Chapter 15 CNA
False
A force fluid (FF) medical order means to restrict the amount of fluids consumed.
True
A symptom of dehydration is dark urine.
True
A symptom of fluid overload is edema of the extremities.
Incorrect
After a resident has had a tube feeding, the NA should help the resident lie flat on his back.
False
All of the body's fluid output is in the form of urine.
True
All residents sitting together at one table should be served at the same time so that they may eat together.
Time
Allow enough ____ to finish eating.
True
Alternating cold and hot foods or bland foods and sweets can help increase appetite.
Assistive
Devices that can help residents with eating.
Correct
During a feeding, the resident should remain in a sitting position with the head of the bed elevated at least 45 degrees.
Eat
Encourage residents to ___.
Fats
Examples of these are butter, oil, and salad dressing.
Carbohydrates
Examples of these include bread, cereal, and potatoes.
True
Fluid balance is taking in and eliminating the same amounts of fluid.
True
Fluid overload occurs when the body is unable to handle the amount of fluid consumed.
True
Fluids come in the form of liquids that a person drinks, as well as semi-liquid foods such as soup or gelatin.
Protein
Good sources of these are fish, meat, dried beans, soy products, and cheese.
Food
Honor residents' ____ likes and dislikes.
False
If a resident has an NPO order, he can drink water but no other type of fluid.
True
If a resident needs his food cut up, it should be done before the food is brought to the table.
False
If a resident wants to eat his dessert first, the NA should explain that it is unhealthy and that he should begin with his entree.
False
If food is too hot, the NA should blow on it for a few minutes until it is cool enough for the resident to eat it.
Appetite
If resident has had a loss of ________, ask about it.
True
In order to prevent dehydration, a nursing assistant should offer fresh fluids to resdients often.
Minerals
Iron and calcium are examples of these.
False
It is a good idea for residents with swallowing problems to suck on ice chips.
True
It is important for NAs to identify each resident before serving meal trays.
Correct
It is important for the NA to wash his hands before assisting in any way with a tube feeding.
False
Most people need to consciously monitor their fluid balance.
Incorrect
NAs are responsible for pouring feedings into the tube.
Correct
NAs should give careful skin care for residents who must remain in bed for long periods to help prevent pressure ulcers.
Low
Noise level should be kept ___ when residents are eating.
Utensils
Notify the nurse if a resident has trouble using ________.
True
Nursing assistants should take their time when serving residents their dinners so that residents will not feel rushed.
Beverages
Offer many different kinds of foods and _________.
Water
One-half to two-thirds of body weight is this.
True
People can become dehydrated by vomiting too much.
Upright
Position residents sitting _______ for eating.
Upright
Proper position for eating that helps prevent swallowing problems
Oral care
Provide ____ ____ before and after meals.
False
Pureed food should not be seasoned.
Intake
Record meal/snack ______.
Correct
Redness or drainage around the opening should be reported.
True
Residents should be sitting upright at a 90-degree angle for eating.
Hands
Should be washed before residents eat.
Socializing
Something that has a positive effect on eating and helps prevent loneliness and boredom.
False
T/F: A resident who must have thickened liquids may drink regular, unthickened water.
False
T/F: A speech-language pathologist will evaluate the resident to determine the thickness that the resident requires.
True
T/F: A spoon should stand up straight in a glass of liquid that is pudding thick.
False
T/F: Beverages will always arrive pre-thickened from the dietary department.
False
T/F: Liquids that are nectar thick must be consumed with a spoon.
False
T/F: Thickened liquids are usually ordered for residents with urinary problems.
True
T/F: Thickening improves the ability to control fluids in the mouth and throat.
True
The NA should make sure that the water pitcher and cup are light enough for the resident to lift.
False
The NA should refer to pureed carrots as "orange stuff" so the resident knows which food the NA is talking about.
False
The NA should stand while feeding a resident.
Vitamins
The body cannot produce most of these.
True
The fluid a person consumes is called intake or output.
Incorrect
The nursing assistant (NA) should remove the tube when the feeding is finished.
True
The resident's mouth should be empty before the NA offers another bite of food.
True
The sense of thirst lessens as a person ages.
Fats
These add flavor to food and help to absorb certain vitamins.
Fats
These can be classified as monounsaturated, polyunsaturated, and saturated.
Vitamins
These can be fat-soluble or water-soluble.
Fats
These help the body store energy.
Carbohydrates
These provide fiber.
Proteins
They are essential for tissue growth and repair.
Water
This is the most essential nutrient for life.
Water
Through perspiration, this helps to maintain body temperature.
False
To promote a healthy appetite, the NA should remain silent while helping a resident eat.
False
Twenty-six ounces of water per day is the recommended amount for most people.
Dentures
Use of eyeglasses, hearing aids, and these should be encouraged.
False
Using straws is helpful for residents who have swallowing problems.
Water
Without this, a person can only live a few days.