Chapter 17, 18, 20, 21, 22, 23 (NOT 19)
____________ is slow and least accurate measurement.
Axillary temperature
What is perineal care? A. Cleaning the anus B. Cleaning the perineum and anus, as well as the vulva (in women) and the penis (in men) C. Cleaning the area between the bottom of the vagina and the anus in women and the root of the pernis and the anus in men D. Cleaning the penis in men and the vulva in women
B. Cleaning the perineum and anus, as well as the vulva (in women) and the penis (in men)
The glass thermometer is rinsed with cool water, and placed in a ____________ (disinfectant/medicated) solution.
Disinfectant
_________ is a doctor who specializes in the care of the feet.
Podiatrist
____________ is when skin does not have what it needs to remain healthy.
Poor nutrition and inadequate fluid intake
________ is when epidermis softens and breaks down.
Prolonged contact with moisture
Sleeping, resting position?
Supine
Pressure ulcers can cause a person to die. True/False
True
While assisting a patient with a hospital gown, put on gloves if contact with broken skin is likely. True/False
True
List 3 benefits of good personal hygiene:
1. Keep skin/mucous membranes healthy 2. Helps a person to geel attractive to others by preventing bad breath/body odors 3. Help person feel relaxed/well cared for
Moving a person to the side of the bed is a necessary first step in many proedures. List four measures you can use to help keep your patient or resident and yourself safe while moving the person to the side of the bed:
1. Raise bed 2. Lock wheels 3. Use gentle touch 4. Use lift sheet Extra: ask for help
The liquid indicator in a glass thermometer must be "shaken down" to below the __________ (94 degrees/100 degree mark) on a Fahrenheit thermometer or the 34 degree mark on a Celsius thermometer.
94 degrees
Mrs. Bradshaw needs to have her hair washed. How can you help her do this? (Choose all that apply) A. During a tub bath B. During a shower C. At the sink D. In bed, using a shampoo cap or a shampoo trough
A B C D
Which of the following observations should be reported to the nurse when assisting a person with walking? (Choose all that apply) A. The person is feeling dizzy and the pulse is weak. B. The person is in pain. C. The person looks pale. D. The person complains of breathlessness. E. The person is breathing normally.
A, B, C, D
Which of the following precautions should be taken when measuring a rectal temperature? (Choose all that apply) A. Lubricate the tip of the thermometer to ease insertion. B. Leave the person alone after the thermometer is inserted. C. Do not force the thermometer into the rectum. D. Do not insert the thermometer more than 1 inch for an adult or 1/2 inch for a child.
A, C, D
Which of the following precautions should be taken when measuring an oral temperature? (Choose all that apply) A. If the person has eaten, consumed a beverage, chewed gum, or smoked within the last 15 minutes, wait for another 15 to 30 minutes before taking the oral temperature. B. It is safe to use a glass thermometer even if it has a slight crack. C. The end of the glass thermometer or an electronic probe should be covered with a disposable sheath before use. D. The temperature reading should be indidcated with an "O" when you record it.
A, C, D
Which of the following statements are correct with regard to walking with a cane? (Choose all that apply) A. The handle of the can should be level with the person's hip. B. The person should hold the cane on the weaker side. C. All the tipes of the cane should be placed flat on the floor at the same time. D. The NA should stand slightly behind and to the side on the person's weaker side.
A, C, D
Which of the following are benefits of a bath? (Choose all that apply) A. Makes the person feel relaxed and refreshed B. Eliminates bad breath C. Exercises muscles that might otherwise not be used D. Stimulates blood flow to the skin E. Helps the person meet cultural and religious needs F. Gives the NA an opportunity to observe skin problems G. Reduces the risk of infection
A, C, D, E, F, G
Which one of the following is an acceptable temperature for a tub bath? A. 105 degrees F B. 98.6 degrees F C. 125 degrees F D. 212 degrees F
A. 105 degrees F
Which of the following devices would you use to help transfer a person to or from a wheelchair safety? A. A transfer belt B. A walker C. Crutches D. A cane
A. A transfer belt
Which of the following can cause skin breakdown and odor in the perineal area? A. Irritants on the skin, such as feces, urine, and menstraul blood B. Use of a no-rinse cleanser C. An unwillingness to shave the private area D. Not being circumcised
A. Irritants on the skin, such as feces, urine, and menstraul blood
Why is good perineal are important? A. It prevents infection, skin breakdown, and odor. B. It prevents bad breath C. It helps the patient or resident to remain independent D. All of the above
A. It prevents infection, skin breakdown, and odor.
The range of motion exercise in which the fingers are spread away from each other is called _________.
Abduction
Which range of motion exercise is when the NA only encourages and directs the person?
Active range of motion exercise
Which range of motion exercise is when the NA helps to complete the movement during exercise?
Active-assistive range of motion exercise
The range of motion exercise that involves bringing the fingers back together is called _______.
Adduction
A general "freshening up" involving assistance with using the toilet, washing of the hands and face, and oral care is done during which time of the day?
Afternoon care
The _____ pulse is measured by listening over the apex of the heart with a stethoscope.
Apical
Which of the following precautions should be taken when measuring a tympanic temperature? (Choose all that apply) A. If the person wears a hearing aid, remove it and take the person's temperature immediately. B. Excessive ear wax should be wiped off with a warm, moist washcloth. C. The covered probe should be pointing down and toward the front of the ear canal. D. Use the other ear if the person has been sleeping with one side of his head against a pillow.
B, C, D
Which of the following statements are correct with regard to walking with a walker? (Choose all that apply) A. The hangrips of the walker should be level with the person's chest. B. The tope of the frame is used for support. C. The person moves one leg forward and then the other, stepping into the frame of the walker. D. The tipes of the walker are placed flat on the floor.
B, C, D
Which of the following statements are correct with regard to walking with crutches? (Choose all that apply) A. The tope of the crutches rests underneath the arms of the person. B. The person supports his weight with his hands on the handgrips. C. The tips of the crutches are placed flat on the floor. D. The nurse or physical therapist teaches the person to walk using the crutches.
B, C, D
Which of the following statements are true about measuring an axillary temperature? (Choose all that apply) A. You can measure a person's axillary temperature 5 minutes after the person has had a bath or applied deodorant or antiperspirant. B. Pat the axilla (underarm area) with a paper towel before positioning the thermometer. C. A glass thermometer should be kept in position for 10 minutes or according to facility policy before reading the temperature. D. The temperature reading should be indicated with an "A" when you record it.
B, C, D
You notice that Mr. Smith's razor blade has become very dull, and you replace it. How should you dispose of the old razor blade? A. Dispose of it in a facility-approved waste container. B. Dispose of it in a sharps container. C. Leave it on Mr. Smiths over-bed table; the housekeeping staff will dispose of it. D. Take it to the nurses station
B. Dispose of it in a sharps container.
Mrs. Jones wears dentures. What should you do when assisting Mrs. Jones with oral care? A. Dry the dentures before placing them in her mouth. B. Rinse her mouth with water or mouthwash and use a soft toothbrush or a sponge-tipped swab to clean her gums, tongue, and the insides of the cheeks. C. Place the dentures in a denture cup and cover them with hot water. D. Write Mrs. Jone's name and age on the denture cup.
B. Rinse her mouth with water or mouthwash and use a soft toothbrush or a sponge-tipped swab to clean her gums, tongue, and the insides of the cheeks
When caring for a person's feet, you should do all of the following EXCEPT: A. Soften the nails by soaking them for a short time in warm water B. Trim or file corns or calluses C. File the nails so that the edges are smooth D. Apply foot powder or lotion to the feet after they are dry.
B. Trim or file corns or calluses
When giving a person a bed bath, where is the bath blanket placed? A. Under the person B. Under the top linens C. Over the top linens D. Under the wash basin
B. Under the top linens
When giving a bed bath, when is the water in the basin changed? A. After washing each body part B. Whenever the water becomes cool or soapy C. Only if the resident requests fresh water D. Only before bathing the next resident
B. Whenever the water becomes cool or soapy
When is PRN (as needed) care given? A. According to the schedule in the persons nursing care plan B. Whenever there is wetness or soiling of the skin, clothing, or bedding C. When the doctor orders it D. When there is time to provide it
B. Whenever there is wetness or soiling of the skin, clothing, or bedding
__________ perfumes bath water and moistens skin
Bath oil
__________ is used to keep the top sheet, blanket, and bedspread off the patient's or resident's feet to reduce
Bed cradle
____________ is positioning the body so that the spine is not twisted or crooked
Body alignment
_____________ absorbs sweat and reduces friction between the skin
Body powder
Respiration is the process of ________.
Breathing
_______ is squeezed or pumped to fill the cuff with air.
Bulb
Which statement regarding nail care is true for a disoriented or comatose person? A. A disoriented or comatose person is not aware of his fingernails' length or appearance, so it is not important to provide nail care for him. B. A disoriented or comatose person is more likely to have hangnails and fungal infections of the nails. C. A disoriented or comatose person's fingernails should be kept smooth and short. D. It is best to provide nail care for a person who is disoriented or comatose when the nails are hard and dry.
C. A disoriented or comatose person's fingernails should be kept smooth and short.
When is the best time to perform nail care? A. At least 2 hours before a meal B. At least 2 hours following a bath C. During or immediately following a bath D. There is no ideal time for this activity
C. During or immediately following a bath
Where do you place dentures when cleaning them? A. In a sink lined with a washcloth B. In the patient's or resident's mouth C. In the palm of your hand D. On the counter or over-bed table
C. In the palm of your hand
An elderly person's toenails may become: A. Soft and flexible B. Ingrown C. Yellow, hard, and thick D. Easy to trim
C. Yellow, hard, and thick
_______ is used for people who can bear weight but are weak on one side.
Cane
____________ occur when tissue do not receive full amount of oxygen and nutrients.
Cardiovascular problems
The pulse can be felt by placing your fingers gently over the ________ artery in the neck.
Carotid
If the person is circumcised, place your washcloth covered hand at the tip of the penis and wash in a _________ motion, downward to the base of the penis.
Circular
_________ is a procedure involving the removal of the foreskin, the fold of loose skin that covers the head of the penis.
Circumcision
_______ are a tool used to trim nails.
Clippers
A _____________ is made of molded plastic and fits directly on the eyeball.
Contact lens
The glass thermometer is washed with ____________ (cool/hot) water and soap.
Cool
_______ is used for people who cannot bear full weight on one leg.
Crutches
________ is a flat, cloth-covered inflatable pouch, wrapped around the person's upper arm.
Cuff
When assisting a person with a tub bath or shower, which of the following should you do? A. Place a nonskid mat on the floor of the tub or shower B. Take standard precautions C. Leave the door unlocked D. All of the above
D. All of the above
When assisting a person with range of motion exercises, what should you do? A. Follow the care plan or the instructions given to you by the nurse or physical therapist exactly B. Move through the exercises in a systematic way C. Avoid pushing the joint past its point of resistance D. All of the above
D. All of the above
Which of the following are signs of good health that might be observed when providing nail care? A. The nail beds are pink. B. There is no gap between the nail and the nail beds. C. The cuticles are smooth and unbroken. D. All of the above
D. All of the above
Which of the following should be done when providing perineal care? A. Rinse away all soap and dry the skin thoroughly. B. Ask the person's consent for the procedure before beginning C. Take standard precautions. D. All of the above
D. All of the above
A person is said to be edentulous if: A. He has a broken tooth B. He is wearing dentures C. He has cavaties D. He is without teeth
D. He is without teeth
What type of health care professional specializes in care of the feet? A. The nurse B. The NA C. The doctor D. The podiatrist
D. The podiatrist
_______ take the place of a person's natural teeth, allowing the person to chew his or her food properly.
Dentures
_____________ prevents perspiration and body odor
Deodorant/Antiperspirant
________ is the quality of each breath
Depth of respiration
By looking at and counting a person's respirations, we are able to tell the _________, __________, and _________.
Depth of respiration, respiratory rate, and respiratory rhythm
The pressure that the blood exerts against the arterial walls when the heart muscle relaxes is called ________ pressure.
Diastolic
Before use, the probe of an electronic thermometer is covered with a __________ (disposable/permanent) sheath.
Disposable
_______ is gently bending the foot toward the head.
Dorsiflexion
As part of the healing process, some wounds produce a lot of fluid, also known as __________.
Drainage
You are caring for Mr. Smith, who has a wound drain that is connected to a collection device. You know that you should check the collection device frequently. What observations about the drainage in the collection device would you report to the nurse immediately?
Drainage has a foul odor, Appearance has changed, More drainage than normal.
__________ is secured with tape to keep wound dry and to absorb drainage from wound.
Dressing
__________ are applied to wounds to prevent microbes from gaining access to the body, to keep the wound dry, or to absorb drainage from the wound.
Dressings
Placing the dentures inside the mouth is more difficult when the mouth is _____.
Dry
_________ is labored or difficult breathing.
Dyspnea
Assisting with insertion of dentures prior to eating breakfast is done during which time of day?
Early Morning care
Preparing the person for breakfast or early diagnostic testing or treatment is done during which time of the day?
Early morning care
___________ helps to prevent the skin from rubbing against sheets or other surfaces to prevent pressure ulcers.
Elbow pads and heel booties
When using an/a _____________ (electronic/glass) thermometer, a probe is placed in the patient's or resident's mouth, rectum, or armpit to measure the temperature.
Electronic
Straightening the bed linens is done during which tyime of the day?
Evening Care
Helping the person to change into pajamas is done during which time of day?
Evening care
________ exercise involves genting bending the inside of the foot outward.
Eversion
__________ is the gentle movement of the head backward, with the chin pointing to the sky.
Extension
A fever is a body temperature between 97.6 and 99.6 degrees F. True/False
False
A person can be safely logrolled by one assistant. True/False
False
All patients and residents wear the same clothing, per facility policy. True/False
False
Always keep the bathroom door locked during the procedure. True/False
False
Brushing teeth thoroughly can lead to dental cavitties and tooth loss. True/False
False
Contact lenses should be cleaned and soaked in tap water. True/False
False
Gather all necessary equipment, linens, bath products, and clothing during the bath. True/False
False
Hearing aids need to be removed and cleaned weekly. True/False
False
Height and weight measurements are obtained as frequently as vital sign measurements. True/False
False
If the respiratoory rhythm is irregular, count the number of breaths that occur in 30 seconds. True/False
False
If the respiratory rhythm is regular, count the number of breaths that occur in 60 seconds. True/False
False
It is important to measure height each time weight is measured. True/False
False
It is not necessary to ask a person's permission before cutting his or her hair. True/False
False
It is not necessary to report a slight increase or decrease in an elderly person's temperature. True/False
False
Normally, the time between each pulsation varies. True/False
False
Patient and residents are used to dressing and undressing in the presence of others. True/False
False
Pressure ulcers are not painful, but are difficult to break. True/False
False
Pressure ulcers can be caused by a person who has a rash. True/False
False
Proper alignment is not important if a person is placed on his side. True/False
False
Regular movement increases aches and pains. True/False
False
Routine oral care is usually provided every 2 hours. True/False
False
Stand behind the person while helping her to stand. True/False
False
Stand in front of the person while helping her to walk. True/False
False
The accepted normal range for the diastolic pressure is between 90 and 120mm Hg. True/False
False
The accepted normal range for the systolic pressure is between 60 and 80mm Hg. True/False
False
The normal adult respiratory rate is between 10 and 15 breaths per minute. True/False
False
The normal range for vital signs is the same for everybody. True/False
False
The nurse is not responsible for assessing each resident's risk for developing pressure ulcers when the resident is admitted to the long-term care facility. True/False
False
To remove tangles from the hair, use a wide-tooth comb and start at the scalp-working down to the ends of the hair.
False
Using a mechanical lift to transfer a person from the bed to the wheelchair: Allow the person to hold onto the swivel bar. True/False
False
Using a mechanical lift to transfer a person from the bed to the wheelchair: The person faces the wheelchair while being moved with the mechanical lift. True/False
False
Using a mechanical lift to transfer a person from the bed to the wheelchair: The sling should be positioned evenly underneath the person, from wait to mid-thigh True/False
False
Walking makes a person restless. True/False
False
When assisting a person to dress or undress, you should first disconnect the person's IV line. True/False
False
When providing female perineal care, make sure to wipe from the anal area upwards toward the vulva. True/False
False
You should take measurements of vital signs only once, even if measurements are abnormal. True/False
False
Record the temperature at the end of the line ____________ (farthest away from/nearest to) the bulb in a glass thermometer.
Farthest away from
_________ involves gentle movement of the head forward, as if to touch the chin to the chest.
Flexion
____________ is a padded board placed upright at the foot of the bed to prevent pressure ulcers.
Footboard
Eating in bed, grooming procedures-oral care, etc. position?
Fowlers
_______ is the force created when two surafces (such as a sheet and a person's skin) rub against each other
Friction
___________ is when skin is injured, leading to skin breakdown.
Friction and shearing injuries
The temperature is displayed on a screen on the __________ (front/side) of the electronic thermometer.
Front
__________ are broken pieces of cuticle skin, causing injury and pain.
Hangnails
___________ are broken pieces of cuticle that cause injury and pain.
Hangnails
One of your residents, Mr. Brentwood, is in a coma. When providing oral care for Mr. Brentwood, why do you turn him onto his side? What is the purpose of using a padded tongue bade when providing oral care to Mr. Brentwood?
Helps prevent aspiration.
____________ Drains fluid out of wound.
Hemovac drain
To read the temperature on a glass thermometer, hold it ___________________ (vertically/horizontally) by the stem at eye level.
Horizontally
A blood pressure that is consistently greater than 140 mm Hg (systolic) and/or 90 mm Hg (diastolic) is called ________.
Hypertension
A blood pressure that is consistently lower than 90 mm Hg (systolic) and/or 60 mm Hg (diastolic) is called __________.
Hypotension
_________ is a condition where the nail curves down and back into the skin, causing injury and pain.
Ingrown toenails
The chest rises each time we _______ and falls each time we _____.
Inhale, Exhale
_________ exercise involves gently bending the inside of the foot inward.
Inversion
Relieving pressure on spine in which position?
Lateral
_________ is a small, flat sheet that is placed over the middle of the bottom sheet, covering the area of the bed from above the person's shoulders to below his or her buttocks
Lift (draw) sheet
Rotate the glass thermometer until the line of _________ (liquid/ink) becomes visible.
Liquid
___________ prevents drying and chapping
Lotion/cream
Dentures should be stored in a denture cup filled with __________ water.
Lukewarm
_______ is a gauge that measures the air pressure in the cuff.
Manometer
__________ helps to protect skin from damage that a dressing with tape would cause.
Montgomery tie
Assisting with using the toilet, bathing, oral care, shaving, hair care, dressing, and putting on make-up is done during which time of day?
Morning care
General housekeeping duties, such as tidying the person's room and changing the bed linens is done during which time of day?
Morning care
Can a young, healthy patient delay wound healing?
No
Can reading cause a change in a person's vitals?
No
Can relaxing cause a change in a person's vitals?
No
Is assisting with a tub bath part of grooming?
No
Is bedmaking part of grooming?
No
Should Minty smelling breath during oral hygiene be reported to the nurse?
No
Should a clean tongue during oral hygiene be reported to the nurse?
No
Should lack of pain during menstraution during perineal care be reported to the nurse?
No
__________ does not need to be rinsed away; often used to clean the perineal area
No-rinse cleanser
It is the duty of a NA to routinely measure and record a person's vital signs and promptly report to the __________ if abnormal changes are detected.
Nurse
The ____________ plan will provide the NA with information regarding the routine measurement of each patient's or resident's vital signs.
Nursing care
Vital sign measurements are called ________ data.
Objective
Mrs. McAndrews has diabets. What sorts of changes would you inspect her feet for, while you are assisting her with foot care? Why is being observant for changes in the feet of a person with diabetes especially important?
Observe small cracks, peeling, ingrown toenails, red, tender areas. Important because they have a lack of proper circulation
_______ is when skin becomes fragile and thin, with less blood flow
Old Age
_______________ cannot be taken if the person has an injury in the mouth.
Oral temperature
A sudden decrease in blood pressure that occurs when a person stands up from a sitting or lying position is called _______ hypotension.
Orthostatic
Which range of motion exercise is when the NA moves the person's joints through the exercise?
Passive range of motion exercise
___________ involves gently bending the foot away from the head.
Plantar flexion
A patient who is unable to reposition himself is at risk for developing serious complications. List complications that can be caused by immobility:
Pressure ulcers Muscle weakness Blood clots Constipation Contracture Pneumonia
_____________ is placed on top of the regular mattress to help prevent skin breakdown to reduce pressure ulcers.
Pressure-relieving mattress
________ is turning the hand so that the palm is facing down or backward.
Pronation
A person who has had an eye removed may choose to wear a ____________ which is made of ceramic or plastic and is usually designed to be very close in appearance to the person's own eye.
Prosthetic eye
The _______ reflects the rate, rhythm, and strength of the heartbeat.
Pulse
___________ is the pattern of pulsations and the pauses between them
Pulse Rhythm
_______________ is the force or quality of the pulse.
Pulse amplitude
___________ is the difference between the apical pulse rate and the radial pulse rate.
Pulse deficit
__________ is the number of pulsations that can be felt over an artery in 1 minute.
Pulse rate
The pulse can be felt by placing your fingers gently over the ______ artery in the wrist.
Radial
Measuring, ___________, and _____________ vital sign measurements accurately is critical because this information is used to make important decisions about the patient's or resident's care.
Recording, Reporting
____________ is very accurate but can be embarassing for the person.
Rectal temperature
____________ is the number of times a person breathes in 1 minute.
Repiratory rate
___________ is the regularity with which a person breathes
Respiratory rhythm
If the person is uncircumcised, _______ the foreskin and clean the area using a different part of the washcloth each time, until the area is clean.
Retract
The disinfectant solution is ________ (rinsed/wiped) off the glass thermometer before use.
Rinsed
The range of motion exercise involving gentle movement of the head from side to side, as if saying no, is called ________.
Rotation
______ is the force created when something or someone is pulled across a surface that offers resistance.
Shearing
What body position for receiving an enema?
Sims'
The _______ is the body's first line of defense against infection.
Skin
The pulse is a throbbing sensation just underneath the ______.
Skin
_______ is an assist device that can be used to allow a person with good upper body strength to move from a bed to a chair.
Sliding board
Denture _______ prevents the dentures from drying out and warping.
Solution
The types of ___________ that are used with contact lenses vary according to the type of lens.
Solutions
_________ are beds that help to increase airflow and reduce pressure to prevent pressure ulcers.
Special beds
A/An ____________ is a device used to measure blood pressure.
Sphygmomanometer
___________ is a device that amplifies sound and transfers it to the listener's ears.
Stethoscope
_________ data includes the patient's or resident's complain of pain, dizziness, or nausea.
Subjective
_______ is turning the hand so that the palm is facing up or forward.
Supination
_____________ are devices such as rolled sheets, towels, or blankets used when positioning a person to help the person maintain proper body alignment.
Supportive devices
The pressure that the blood exerts against the arterial walls when the heart muscle contracts is called _________ pressure.
Systolic
______________ is obtained from the person's forehead.
Temporal temperature
_________ is movement from one place to another (from bed to wheelchair)
Transfer
A clean mouth feels good and makes food taste better. True/False
True
A fever can be a sign of illness or infection. True/False
True
A fever is a body temperature of more than 37.5 degrees C. True/False
True
A fever should be reported to the nurse immediately. True/False
True
A lift sheet should be used to logroll the person. True/False
True
A major or long-lasting change in a person's vital sign measurements can be a sign of illness. True/False
True
A pillow is placed lengthwise between the person's legs. True/False
True
A temperature higher than normal could be a sign of illness or infection. True/False
True
A transfer belt may be used if necessary to assist the person to stand up. True/False
True
A weak or thready pulse usually means that the heart is having trouble circulating blood throughout the body. True/False
True
Allowing a person to choose the clothing he or she wishes to wear is a top priority when assisting with dressing. True/False
True
Always explain to the person how the bathing procedures will be carried out before starting the procedure. True/False
True
Always wash from front to back. True/False
True
Any change in pulse rate, rhythm, or amplitude should be reported to the nurse immediately. True/False
True
Any change in respiratory rate, rhythm, or depth should be reported to the nurse immediately. True/False
True
Assist the person to hold the cane on her strong side. True/False
True
Beards and mustaches must be kept clean and free of food and drink, and they must be trimmed and brushed regularly. True/False
True
Because a pressure ulcer can have such serious consequences for a person, OBRA expects that the health care team will do everything possible to prevent patients and residents from getting pressure ulcers. True/False
True
Blood pressure readings are usually lowest in the morning. True/False
True
Blood pressure readings are usually slightly higher after a meal. True/False
True
Body temperature, pulse, respirations, and blood pressure are vital signs. True/False
True
Breathing should be quiet and easy. True/False
True
Changes in weight allow the health care team to evaluate the person's nutritional status. True/False
True
Changes in weight can give information about how well a person's heart and kidneys are working. True/False
True
Changes in weight can indicate disease. True/False
True
Counting respirations can be done by looking at the person's chest. True/False
True
Counting respirations can be done by placing your hand near the collarbone or on the person's side. True/False
True
Each pulsation should be strong and easy to feel. True/False
True
Each rise and fall of the chest is one repiration. True/False
True
Ensure that the assistive device is in good working order. True/False
True
Good body alignment depends on proper body position. True/False
True
Good oral hygiene contributes to overall health. True/False
True
Hearing aids must not be exposed to extreme heat or cold, moisture, or hairspray.
True
If a person's hair is matted or tangled, it may need to be cut. True/False
True
If one of your patients or residents who has been diagnosed with hypertension is not taking his medicine as ordered, you should report this to the nurse immediately. True/False
True
If you are having trouble measuring a patient's or resident's vital signs, you should ask for help from the nurse or another NA. True/False
True
Improper handling can lead to nicks and scratches on prosthetic eyes. True/False
True
In proper body alignment, an imaginary line runs through the person's nose, breastbone, and pubic bone, and between the person's knees and ankles. True/False
True
It is important to assist the person to dangle before attempting ambulation. True/False
True
Logrolling is frequently used to reposition a person who has a spinal injury. True/False
True
Measuring, reporting, and recording vital sign measurements accurately is critical. True/False
True
Normal activities such as dressing, grooming, walking, and eating usually put all of the joints through their complete range of motion. True/False
True
People who are taking medications that cause a dry mouth will need oral care every 1 or 2 hours. True/False
True
People who are unable or not allowed to take food or fluids by mouth will need oral care every 1 or 2 hours. True/False
True
Poor oral hygiene can cause gum disease and bad breath. True/False
True
Pressure ulcer can be caused by a person who sleeps on wrinkled bed linens. True/False
True
Pressure ulcers are caused by a person sitting on a bedpan for a long period. True/False
True
Pressure ulcers can be caused by a person who wears a splint or brace that presses against the skin. True/False
True
Pressure ulcers can be caused by part of a person's body presses against a surface, such as a mattress. True/False
True
Range-of-motion exercises are done to preserve joint and muscle function in a person with limited mobility. True/False
True
Range-of-motion exercises may be done while the person is in bed or sitting down. True/False
True
Some medications are prescribed according to body weight. True/False
True
The chest should rise and fall in a regular rhythm. True/False
True
The method used to measure the temperature affects the accuracy of the measurment, so it is important to note which method was used when you record the temperature. True/False
True
The normal adult heart rate is between 60 and 100 beats per minute. True/False
True
The normal oral temperature for an adult ranges from 36.5 to 37.5 degrees C. True/False
True
The normal temporal temperature is 99.6 degrees F. True/False
True
The nurse documents any existing pressure ulcers for all residents. True/False
True
The person is rolled in one fluid motion and the body is kept in alignment. True/False
True
The range of motion of a joint is the complete extent of movement that the joint is normally capable of without causing pain. True/False
True
The type of clothing a person wears will differ according to the person's abilities. True/False
True
Use a different washcloth for cleaning each side of the vulva and the middle until the area is clean. True/False
True
Using a mechanical lift to transer a person from the bed to the wheelchair: Fasten the sling to the straps of the lift. True/False
True
Using a mechanical lift to transfer a person from the bed to the wheelchair: Center the sling under the person. True/False
True
Using a mechanical lift to transfer a person from the bed to the wheelchair: Widen the legs of the lift to provide a solid base of support. True/False
True
Vital sign measurements are used to make important decisions about the patient's or resident's care. True/False
True
Vital signs provide essential information about a person's health. True/False
True
Walking helps to improve a person's appetite. True/False
True
Walking helps to prevent constipation. True/False
True
Walking is a good form of exercise. True/False
True
Walking prevents complications of immobility. True/False
True
When a person's legs are spread apart, the person is in proper body alignment when each leg is an equal distance fom an imaginary line between the two legs. True/False
True
When assisting the person to and from the bathroom, make sure that he is adequately covered. True/False
True
When helping a person with a paralyzed arm or leg to dress, you should place the garment's sleeve or leg onto the paralyzed arm or leg first. True/False
True
When providing perineal care, spread the bath blanket over the person and fanfold the top linens to the foot of the bed. True/False
True
Two assistants stand on the side of the bed toward which the person will be rolled. True/False
Two
_________________ is taken in the ear.
Tympanic temperature
A nursing assistant needs to help Mr. Burns transfer from his bed to a wheelchair. List four safety measures the NA, should keep in mind when helping Mr. Burns to transfer:
Use proper body alignment, check wheelchair, lower bed/lock wheels, and plan the transfer
_________ may be used to help promote healing of complicated or chronic wounds.
VAC Therapy
__________ is used for people who can bear weight but may be weak or unsteady.
Walker
A patient or resident sitting on the side of the bed is described as "dangling." This is the first step for someone who is getting up from bed to walk. Explain the importance of dangling.
Want to move them slowly so they dont get dizzy
When cleaning dentures, line the sink with a _________ or paper towels.
Washcloth
_________ is the ability to stand on one or both legs.
Weight-bearing ability
A _________ creates an opening that allows microbes to enter the body, putting the person at risk for infection..
Wound
A person may be completely or partially paralyzed. Should they be repositioned?
Yes
A person may be in pain. Should they be repositioned?
Yes
A person may be unconscious or in a coma. Should they be repositioned?
Yes
A person may be weak due to an illness or disease. Should they be repositioned?
Yes
Can Fear cause a change in a person's vitals?
Yes
Can Injury cause a change in a person's vitals?
Yes
Can a weakened immune system delay wound healing?
Yes
Can anxiety cause a change in a person's vitals?
Yes
Can exercise cause a change in a person's vitals?
Yes
Can fluid in a wound delay wound healing?
Yes
Can illness cause a change in a person's vitals?
Yes
Can multiple injuries delay wound healing?
Yes
Can pain cause a change in a person's vitals?
Yes
Can poor nutrition delay wound healing?
Yes
Is applying make up part of grooming?
Yes
Is providing nail care part of grooming?
Yes
Is shampooing and styling the hair part of grooming?
Yes
Is shaving part of grooming?
Yes
Should abnormal odor during perineal care be reported to the nurse?
Yes
Should bleeding from the anus during perineal care be reported to the nurse?
Yes
Should bleeding from the vagina in a postmenopausal woman during perineal care be reported to the nurse?
Yes
Should dry, red, cracked, or bleeding lips during oral hygiene be reported to the nurse?
Yes
Should fruity smelling breath during oral hygiene be reported to the nurse?
Yes
Should loose or broken teeth during oral hygiene be reported to the nurse?
Yes
Should unusual redness, inflammation, or skin rashes in the perineal area be reported to the nurse?
Yes
Wound _______ may be used to remove fluids from the wounds.
drains
Clean _______ with a cloth and a special solution made specifically for that purpose, or with warm water.
eyeglasses