Chapter 22: Special Care Skills

A pulse oximeter measures A Blood oxygen lever B Swelling of the extremities C Weight D Medication lever

A Blood oxygen lever

Which type of surgery is chosen by the patient and is planned in advance? A Elective B Urgent C Emergency D Non-elective

A Elective

The sensor uses _____ to measure blood oxygen level A Light B Sound C Chemical D Vibration

A Light

Which type of anesthesia is injected directly into the surgical site or area and is used for minor surgical procedures? A Local anesthesia B General anesthesia C Full body anesthesia D Intravenous

A Local anesthesia

An epidural is an example of this type of anesthesia: A Regional anesthesia B General anesthesia C Local anesthesia D Intravenous anesthesia

A Regional anesthesia

Chest tubes are inserted during a _____ A Sterile B Non- sterile C Personal care D Catheterized

A Sterile

What does a pulse oximeter measure?

A pulse oximeter measures the amount of oxygen in the blood and the pulse rate.

What types of fluids are drained by chest tubes?

Air, blood, or other fluids or pus

The drainage system must be kept _______ the level of the resident's chest. A Above B Below C Beside D Equal distance to

B Below

Which type of surgery must be performed for health reasons but is not an emergency? A Elective B Urgent C Emergency D Plastic

B Urgent

What kinds of conditions require subacute care?

Recent surgery, injuries, or chronic illnesses, such as AIDS or cancer, may require subacute care.

What is important to report about the skin when a resident is using a telemetry unit?

Report any signs of skin break-down from the pads, such as irritation , rash, cracks, breaks, sores, or bleeding on the skin under or around the pads

What are a nursing assistants responsibilities with tracheostomy care?

Report shortness of breath, trouble breathing, gurgling sounds, signs of skin breakdown such as cracks and rashes.

Why might a resident be anxious while on a ventilator?

They cannot speak

What are alternate methods of communication that nursing assistants can use with residents who have artificial airways?

Writing notes, drawing pictures, using communication boards, and using hand and eye signals.

A normal blood oxygen level is usually between A 25%-40% B 40%-60% C 60%-70% D 95%-100%

D 95%-100%

The pulse oximeter's sensor is usually A knee B Elbow C Chin D Finger

D Finger

Chest tubes may be required for A Vaginitis B Eczema C Nutritional deficienies D Trauma

D Trauma

Which type of anesthesia is inhaled or injected directly into a vein and affects the brain and entire body?

General anesthesia

List five signs of respiratory distress.

Gurgling signs, difficulty breathing, elevated respiratory rate, sweating, wheezing .

List eight guidelines for assisting with pre-operative care.

-assist residents with urinating before surgery -assist with bathing as needed -measure & record vital signs as recorded -help the resident to change to change into a gown if required -transfer to a stretcher/gurney if necessary -make sure the residents identification bracelet is accurate and on the wrist or ankle prior to transport - remove personal items such as: jewelry, dentures , eyeglasses -assist with enemas or rectal suppositories as trained , ordered & allowed

List eight guidelines for assisting with post-operative care.

-assist with transferring the resident back into bed -measure and record vital signs as instructors -assist with deep breathing and coughing exercises -apply binders as ordered -encourage residents to follow diet orders

__________ surgery is unexpected and unscheduled and must be performed immediately to save a life or limb A Elective B Urgent C Emergency D Plastic

C Emergency

pulse oximetry is commonly used for people who are A Diabetic B Incontinent C Returning from surgery D Demented

C Returning from surgery

Which of the following should be reported to the nurse regarding pulse oximetry? A The oximeter displays the blood oxygen level B The oximeter displays the person's pulse rate C The alarm sounds D The residents request extra pillows

C The alarm sounds.

Chest tubes drain air, blood, or fluid from A The heart B The brain C The pleural cavity D The esophagus

C The pleural cavity

The drainage system must be A Recycled B Permanent C Airtight D Frozen

C airtight

List 10 signs and symptoms to report about a resident after surgery.

Changes in vital signs, difficulty breathing, changes in consciousness, skin that is cold , swelling at the IV site, vomiting, complaints of pain.

List 12 guidelines for caring for residents with chest tubes.

Check vitals as directed, keep the drainage system below the level of residents chest, report chest drainage for any changes in color, report odor in the chest tube, provide rest periods as needed.

Briefly describe three types of surgeries.

Elective surgery, urgent surgery & emergency surgery

In what ways can a nursing assistant show support for a resident who is on a ventilator?

Enter the room often