Chapter 7: Basic Nursing Skills
Which changed should be immediately reported to the nurse?
-fever -a pulse that is too rapid or too slow -blood pressure changes residents pain is worse or not relieved by pain management
List five things that an NA can do to help reduce a residents pain
-report complaints of pain or unrelieved pain -position body in proper alignment -give back rubs -ask if resident would like a warm shower -help resident to the bathroom or commode or offer the bedpan or urinal
List five things that can disrupt a residents sleep
-sleeping too much during the day -eating and drinking caffeine -wearing night clothes during the day -eating heavy meals during the day -taking new medications
If a resident complains of pain, what questions should the NA ask to get the most accurate information?
-where is the pain -when did it start -how severe is it -can you describe it -what were you doing before the pains tarted -how long does it last, and how often does it occur -what makes it better, what makes it worse
How many inches are in one foot?
12
How soon should a NA check on a resident after applying a bandage?
15 minutes
Specimen
A sample that is used for analysis in order to try to make a diagnosis
Elastic bandages are also known as
ACE bandages
_________ is often the first time a nursing assistant meets a new resident
Admission
Hat
Collection container put into toilet to collect samples
List three problems that can be caused by lack of sleep
Decreased mental function. Reduced reaction time. Irritability
Sputum specimen
Early morning is the best time to collect this specimen
Clean-catch specimen
Excludes first and last urine from sample
All of the body's fluid output is in the form of urine
False
Catheter
Thin tube inserted into the body that is used to drain or inject flyids
Urinary catheter
Thin tube to drain urine from the bladder
Fluid balance is taking in and eliminating the same amounts of fluid
True
Oxygen is prescribed by a doctor
True
The fluid a person consumes is called intake or input
True
Condom catheter
Urinary catheter that had an attachment that fits into the penis
Straight catheter
Urinary catheter that is removed immediately after urine is drained
Indwelling catheter
Urinary catheter that stays inside the bladder for a period of time
Stool specimen
Urine and toilet paper should not be included with this specimen
Routine urine specimen
Urine sample collected any time resident voids
Restraint alternative are
any interventions used in place of a restraint
If an NA is asked to use a piece of equipment he doesn't not know how to use, he should
ask for help
Nursing assistants may ______ non-sterile dressings
change
Non-sterile dressings are applied to dry, ______ wounds that have less chance of _________
closed infection
A bed made with the bedspread and blankets in place is called a(n)
closed bed
What is the NA's responsibility for IV care?
documenting and reporting observations
One purpose of elastic bandages is to
hold a dressing in place
The NA should try to make sure the resident has a good __________ of her and her facility
impression
The NA should _________ herself to the resident and stay her position
introduce
The NA should always call a resident by her ____ name until she tells the NA what she prefers to be called
last
A chemical restraint is
medication used to control behavior
If the fluid in an IV bag is nearly gone, the NA should
notify the nurse
A _____ changes sterile dressings
nurse
It is important for the NA to _______ the new resident in case something important was missed
observe
Sterile dressings cover ____ or _____ wounds
open drain
A resident has a legal right to have his _______ items that he has brought with him treated carefully
personal
The NA should ask _________ to find out a residents personal preferences and ________
questions routines
An example of a physical restraint is
raised side rails on a bed
Restraint-feee care means that
restraints are never used for any reason
New residents must be given a copy of their legal ______
rights
The NA should prepare the ____ before the resident arrives
room
The NA should try to make sure the new resident feels welcome and wanted. The NA should not ____ the process or the new resident
rush
IV lines allow direct access to
the bloodstream
What can changed in vital signs indicate?
they can indicate a residents condition worsening
What is one reason the use of restraints has been restricted?
they were sometimes abused by caregivers
The purpose of restraint is
to restrict voluntary movement or behavior
The NA can help the resident by explaining daily life in the facility and offering to take the resident on a ____
tour
Why must an NA report any weight a resident loses?
weight changes can indicate illness
A restraint can be used
when a doctor has ordered its use
Call lights should be placed
within the resident's reach