CNA Homework 8 (Chapters 31-35)

B) Put on gloves

A home health aide cares for Mrs. Squibb, who has type 1 diabetes mellitus. One responsibility is to help Mrs. Squibb monitor her blood glucose level using the "finger stick" method. Which should the home health aide do before assisting Mrs. Squibb with monitoring her blood glucose level? A) Serve Mrs. Squibb her meal and make sure she eats all of it B) Put on gloves C) Have Mrs. Squibb lie down D) Have Mrs. Squibb perform 15 minutes of light exercise

C) hemiplegia.

A nursing assistant has learned that a client is paralyzed on one side of her body. This is otherwise known as: A) hypertension. B) arteriosclerosis. C) hemiplegia. D) stroke

B) Thyroid

A resident has a health problem in which her body's metabolism is not functioning correctly. Which gland is most likely involved? A) Pancreas B) Thyroid C) Parathyroid D) Thymus

C) cerebrovascular accident.

A stroke is also known as: A) Lou Gehrig's disease. B) aphasia. C) cerebrovascular accident. D) transient ischemic attacks.

B) quadriplegia.

An injury to the spinal cord in the neck area can result in: A) hemiplegia. B) quadriplegia. C) paraplegia. D) Lou Gehrig's disease.

D) Venous ulcers

As part of a resident's morning routine, the nursing assistant helps her apply anti-embolism (TED) stockings after morning care. These stocking are a preventative measure against which health problem? A) Angina pectoris B) Myocardial infarction C) Pulmonary embolism D) Venous ulcers

B) Kidney failure, blindness, or heart disease

Nursing assistant actions that help a person with diabetes control their blood glucose levels may contribute to the prevention of which potential complications? A) Anorexia, bulimia, or heart failure B) Kidney failure, blindness, or heart disease C) Edema, migraine headaches, or blood clots D) Hearing loss, increased facial hair, or dark discoloration of the skin

A) The patient may become fatigued easily.

During her admission assessment, an elderly patient has told the nurse and nursing assistant that she has a longstanding history of anemia. How will this problem likely impact the care that the nursing assistant will provide for this patient? A) The patient may become fatigued easily. B) The patient will be prone to excessive bleeding. C) The patient may need to use a wheelchair. D) Ambulation may cause the patient chest pain.

C) transient ischemic attacks (TIAs).

Episodes of temporary decreased blood flow to the brain lasting only a few minutes to a few hours are called: A) peripheral nerve pathways (PNPs). B) cerebrovascular accident (CVA). C) transient ischemic attacks (TIAs). D) aphasias.

B) To ensure that blood flows through the heart in only one direction

What is the purpose of the valves in the heart? A) To help blood flow back to the heart B) To ensure that blood flows through the heart in only one direction C) To filter and clean the blood as it passes through the heart D) To separate the left and right atria and the left and right ventricles

C) "That's okay, Mrs. Fisher-we all forget sometimes. My name's Karen."

Mrs. Fisher has expressed frustration at frequently forgetting the nursing assistant's name. How should the nursing assistant respond to this unprecedented event? A) Don't worry Mrs. Fisher - at your age no one is expecting you to remember these kinds of details." B) "If you get dementia, Mrs. Fisher, you certainly won't be the only one here who has it!" C) "That's okay, Mrs. Fisher-we all forget sometimes. My name's Karen." D) "I'll have the doctor come to see you today or tomorrow, Mrs. Fisher."

B) Eating spoiled food and getting food poisoning

Mrs. Jefferson is 93 years old and her sense of taste and smell is decreased. For which does this put Mrs. Jefferson at risk? A) Burning the roof of her mouth on food that is too hot B) Eating spoiled food and getting food poisoning C) Gaining weight as a result of overeating D) Under-seasoning her food

C) Parkinson's disease

Mr. Jones walks with a shuffling, leaning gait, and it is hard for him to stop suddenly once he has begun walking. He speaks very slowly, in a voice that does not vary in tone. He is losing the ability to move the small muscles of the face that are responsible for facial expression, giving his face a "mask-like" appearance. Which nervous disorder is Mr. Jones likely suffering from? A) Dementia B) Stroke C) Parkinson's disease D) Aphasia

C) When his heart muscle is not receiving enough oxygen

Mr. Lavin has angina pectoris. When will he likely experience chest pain? A) When his blood pressure is too high B) When part of his heart muscle dies C) When his heart muscle is not receiving enough oxygen D) Every time his heart beats

B) Insulin shock, from blood glucose levels that are too lows

Mrs. Klass has type 1 diabetes mellitus, which she treats with insulin injections. Today, Mrs. Klass had her morning insulin shot but did not eat her breakfast at the regularly scheduled time. For which short-term complication is Mrs. Klass at risk? A) Diabetic coma, from blood glucose levels that are too high sr antes B) Insulin shock, from blood glucose levels that are too lows C) Diabetic retinopathy D) Diabetic nephropathy

B) Allow Mr. Mueller to initiate when he would like to receive care.

Mr. Mueller has been living with Parkinson's disease for several years, but its worsening severity in recent months has required him to move to a long-term care facility. How should the nursing assistants at the facility schedule Mr. Mueller's personal care? A) Minimize the amount of personal care Mr. Mueller receives in order to prevent frustration. B) Allow Mr. Mueller to initiate when he would like to receive care. C) Perform care at the times when Mr. Mueller is experiencing the greatest effect of his medications. D) Perform "morning care" before bedtime to allow him to participate to the best of his function.

A) Very slow

Muscles used for speech are affected in persons with Parkinson's Disease. This can cause a resident to talk A) Very slow B) Very loud C) Projection D) Monotone

C) difficulty breathing and swallowing.

Mr. Torres, age 58, has been admitted to the care facility because his diagnosis of amyotrophic lateral sclerosis (ALS) has worsened. The nursing assistant recognizes that in the last stages of his disease Mr. Torres is likely to experience: A) seizures and loss of consciousness. B) confusion and episodes of aggression. C) difficulty breathing and swallowing. D) frequent falls and lack of coordination.

D) Helping Mrs. Carmel to bed and report all observations to the nurse immediately

Mrs. Carmel has type 1 diabetes mellitus. Which nursing assistant action ensures the safety of Mrs. Carmel when she displays signs of dizziness, sweating, and nausea and vomiting? A) Giving Mrs. Carmel a glass of orange juice B) Taking Mrs. Carmel's temperature and document accurately C) Helping Mrs. Carmel to bed and document the signs and symptoms D) Helping Mrs. Carmel to bed and report all observations to the nurse immediately

D) Explain that she cannot eat until after the test.

Following several days of "indigestion" and constipation, Mrs. Flores' physician has ordered a colonoscopy, a procedure for which Mrs. Flores must be NPO from the night prior. She has asked the nursing assistant at the long-term care facility for a snack on the morning of the test because she feels extremely hungry and is accustomed to eating a hearty breakfast. Which should the nursing assistant do in response to Mrs. Flores' request? A) Give Mrs. Flores a small, but filling, snack. B) Provide Mrs. Flores with a "full fluids" breakfast tray C) Contact the physician to find out if she can have a small snack. D) Explain that she cannot eat until after the test.

C) The fabric compresses the veins and helps return the blood to the heart.

How does anti-embolism stockings help prevent pooling of blood in the legs? A) There is a device in the elastic fiber that pushes the blood upward towards the heart. B) It helps the Achilles tendon to act like a pump and helps to return the blood to the heart. C) The fabric compresses the veins and helps return the blood to the heart. D) All of the above.

D) By way of the coronary circulation

How does the heart receive the oxygen and nutrients it needs to function? A) Oxygen and nutrients are absorbed from the blood as it passes through the heart. B) The pulmonary artery delivers oxygen-rich blood directly to the heart from the lungs. C) By way of the conduction system D) By way of the coronary circulation

D) constipation.

In an older person, the movement of food through the digestive tract may be slower. This can put the older person at risk for: A) diabetes. B) heart attack. C) cancer. D) constipation.

A) Protein called hemoglobin

The "dent" in the center of a red blood cell contains what? A) Protein called hemoglobin B) Erythrocytes C) Platelets D) Thrombocytes and T-Cells

A) cerebrospinal fluid.

The "shock absorber" to protect the brain and spinal cord is: A) cerebrospinal fluid. B) diencephalon. C) corpus callosum. D) medulla oblongata.

C) Venous (stasis) ulcers

The last few times the nursing assistant aided Mr. Haziz with bathing, the nursing assistant noticed that his lower legs were swollen, with a sore that does not seem to be healing. Which condition might Mr. Haziz have? A) Atherosclerosis B) Sickle cell anemia C) Venous (stasis) ulcers D) Varicose veins

A) diabetes mellitus.

The most common disorder involving endocrine glands is: A) diabetes mellitus. B) mineralocorticoids. C) tuberculosis D) acromegaly.

C) controlled diet and a routine individualized exercise program.

The nursing assistant caring for a person with type 2 diabetes mellitus should assist the person in following her prescribed treatment, usually consisting of A) strict, high-exertion exercises and a high carbohydrate diet. B) insulin injections multiple times throughout the day and frequent snacks. C) controlled diet and a routine individualized exercise program. D) bed rest and large, well-balanced meals.

B) tell the nurse that Mr. Fitz may have had a stroke or transient ischemic attack (TIA).

The nursing assistant has come to collect Mr. Fitz's meal tray, which remains untouched. Upon questioning, Mr. Fitz tells the nursing assistant that he was unable to swallow his food and that he is now seeing double. Neither problem has occurred in the past, so the nursing assistant should: A) arrange for a change in the texture of Mr. Fitz's diet. B) tell the nurse that Mr. Fitz may have had a stroke or transient ischemic attack (TIA). C) reposition Mr. Fitz in a supine position and begin cardiopulmonary resuscitation (CPR). D) test to see if Mr. Fitz is able to swallow fluids using a straw or read a clock on the wall.

B) Remove the hearing aid and replace the batteries.

The nursing assistant has just inserted Mrs. Moritz's in-the-ear hearing aid, and it is clear that she still cannot hear. Which should the nursing assistant do? A) Report to the nurse that Mrs. Moritz's hearing aid is broken and she needs a new one. B) Remove the hearing aid and replace the batteries. C) Use a louder tone of voice when speaking with Mrs. Moritz. D) Apologize to Mrs. Moritz, stating that because the hearing aid isn't working properly she will have to do without.

C) Tough outer layer of the eye, made of connective tissue

The nursing assistant is caring for a hospital patient with liver disease. The patient's sclera is yellow. Which part of the patient's eye is affected? A) Muscular structure that attaches to the lens of the eye B) Innermost layer of the eye that contains receptors called rods and cones C) Tough outer layer of the eye, made of connective tissue D) Colored part of the eye

B) shortness of breath and chest pain.

The nursing assistant is providing care for a 63-year-old man who developed a deep vein thrombosis (DVT) while recovering from surgery. When caring for this patient, the nursing assistant should closely observe him for: A) bleeding in the patient's lower limbs. B) shortness of breath and chest pain. C) Confusion D) unwillingness to participate in care.

C) conjunctivitis.

The nursing assistant should promote infection-control measures if a resident or patient is diagnosed with: A) glaucoma. B) presbyopia. C) conjunctivitis. D) macular degeneration.

C) obtaining a "finger stick" specimen for measurement.

The nursing assistant understands that the most accurate measurement of a person's blood glucose level is: A) obtaining a buccal smear and measuring glucose level B) testing the urine for level of acetone measurement. C) obtaining a "finger stick" specimen for measurement. D) the person's subjective description of symptoms that indicate hyperglycemia or hypoglycemia.

D) Lungs

What does the word pulmonary refer to? A) Heart B) Blood C) Platelets D) Lungs

B) Inflammation of the middle ear that is common in young children

What is otitis media? A) Infection of the lining of the external auditory canal B) Inflammation of the middle ear that is common in young children C) Disease that leads to episodes of dizziness (vertigo) and ringing in the ear D) Communication system that uses letters made from combinations of raised dots

D) Leave the door to the room either completely open or completely closed.

When caring for a person who is blind, which nursing assistant action is most appropriate? A) Avoid talking about things the person cannot see, such as flowers blooming outside the window. B) Avoid asking the person about the extent of his or her blindnes. C) Raise your voice when speaking to the person to be sure that he or she understands you. D) Leave the door to the room either completely open or completely closed.

D) Speak slowly and pause to check for understanding after saying each word.

Which action should the nursing assistant perform when communicating with a resident or patient who has significant hearing loss? A) Avoid discussions about complex or abstract ideas whenever possible. B) Talk as loudly as possible while not raising the pitch of the voice. C) Face the person when speaking to him or her. D) Speak slowly and pause to check for understanding after saying each word.

D) High in iron and certain B vitamins

Which diet would be advised for a person with anemia resulting from insufficient hemoglobin? A) Low in iron and certain B vitamins B) High in saturated fats C) Low in saturated fats D) High in iron and certain B vitamins

A) A penetrating ulcer, appendicitis, and a strangulated hernia

Which digestive disorders are surgical emergencies?s A) A penetrating ulcer, appendicitis, and a strangulated hernia B) An inguinal hernia, umbilical hernia, and a hiatal hernia C) Gallstones, indigestion, and ulcerative colitis D) Gastric reflux

D) Poorly fitting dentures

Which increases an older person's risk of choking? A) Chewing too slowly B) Excessive production of saliva C) Eating while sitting up straight D) Poorly fitting dentures

D) Immobility and slowed movement of food through the digestive tract

Which increases an older person's risk of constipation? A) Development of ulcers in the duodenum B) Increased water in the stools C) Slowed metabolism and increased stomach acid production D) Immobility and slowed movement of food through the digestive tract

B) Transporting

Which is a function of the cardiovascular system? A) Carries blood away from the heart. B) Transporting C) Allows the pericardial layers to slide smoothly against each other each time the heart pumps. D) Carries oxygen to the tissues of the body.

B) Esophageal (cardiac) sphincter

Which keeps food from going back up the esophagus after it has entered the stomach? A) Pyloric sphincter B) Esophageal (cardiac) sphincter C) Fundus D) Exit sphincter

A) Slowing metabolism

Which normal age-related change affects the endocrine system? A) Slowing metabolism B) Growing thymus gland C) Developing type 2 diabetes mellitus D) Increasing sexual drive

B) Pancreas

Which organ secretes hormones that regulate blood glucose levels? A) Salivary glands B) Pancreas C) Liver D) Gallbladder

B) They may be made of soft or hard plastic.

Which statement about contact lenses is true? A) They are cleaned with warm water and soap. B) They may be made of soft or hard plastic. C) They can be used to correct blindness D) They are interchangeable between eyes.

A) Hearing aids amplify sound

Which statement about hearing aids is correct? A) Hearing aids amplify sound B) Hearing aids correct the hearing problem C) Clean a hearing aid once a month D) The battery is left in the hearing aid at night

B) Woman who has multiple sclerosis (MS)

Who is most likely to benefit from range-of-motion exercises? A) Man who has a diagnosis of epilepsy B) Woman who has multiple sclerosis (MS) C) Woman who has had several transient ischemic attacks (TIAs) in recent weeks D) Man who has been diagnosed with dementia

C) Nitroglycerin can be absorbed through your skin.

Why should the nursing assistant avoid handling nitroglycerin pills with bare hands? A) Handling medicine with ungloved hands is not hygienic. B) Handling nitroglycerin pills with your bare hands can cause them to melt. C) Nitroglycerin can be absorbed through your skin. D) Nitroglycerin can stain your hands.