is the mechanism that delivers extra phagocytes, oxygen, and the nutrients that are needed to prevent infection and build new tissue to heal the wound.

answer

Increased Blood flow

question

Term refers to these which engulf and digest offending microorganism and debris in cells to prevent infection.

answer

Phagocytes

question

Without. This THE Tissue Will Not HEALTH PROPERLY IN A timely manner.

answer

Increased metabolism

question

What are the 4 contraindications for heat therapy?

answer

Newly injured joints, Large areas of the body in certain cardiac patients, Bleeding wound or injury, or a Suspected Appendicitis

question

When delivering heat therapy using a water bottle the nurse should fill it. Of the way with water. The remaining air place. Between the bottle and the patients skin.

answer

Fill it 2/3rd full with warm water expel remaining air place cloth between bottle and patients skin

question

When delivering heat therapy using commercial heat packs how does the nurse activate them?

answer

By squeezing, striking, or twisting

question

When using heating pads what should a nurse take care to remember?

answer

Keep pad on medium to low temperature

question

This heat delivery device can be used continuously as it maintains a constant temperature?

answer

Aquathermia pad

question

The use of this heat delivery device depends on the design and can be placed either over or under patient or both.

answer

Hypothermia blanket

question

This heat delivery device comes as a piece of gauze or cloth soaked in hot water, wrung out, and applied to inflamed area

answer

Hot compress

question

When using this heat delivery technique a nurse should ensure the water temperature is between 105 and 110 degrees F

answer

Soaks

question

When soaking an inflamed site how hot should the water be?

answer

105 to 110 degrees F

question

This heat delivery technique involves filling a basin with warm water (105 to 110 F) and set on toilet , unclaimed tubing to allow water to flow over perineum.

answer

Sitz bath

question

When doing a Sitz bath where should the basin be positioned?

answer

On the toilet

question

When doing a Sitz bath in which direction and area should the water flow?

answer

Over THE perineum

question

This heat delivery device is typically administered using a tub and done for physical therapy.

answer

Whirlpool

question

When using a whirlpool to deliver heat therapy how high should the nurse fill the tub?

answer

Until the water is above the level of the jets.

question

When applying heat therapy according to guidelines it should be applied for. To. Minutes every. To. Hours

answer

Apply 20 to 30 min every 2 to 3 hours

question

A nurse applying heat packs to a site should remember not to leave tem in place longer than?

answer

45 minutes

question

Leaving heat packs in place for longer than 45 minutes may result in what?

answer

Rebound syndrome

question

Applying heat for too long can do what to blood vessels?

answer

Constrict vessels instead of dilation

question

Applying heat therapy for too long can also result in what?

answer

Worsening of the condition

question

Patient assessments that should be made prior to the application of heat therapy include patient's , level of function, , , impairment, and possible impairment of .

answer

Patient's age, Cognitive level of function, orientation, Sedation, Sensory impairment, and possible impairment of circulation

question

Prior to the application of heat on a patient with diabetes or peripheral vascular disease the nurse should do a sspecific assessment of the patient's ?

answer

Skin

question

When assessing the skin of a patient with diabetes or peripheral vascular disease prior to the application of heat what 5 things should the nurse look for?

answer

Temperature, Color, Sensation, Edema, and Skin Integrity

question

After the start of heat therapy how long should the nurse wait to reases the skin for blistering or redness?

answer

5 minutes

question

During heat therapy how often should the nurse check the site until the therapy is complete?

answer

Every 10 to 15 minutes

question

When delivering heat therapy using a continuous K-pad how often should the nurse assess it?

answer

Every hour

question

When delivering heat therapy what should the nurse do before leaving the room?

answer

Place patient call light within reach

question

Following heat therapy the nurse will want to assess the for or .

answer

Assess the skin for redness or blistering

question

Following heat therapy a nurse should be sure and ask te patient what?

answer

If the therapy helped

question

Following heat therapy a nurse should evaluate what?

answer

The Effectiveness of the treatment

question

The prevention of Edema, Homeostasis, Pain relief, Numbing sensation, Reduction of Muscle Spasms, and Fever reduction are the 6 indications for what?

answer

Cold Therapy

question

The real danger with a Fever is that as it increases to dangerous levels the metabolism what?

answer

Also increass to dangerous levels

question

A Fever can result in what?

answer

Brain damage

question

When trying to reduce fevers cold therapy can do what?

answer

Reduce body temperature

question

When using cold therapy to reduce fever where should a nurse place ice packs?

answer

On the forehead, in Axillae, and Inguinal areas (groin)

question

When using cold therapy a nurse may use what kind of bath?

answer

A tepid but not cold bath (90 F)

question

When using cold therapy to reduce the fever a nurse should not the patient and prevent .

answer

Should not chill the patient and prevent shivering.

question

This cold therapy delivery device is refillable or comes as collars?

answer

Refillable ice bags/ collars

question

This cold therapy device is commonly reused by just refreezing what is it?

answer

Refreezable Comercial cold packs

question

When doing cold therapy sometimes cold packs are used.

answer

Chemical cold packs

question

When doing cold therapy compresses an baths may also be used.

answer

Cold Compressess and Tepid Baths

question

During cold therapy the nurse should maintain a between and .

answer

Maintain a thi barrier between ice pack and skin

question

During cold therapy a cold ice pack should be left in place no longer than to minutes.

answer

20 to 30 minutes

question

During cold therapy how often should the nurse assess the skin for pallor or mottling?

answer

Every 10 to 15 minutes

question

During cold therapy the nurse may need to place what over the patient?

answer

A Blanket if needed

question

When using a tepid bath to administer cold therapy how long should it last?

answer

10 to 15 minutes

question

During the application of cold therapy the nurse should of cold therapy and assess the .

answer

Ealuate the effects of cold therapy and assess the patients response

question

When making a cold compress a nurse should a washcloth, place in and for a short period.

answer

Fold the washcloth, place in reclosable plastic bag and place in freezer for a short period.

question

When making a cold compress a nurse should then use a water and dip a into it, out, and to the site.

answer

Use a bowl of ice water and dip a washcloth into it, wring it out, and apply to the site

question

When mking a cold compress to do cold therapy on a site where the skin is not intact a nurse should use what?

answer

Sterile water

Nursing Fundamentals ch 18 – Flashcards

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