Chapter 15 CNA

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False

A force fluid (FF) medical order means to restrict the amount of fluids consumed.

True

A symptom of dehydration is dark urine.

True

A symptom of fluid overload is edema of the extremities.

Incorrect

After a resident has had a tube feeding, the NA should help the resident lie flat on his back.

False

All of the body's fluid output is in the form of urine.

True

All residents sitting together at one table should be served at the same time so that they may eat together.

Time

Allow enough ____ to finish eating.

True

Alternating cold and hot foods or bland foods and sweets can help increase appetite.

Assistive

Devices that can help residents with eating.

Correct

During a feeding, the resident should remain in a sitting position with the head of the bed elevated at least 45 degrees.

Eat

Encourage residents to ___.

Fats

Examples of these are butter, oil, and salad dressing.

Carbohydrates

Examples of these include bread, cereal, and potatoes.

True

Fluid balance is taking in and eliminating the same amounts of fluid.

True

Fluid overload occurs when the body is unable to handle the amount of fluid consumed.

True

Fluids come in the form of liquids that a person drinks, as well as semi-liquid foods such as soup or gelatin.

Protein

Good sources of these are fish, meat, dried beans, soy products, and cheese.

Food

Honor residents' ____ likes and dislikes.

False

If a resident has an NPO order, he can drink water but no other type of fluid.

True

If a resident needs his food cut up, it should be done before the food is brought to the table.

False

If a resident wants to eat his dessert first, the NA should explain that it is unhealthy and that he should begin with his entree.

False

If food is too hot, the NA should blow on it for a few minutes until it is cool enough for the resident to eat it.

Appetite

If resident has had a loss of ________, ask about it.

True

In order to prevent dehydration, a nursing assistant should offer fresh fluids to resdients often.

Minerals

Iron and calcium are examples of these.

False

It is a good idea for residents with swallowing problems to suck on ice chips.

True

It is important for NAs to identify each resident before serving meal trays.

Correct

It is important for the NA to wash his hands before assisting in any way with a tube feeding.

False

Most people need to consciously monitor their fluid balance.

Incorrect

NAs are responsible for pouring feedings into the tube.

Correct

NAs should give careful skin care for residents who must remain in bed for long periods to help prevent pressure ulcers.

Low

Noise level should be kept ___ when residents are eating.

Utensils

Notify the nurse if a resident has trouble using ________.

True

Nursing assistants should take their time when serving residents their dinners so that residents will not feel rushed.

Beverages

Offer many different kinds of foods and _________.

Water

One-half to two-thirds of body weight is this.

True

People can become dehydrated by vomiting too much.

Upright

Position residents sitting _______ for eating.

Upright

Proper position for eating that helps prevent swallowing problems

Oral care

Provide ____ ____ before and after meals.

False

Pureed food should not be seasoned.

Intake

Record meal/snack ______.

Correct

Redness or drainage around the opening should be reported.

True

Residents should be sitting upright at a 90-degree angle for eating.

Hands

Should be washed before residents eat.

Socializing

Something that has a positive effect on eating and helps prevent loneliness and boredom.

False

T/F: A resident who must have thickened liquids may drink regular, unthickened water.

False

T/F: A speech-language pathologist will evaluate the resident to determine the thickness that the resident requires.

True

T/F: A spoon should stand up straight in a glass of liquid that is pudding thick.

False

T/F: Beverages will always arrive pre-thickened from the dietary department.

False

T/F: Liquids that are nectar thick must be consumed with a spoon.

False

T/F: Thickened liquids are usually ordered for residents with urinary problems.

True

T/F: Thickening improves the ability to control fluids in the mouth and throat.

True

The NA should make sure that the water pitcher and cup are light enough for the resident to lift.

False

The NA should refer to pureed carrots as "orange stuff" so the resident knows which food the NA is talking about.

False

The NA should stand while feeding a resident.

Vitamins

The body cannot produce most of these.

True

The fluid a person consumes is called intake or output.

Incorrect

The nursing assistant (NA) should remove the tube when the feeding is finished.

True

The resident's mouth should be empty before the NA offers another bite of food.

True

The sense of thirst lessens as a person ages.

Fats

These add flavor to food and help to absorb certain vitamins.

Fats

These can be classified as monounsaturated, polyunsaturated, and saturated.

Vitamins

These can be fat-soluble or water-soluble.

Fats

These help the body store energy.

Carbohydrates

These provide fiber.

Proteins

They are essential for tissue growth and repair.

Water

This is the most essential nutrient for life.

Water

Through perspiration, this helps to maintain body temperature.

False

To promote a healthy appetite, the NA should remain silent while helping a resident eat.

False

Twenty-six ounces of water per day is the recommended amount for most people.

Dentures

Use of eyeglasses, hearing aids, and these should be encouraged.

False

Using straws is helpful for residents who have swallowing problems.

Water

Without this, a person can only live a few days.


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