Chapter 26: Subacute Care
A tube that is inserted into the nose, through the esophagus, and into the stomach for feeding is called a(n) (A) Nasogastric tube (B) Orogastric tube (C) Percutaneous endoscopic gastrostomy (PEG) tube (D) Central venous line
a
Symptoms of respiratory distress include (A) Gurgling (B) Decreased respiratory rate (C) Redness of the skin (D) Apathy
a
What might a nursing assistant do for a resident with a tracheostomy? (A) Provide skin care to the site around the tube (B) Perform suctioning (C) Remove the tube for cleaning (D) Insert the tube
a
Which of the following statements is true of how a nursing assistant should care for a resident with a telemetry pack? (A) The NA should not get the unit, pads, or electrodes wet. (B) The NA should not monitor vital signs. (C) The NA should not report cracked skin because that is normal due to the pad placement. (D) The NA should make sure that the pads hang loosely from the resident's chest.
a
13. What is one condition that can require an order for a tube feeding? (A) Depression (B) Cancer (C) Dialysis (D) Anaphylaxis
b
4. What is a type of intravenous line that is inserted into a large vein in the body? (A) Peripheral line (B) Central venous line (C) Gastrostomy line (D) Nasogastric line
b
5. A pulse oximeter sensor is normally clipped on a person's (A) Neck (B) Finger (C) Stomach (D) Lower arm
b
6. The process of removing poisons from the body can be done by using (A) Bladder suctioning (B) Gastric suctioning (C) Endotracheal suctioning (D) Intravenous suctioning
b
The method used to insert an artificial airway is called (A) Telemetry (B) Intubation (C) Ventilation (D) Dyspnea
b
What is the function of an artificial airway? (A) To feed a resident who cannot swallow or digest food (B) To keep the airway open for the lungs to perform air exchange (C) To check a resident's vital signs (D) To prepare a resident for a medical test
b
Which of the following statements is true of chest tubes? (A) The drainage system must be kept above the level of the resident's chest. (B) The chest drainage must be observed for amount and color. (C) The tubing should be kinked. (D) Chest tubes will only be in the front of the body.
b
Which of the following statements is true of a resident on a ventilator? (A) The resident will be especially relaxed. (B) Clipboards, pads, and communication boards can help with communication. (C) Being on a ventilator is not much different from regular breathing. (D) The resident will be able to speak.
b
3. A serious illness usually caused by a bacterial infection is called (A) Gingivitis (B) Phlebitis (C) Sepsis (D) Diverticulosis
c
8. What is one problem associated with chest tubes that should be reported by the nursing assistant? (A) The drainage system is below chest level (B) Resident takes two naps per day (C) Clots are in the drainage tubing (D) The drainage containers are upright
c
A pulse oximeter measures (A) Blood pressure (B) Body temperature (C) Blood oxygen level (D) Blood glucose level
c
Care guidelines for dialysis include (A) Advising the resident to wear tight sleeves (B) Checking blood pressure readings on the access arm (C) Following instructions for intake and out - put measurement carefully (D) Encouraging residents to put pressure on the access arm
c
Subacute care is for residents who (A) Are relatively independent and do not need around-the-clock skilled care (B) Need less care than most long-term care facilities provide (C) Need more care than most long-term care facilities provide (D) Need emergency care for an accident or sudden illness
c
What is one of the nursing assistant's responsibilities for tube feedings? (A) Inserting tubes (B) Giving tube feedings (C) Positioning the resident (D) Cleaning or suctioning the tubes
c
One reason why a resident may not be allowed fluids before surgery is (A) the resident may drink more fluids than usual (B) not drinking fluids, can help prevent vomiting and aspiration (C) having fluid increases the risk of incontinence after surgery (D) the surgery has a higher rate of success if no fluids are consumed
B
11. What disorder can put a person at a higher risk for sepsis? (A) Diabetes (B) Eczema (C) Otitis (D) Chlamydia
a
9. One possible complication that can result from a tube feeding is (A) Aspiration (B) Cystitis (C) Loose lead (D) Phlebitis
a
1. The intravenous infusion of nutrients bypassing the digestive tract is referred to as TPN, which stands for (A) Total percutaneous nutrition (B) Total peripheral nutrition (C) Total portable nutrition (D) Total parenteral nutrition
d
10. Normal pulse oximetry readings are considered to be (A) From 75% to 85% (B) From 85% to 95% (C) From 65% to 85% (D) From 95% to 100%
d
12. Repositioning a resident on a mechanical ventilator must be done at least every (A) 5 hours (B) 4 hours (C) 3 hours (D) 2 hours
d
2. ________ involves the use of medication to calm a person. (A) Ablation (B) Respiration (C) Supination (D) Sedation
d
7. When using a pulse oximetry device, which of the following should be avoided? (A) Excessive fluids (B) Loose tape (C) Supine position (D) Nail polish
d
Alternate communication methods for a resident with an artificial airway include (A) Playing charades (B) Shouting at the resident (C) Asking the resident's family what they think he wants (D) Using communication boards
d
