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231 Cards in this Set
- Front
- Back
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Protecting personal health information
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Confidentiality
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Position of head during mouthcare for an unconscious resident
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to the side
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What to do if a person is having a seizure
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Call for help
a)Lie on the floor b)Move away furniture c)Turn the head to the side and support d)do not put anything into the mouth e)do not try to stop the body from jerking |
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abbreviation for "Four times a day"
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QID
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Which of the following should be reported to the RN immediately
98.6-87-30-132/70 |
The respiratory rate of 30 is too high
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Passive range of motion exercises are performed by who?
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The nurse aide
Active range of motion is performed by the resident |
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Measures to prevent development of pressure sores (4)
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a)turn and reposition every 2 hours
b)keep skin clean and dry c)pad or support bony areas to relieve pressure d)never massage over bony prominences |
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Saying harmful about a person's character
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slander
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A volunteer who can advocate for the rights of the elderly
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ombudsman
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Federal act to ensure that nurse aides are trained and tested before receiving certification
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OBRA,1987
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Bob has 6 ounces of coffee and 4 ounces of juice or how many cc's? * REMEMBER 1 0Z = 30ML/CC
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6 ounces =180cc
4 ounces =120cc total is 300ccs |
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Lying on the stomach is which position
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prone
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Instead of twisting to turn, you should_________
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pivot
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Dysphagia is_______________
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difficulty swallowing
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Restraints are removed
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every 2 hours (Q2h)
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Placement of standard bedpan
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wide part facing head of bed
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Type of diet for a person with hypertension
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low salt (sodium)
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Nurse aide responsibility if a resident is in traction
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be careful to never adjust or touch the weights
keep body in good alignment give good skin care assist with toileting |
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medical term for urinating
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voiding
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medical term for vomit
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emesis
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Position of hands when washing them
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below elbows
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How long are hands washed? Most important aspect of handwashing
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at least 15 seconds; using friction
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Ideal temperature of bath water
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between 110 and 115 degrees
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Tom is 5 feet 4 inches tall or ________inches
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64 inches
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A tube inserted into the abdomen for the purpose of feeding
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Gastrostomy or PEG tube
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Most important thing to remember if a person is receiving food via feeding tube
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Keep head of bed elevated when feeding infusing
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The first step in any procedure
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wash hands
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Type of transmission precaution (isolation) for people with TB
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airborne
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Used when caring for all clients if there is the possibility of contact with blood or body fluids
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Standard precautions
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Dentures are cleaned and stored in cool water to prevent
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warping or melting
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Which skill require the nurse aide to wear gloves?
a)shaving b)dressing c)feeding |
shaving, because of the possibility of contact with blood
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If extra linen is brought into a resident room and not used, what should you do
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place in soiled linen hamper
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A resident has a weak right arm, when dressing him which arm will be placed in the sleeve first
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Undress the unaffected arm and dress the affected arm. Put his arm in the right sleeve first
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A diabetic resident refuses his breakfast. What should the nurse aide do?
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Tell the RN
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HS
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hour of sleep
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PC
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after meals
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Where should the urinary drainage bag be placed?
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below the level of the bladder, attached to a nonmovable part such as the frame of the bed
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How is the vest restraint applied?
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criss crossed in front
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When ambulating a resident with a weak left side, where should the nurse aide position herself
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on the left side to offer support
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Touching a resident without his or her permission is_____
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battery
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How do you assist a blind person to eat at mealtime
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describe location of food by the face of a clock
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When admitting a new resident, the best way to identify him is _____
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by the identification bracelet
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The top number of a blood pressure reading
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systolic
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The body pulse used for measuring vital signs
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radial
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Care for the terminally ill
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hospice
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What should you do if a resident is masturbating in the dining room
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take him to his room and give privacy
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Pain is subjective or objective
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subjective- it cannot be observed and must be described by the client
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The 3 D's of Alzheimers
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dementia
depression delirium |
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Being able to imagine what
another person is feeling or being able to enter into his/her feelings |
empathy
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No#1 thing a nurse aide cannot do (out of scope of practice)
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Give medications
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Restlessness that occurs in
the evening hours |
sundowning
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How are antiembolism or support hose applied
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with the person lying on the bed
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The most important thing to do when transferring from bed to wheelchair
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lock the brakes on wheelchair
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How do you push a wheelchair into the elevator
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You enter pulling the chair towards you (backward)
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What are the 5 stages of Dying according to Kubler-Ross
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Denial
Anger Bargaining Depression Acceptance |
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Essential nutrient needed for healing and growtH
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protein
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Essential nutrient needed for energy
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carbohydrate
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How many servings from the carbohydrate group can a person have each day
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6 to 11 servings
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What is measured as output
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diarrhea
urine emesis wound drainage |
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Which would not be allowed on a clear liquid diet?
1. tea 2. chicken noodle soup 3. gingerale 4. broth |
chicken noodle soup
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How do you force fluids on a resident
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offer a variety of fluids in small amounts throughout the waking hours
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What is bathed during a partial bath?
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face, underarms, hands, perineal area and back
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How is the female perineum cleaned?
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wiping from front to back
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What is the correct procedure for washing the eyes?
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Clean from the inner canthus out towards the ears
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What should you do if a resident you are walking begins to fall?
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slide him to the floor
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How often is special mouthcare given to an unconscious resident?
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every 2 hours
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What is the last sense to go in a dying person?
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the hearing
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Straightening the arm during exercises is called
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extension
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After a hip replacement how should the person's legs be kept?
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adbucted
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What piece of equipment can be used to keep linen off the legs and feet?
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bedcradle
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What piece of equipment is used to prevent footdrop?
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footboard
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What area is most effected by a person's culture?
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food preferences
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How often must the restrained person be checked?
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every 15 to 30 minutes
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True or false
Side rails are a type of restraint |
true, they must be ordered by an MD
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Failing to give proper care is considered______________
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neglect
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STAT
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immediately
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PRN
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as needed
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What are the two bloodborne pathogens?
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HIV and Hepatitis B
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Which type of asepsis kills all germs?
surgical or medical |
surgical;
medical asepsis is cleaning to remove "some" germs |
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Allowing a person to sit on the edge of the bed for a few minutes when getting up for the first time is called
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dangling
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HOw can shearing be prevented?
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leave the head of the bed in a low fowlers position
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The care and treatment of the elderly is called_______
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geriatrics
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Reminding a person each day of person, place and time is called_________________
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orientation therapy
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A bed with the top linen folded to the foot of the bed is called an______________bed
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opne
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Abdominal thrust (the heimlich maneuver) is done to treat what?
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Choking
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If a person has a cast, you should observe the fingers or toes for what
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warmth and color
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What does R-A-C-E stand for?
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R- remove everyone to an area of safety
A-activate the alarm C-contain the fire by closing th doors E-extinguis if you can |
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Which pitch can an elderly person hear best, high pitched voices or low pitched voices?
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low pitches voices are heard best
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What should you do if a resident offers you some money?
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gracious say 'no thank you'
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What should you do if you see or suspect abuse?
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report it
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Sweating, hunger, jittery (nervous behavior) may be signs and symptoms of what health problem
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low blood sugar
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What is the bottom number of a blood pressure called
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the diastolic number
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How do you know when you have heard the systolic number of a blood pressure
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it is the first clear sound heard, created as the heart contracts
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Vital signs are ordered to be taken Q2h;how often will you measure them?
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every 2 hours
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Saying something that is harmful about a person's character (defamation) is called_______________-
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slander
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What is shearing?
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a common cause of pressure sores, as the person slides down in bed, the skin sticks to the sheets as the bone moves in another direction
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What is the most important thing to remember when giving a shower or tub bath?
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never leave the resident alone, the risk of slipping in the water is too great
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Which member of the healthcare team assists residents with relearning self-care or performance of ADLs?
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the occupational therapist
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Which member of the healthcare team helps residents with mobility, movement, exercises and range of motion
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the physical therapist
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What is dementia?
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decrease in ability to remember, to reason and to speak; a common symptom of Alzheimer's
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Which artery is used to measure the blood pressure?
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the brachial artery
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Which is the most common site for counting the pusle
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the radial artery
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What is the purpose of cold applications
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to prevent or reduce swelling
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What should you do if the resident is having a visit from his family in his room
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give privacy; residents have the right to private visits and phonecalls
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What is the best way to feed a blind person?
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set the food up like the face of a clock
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Normal hearing loss in aging is usually related to the ability to hear_________
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high-pitched sounds
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What is the order in which you should remove personal protective equipment when coming out of the isolation room
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take off gloves, wash hands, remove gown, wash hands and then remove mask
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How often should a patient's intake and output records be totaled?
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every 8 hours or at the end of the shift
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What is the proper abbreviation for after meals?
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p.c.
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How often should a person be turned and repositioned to prevent pressure ulcers?
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every 2 hours
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Who performs active range of motion exercises?
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the client does his/her own exercises
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What should be done FIRST before ambulating a resident?
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check the order to see how far and if any special guidelines are needed?
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If a person has an IV in his left arm, which arm will be removed from the gown first?
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the right arm- undress the unaffected side first
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When brushing the teeth, it is important to remember to do what?
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brush the tongue as well as all surfaces of the mouth
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What is adduction?
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moving toward the center of the body
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A dying resident throws a bedpan at you. What stage of dying is she in?
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anger
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What does the term hemiplegia mean
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paralyzed on one side of the body
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A resident has slurred speech, facial drooping on one side of his face and cannot move his left arm and leg. You suspect what?
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a CVA or stroke
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Chest pain that radiates (moves to other parts of the body), difficulty breathing and gray colored skin may indicate what?
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a heart attack or myocardial infarction
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Allen had 12 ounces of soda or how many cc/ml?
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12 x 30 = 360cc
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How is the urinary catheter drainage bag kept to prevent bladdere infections?
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it is always secured to a nonmovable part of the bed (frame of the bed), never resting on the floor and is always kept below the level of the bladder
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Telling a resident to "shut up" is an example of what type of abuse?
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verbal
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A person has a weak right side. He should carry his cane on which side?
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his left side
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When ambulating with a person who has a weak right side, which side does the nurse aide walk on?
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his left side
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What can be used to assist a person with a paralyzed left arm to feed herself?
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a plate guard and built up forks and spoons
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What should be done first before a resident if fed?
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wash hands
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Give an example of false imprisonment
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restraining without a doctor's order
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What is the last sense to go in a dying person?
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hearing
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What are 3 ways in which you can protect a resident's privacy
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1. knock before entering
2. close door and privacy curtain 3. cover with bath blanket to prevent exposure |
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You see a coworker stealing from a resident- what should you do
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report her to the RN
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A resident insists on wearing a torn dress, what would you do?
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Put the dress on her, she has the right to choice, however be sure to inform the RN
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Failure to perform a service for which a person is trained is an example of what?
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negligence
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While eating his lunch, a resident clutches his throat and cannot speak or cough. What should you do?
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begin abdominal thrusts (the Heimlich manuever) to remove the food which is lodged in his trachea
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What is meant by phantom pain?
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pain that people who have had a leg or arm amputated experience
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What is a prosthesis?
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an artificial arm or leg
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What should be done if a resident is masturbating?
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Just provide privacy. Do not tell the resident he has to stop or embarrass him/her
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If a person has a cast it is important to check_______
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circulation- toes or fingers should be pink, and warm
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What is the best way to identify a resident?
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check the ID bracelet
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Are side rails a type of restraint?
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yes
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What is meant by DNR
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do not resuscitate
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What should do if a resident begins to fall?
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slide the person down to the floor supporting the head and call for help
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What should you do if you see a resident on the floor?
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call for help, stay with the person and do not move him
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Can any fire extinguisher be used for every type of fire?
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no- you must use the proper type of fire extinguisher for the fire
ABC fire extinguishers can put out A-wood/paper B-gas and other flammables and C-electrical fires |
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What piece of equipment is used to prevent footdrop?
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a footboard placed at the end of the bed
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There are how many inches in a foot?
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12
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Tom is 4 feet 11 inches or how many inches tall?
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4 x 12 = 48
48 + 11 = 59 inches |
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What can be done to remove all germs from an item?
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It can be sterilized in an autoclave oven
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What is involved in medical asepsis?
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wash, rinse, dry and properly store equipment
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What should you do if you see a wet area on the floor?
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clean it up immediately
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How is the vest restraint applied?
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it is criss crossed in front
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What is the first thing you should do if an order is givne to keep a resident NPO
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remove the water pitcher, cup and all food
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How can you force fluids for a resident?
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offer a small amount of a variety of fluids
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What is meant by fluid restriction
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the client is only allowed a set amount of fluid every shift
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What instructions are given to a client who has had his hip replaced?
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He should never cross his legs, bend deeply to tie his shoes and he should use an elevated toilet seat
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What position should the bed at when transferring a resident from a stretcher onto the bed
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in an elevated position that is equal to the stretcher
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Attempting to touch a person without his permission is called______________________
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assault
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If it is 8pm what is the time in military time?
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2200
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How can you promote self esteem in a resident
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allow him to do as much as possible for himself; groom him nicely, give compliments
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What should you do if a resident tries to punch you while you are feeding him
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stop the meal and report this to the RN
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Infections that are spread by contact with objects such as a toilet seat are spread how
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by indirect contact
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Infections such as TB are spread how
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airborne contact
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Infections such as syphilis or HIV are spread how
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direct contact
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Infections such as the flu are spread how
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droplets
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HOw is double bagging done?
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One nurse aide bags linen while standing in the room and the other stands outside room and puts bag in another bag
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What is the differnece between medical and surgical asepsis
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surgical asepsis kills ALL germs by sterilization and medical asepsis kills some germs by cleaning
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How are standard precautions practiced?
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Personal protective equipment is used (such as gloves) when there is the possibility of contact with blood or other body fluids; also wash hands, dispose of sharps in sharps container, clean and store items properly
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What does the word biohazard mean?
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contaminated
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When should you wash your hands?
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before and after direct contact with a resident, after toileting, before and after eating
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True or false
Hepatitis B can be prevented with a vaccine |
True- your job will offer you the vaccine for free
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What must be removed from the room if a person is on oxygen
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wool items, smoking materials, small electrical appliances and flammables such as nail polish remover
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What position are residents fed in
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fowlers- sitting up
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True or false
Side rails are a restraint and must be ordered by a doctor |
true
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How many tips does a quad cane have?
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4
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Can a person use a walker if he is unable to support his own weight?
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no, the person must be able to bear weight to use a walker- the walker is used to for balance
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What piece of equipment can be use for transferring a client as well as during ambulation
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gait/transfer belt
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What muscles should be used to do lifting?
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shoulder, legs and upper arms
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What can be used to keep the body in proper alignment?
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pillows and other supportive devices
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What is a drawsheet
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half sized sheet placed under the resident to assist with lifting, turning and to keep the sheets anchored (centered & dry)
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What must be done with extra linen brought into a room and not used?
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placed in soiled linen container, it is considered contaminated
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What guidelines are important to remember when caring for a diabetic person's feet
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do not ever soak in hot water; never clip toenails, always wear proper fitting shoes and socks
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What should be done with the cranks (handles that operate bed) after use
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folded under the bed to prevent injury
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Which handle or crank (also called a gatch) is used to raise the head of the bed
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the left handle;
center raises entire bed and right raises foot of bed |
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What is the most important thing to remember when making an occupied bed?
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keep side rail up on the patient's side
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What resident's need special mouth care every 2 hours?
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dying, confused, unconscious, those on oxygen and those who are NPO
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HOw is special mouthcare done?
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the mouth is cleaned with premoistened toothettes or swabs with the head turned to the side
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When should the water be changed during a bath?
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if it is too soapy, cold or very dirty
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What can be done to decrease the risk of a urinary tract infection in females?
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CLEAN from front to back and rinse soap well
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What position should the person be in if he feels faint
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have him lean his head forward and place between knees
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What is done to stop a nosebleed?
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pinch bridge of nose and DON'T tilt head back!
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What should the man do with his urinal after using it?
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hang over side rail
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Where should the call bell be placed before leaving the room?
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within reach of the client
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How is the fracture pan placed on the bed?
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with the handle towards the foot of the bed
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What is another word for vomitus
|
emesis
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What is a commode?
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portable bedside toilet
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What is the first step in CPR
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shake and shout to determine if the person is simply in a deep sleep, etc
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What is the basic building block of life
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a cell
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Which system of the body provides the frame and shape of the body
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skeletal
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True or false
The elderly lose interest in sex |
false- many seniors are sexual active
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True or false
Sexuality is only important to young people |
false- sexuality (how we feel about ourselves as men and women) is important to all ages
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How can shearing be prevented?
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keep head of bed (HOB) in low fowlers (15-30 degree angle)
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HOw can you prevent friction?
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use a drawsheet, use powder under breast and between thights
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What is the first sign of a pressure sore?
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redness or discoloration
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What can be used to prevent a contracture?
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a handroll
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Coughing, weight loss, nightsweats and tiredness may be signs and symptoms of what?
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TB (tuberculosis)
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What is the least accurate way to take a temperature
|
axillary *under the armpit- takes 7 to 11 minutes to measure
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How far is the rectal thermometer inserted into the rectum?
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1 inch
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Dry tongue and skin, dark circles under the eyes, small amounts of dark colored urine may all indicate what?
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dehydration
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How is a fecal impaction treated?
|
the RN or doctor will remove the impaction with a finger
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What is the medical term for the surgical opening in the colon to drain feces?
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a stoma
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What is done to prevent the urinary catheter from being pulled out and kept secure
|
it is taped to the inner thigh and attached to the frame of the bed
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Which of the following is an example of a local moist heat
a. heating pad b. sitz bath c. electric blanket d. ice pack |
answer: b
A sitz bath is a bowl filled with warm water to soothe the perineum area |
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How are support hose (also called antiembolism or TED stockings) applied?
|
the person must be lying on the bed
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How often can support hose be removed
|
must be removed at least once every 8 hours
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Which of the following is NOT a complication that postoperative patients experience
a. constipation b. blood clots c. infections d. diarrhea |
answer: (d) diarrhea
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What is geriatrics
|
care of the elderly
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When should rehabilitation services begin?
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as soon as possible before complications begin
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What is the purpose of bowel and bladder training
|
to help the incontinent resident to regain some or all of bowel and bladder control; it is done by removing diaper every 2 hours, placing on bedpan or toilet for 20-30 minutes
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What should you do if a person has just had cup of tea and you need to measure his oral temp?
|
wait 10 to 20 minutes
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What is the term for moving in a circular motion
|
rotation
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Facing up is _____________
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suppination
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Facing down is______________
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pronation
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What can help you to get the most accurate weight on your client?
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use the same scale, have him in the same amount of clothing and obtain weight at the same time every month
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HOw often does the nurse aide have to renew her certification?
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every 2 years
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What is the difference in a close and an open bed
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an open bed has the top sheet fanfolded to the foot of the bed
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How do you assist a blind person with ambulation?
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have the person hold your arm and walk slightly in front of the person
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what is cyanosis
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blue skin and lips
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if a resident vomits what looks like wet coffee grounds wht should you do?
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call the nurse stat- this person is bleeding internally
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how do you know a person is choking?
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cannot talk or cough
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what happens to the integumentary system (skin) as we age
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it wrinkles, become drier, less oil and sweat glands are made, the nails become thicker, the skin is more fragile and breaks easier
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what happens to the digestive system with aging
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may lose teeth, peristalsis (the movement of food and feces through the gastrointestinal tract) slows leading to constipation, taste and smell is altered, may not produce as many gastric enzymes leading to indigestion
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what is a fecal impaction
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serious form of constipation- person oozes liquid stool, has rectal pain, abdominal distention, passes gas
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