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119 Cards in this Set
- Front
- Back
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What is the term for a device used to take the place of a missing body part? |
Prothesis |
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When a client has left-sided weakness, what part of a sweater is put on first? |
Left sleeve |
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It is appropriate for a nurse aide to share the information regarding a client status with |
The staff on the next shift |
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When helping a client who is recovering from a stroke to walk, the nurse aid should assist |
On the client's weak sidr |
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The nurse aid is caring for a client who is agitated. The nurse aid should |
Talk in a slow, calm,reassuring manner |
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The purpose for paddling side rails on the client bed is to |
Protect the client from injury |
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Exercises that move each muscle and joint are called |
Range of motion |
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How can the nurse aid best help a client who is not accepting a loss |
Encourage the client to accept the lost |
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The heimlich maneuver (abdominal thrust) is used for clients who |
A blocked airway |
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The best communicate with a client who is totally death,the nurse aid should |
Write out information |
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The nurse is asked by a confused client what day it is . the nurse should |
Point to the calendar and say the date |
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To avoid pulling the catheter when turning a male client, the catheter tube must be tapped to the client |
Upper thigh |
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A nurse can assist client with their spiritual needs by |
Allowing clients to talk about their beliefs |
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A nurse must wear gloved when |
Doing peri-care |
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When getting ready to dress a client, the nurse should |
Give the client choice of what to wear |
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If nurse discover a fire in a clients room , the first thing to do |
Remove client |
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In order to communicate clearly with a client who has hearing loss, the nurse aid should |
Look directly at the client when speaking |
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What is the final stage of dying |
Accepting |
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If client says "god is punishing me" or "why me " |
Listen quietly |
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The role of ombudsmen is to |
Work with the nursing home to protect client rights |
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Correct measurements for uninary out put |
300 cc |
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To convert 4 ounces of juice to ml the nurse should |
4*30ml |
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The last sentence of dying client will lose |
Hearing |
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The nurse aid finds a conscious client lying on the floor . the first thing the nurse aid should do |
Call assistance from the nurse in charge |
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Proper use of a waist restraint requires that the nurse aid |
Watch for skin irritation |
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When transporting clients most of the weight should be supported by nurse aid |
Legs |
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Before taking oral temperature of the client who has finished a cold drink, the nurse aid should wait |
10-20 minutes |
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Which of the following method is the correct way to remove a dirty isolation gown |
Roll it dirty side in and away from the body |
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The nurse enters a clients room and the client states he is in pain. What should the nurse do? |
Report it to the nurse in charge |
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Which temperature is considered most accurate |
Rectal |
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What is the beginning sign of a pressure sore |
Discoloration |
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When communicating with a foreign speaking person |
Use words the person seem to understand |
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You need to turn a heavy person in bed. Yoy |
Use good body mechanics |
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When transferring a person from a wheelchair to bed you never |
Have the person put his or her arms around neck |
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To give perineal care to male you |
Use a circular motion start at the meatus and work outwards |
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A person has an indwelling catheter you |
Have the drainage bag hang from the bed frame or chair |
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Protein is needed for |
Tissue repair and growth |
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Person NPO you |
Remove water pitcher and glass from the room |
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You need to do a ROM to a person right shoulder you |
Support the part being exercized |
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A person has a weak left leg. The person should |
Hold cane in right hand |
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A person is receiving oxygen through a nasal cannal. You |
Check behind ears and under nose for signs of irritation |
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You accidentally dropped a mercury glass thermometer. You |
Tell the nurse at once |
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Don't want pulse less than |
60 |
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When would you take a rectal temperature |
When the person is unconscious |
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When taking person height and weight, you |
Have the person void before being weighted |
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A person is bedfast, to prevent pressure ulcers you |
Keep the skin free of moisture from urine, stools, or perspiration |
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When talking to a person with a hearing problem |
Face the person |
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When caring for a person who is blind or visually impaired, you |
Explain the locations of food and beverages |
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Common sensory impairment that can stop effective communication between you and your patient |
Aphasia |
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Legal limitations that a can must be aware of while practicing healthcare techniques with his or her patients include |
Cannot take orders from a physician |
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As long as patient can cough the airway is still manageable. So encourage coughing will |
Clear the obstruction |
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A patient that is unconscious with a foreign object should receive |
Cpr |
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Patient airway should be checked every |
30 compressions |
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While doing CPR and see visible food or etc you should |
Remove any object visible then try to ventilate the patient twice to check and see if airway has been reestablished |
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Ventilate |
Force air |
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Give 2 breaths and see a good rise |
Check for pulse, begin chest compressions if pulse absent |
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Patient become pulse less |
Probably in shockable rhythm and need to be defribrillated |
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If defibrillator say no shock advise |
Reassess the pulse |
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After shock |
Resume CPR to help get oxygenated blood to the heart |
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If person fall you want to |
Stabilize patient body do not move them |
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How can pulse oximetry decrease |
Patient is laying flat so its best for patient to be sitting upright |
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Pulse |
How many times a minute our arteries expand and contract in response to the heart |
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Pulse equal to |
Heart rate |
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Normal pulse |
60-100 |
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Normal respirations |
12-20 |
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Regular BP |
120 to 80 |
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Caring for confused person |
Ask clear simple questions |
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Restorative nursing programs |
Promote self care measures |
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Unnecessary restraint |
False imprisonment |
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Supine position |
On back with bed flat |
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Before bathing a person |
Offer bed pain or urinal |
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When taking rectal temperature insert thermometer |
1 inch |
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Word touch mean |
Form of nonverbal communication |
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A person culture and religion are different from yours. You |
Ask the person to explain his or her beliefs and practice to you |
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Normally alert person is confused you |
The the nurse |
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When providing nail and footcare |
Check between the toes for cracks and sores |
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A person needs a condom catheter applied, you remember to
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use elastic tape to secure the catheter
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for comfort during bowel elimination
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leave the person alone if possible
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You are transfering a person with a week right sIDE from the wheelchair to the bed. you
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place the wheelchair on the left side of the bed
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When recording in the medical record, you...
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Use only center-approved abbreviations
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The inability to articulate and use word mostly caused by stroke and trauma
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Aphasia
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When your heart beat slower than normal
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Bardycadia
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When you have no fever
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Afebrile
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When after death a body become ridged due to a lot of calcium
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Rigor Mortis
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Supine position
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On back, facing up
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When blood clot that breaks off blood stream flow and cause obstruction
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Embolism
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When body organ becomes smaller due to under use
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Atrophy
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Pulse oximetery measures
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The amount of binded oxygen per hemoglobin
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Stage 3 pressure sore
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extends down to patient fatty tissue
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What is expected with a elevated heart rate
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uncontrolled bleeding
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When you have a decrease in BP due to change in body position
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Orthostatic hypotension
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Ex of vital signs |
Pulse, Respiratory Rate, Temperature, BP
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for anti-embolism stocking its important to asses |
tingling or lack of sensation
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How many time ROM
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1-2 per day
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dried mucous membranes, weakness and thirst, rapid pulse and low bp
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signs or symptoms of dehydration
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crackles in lungs and edema in extermities
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signs of fluid in lungs |
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turning every 4 hours, egg crate mattress, inflatable mattress
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prevent pressure sores
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Treatment for patient with contracture
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ROM |
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excessive sweating, shortness of breath
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Signs of heart attack
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oxygen, aspirin, relax, nitroglycerine
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Treatment for heart attacks |
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Why is oxygen important for heart attack
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increase oxygenation in blood and tissues
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1st thing you do for a stroke patient
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take to hospital
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time frame to receive anti-fibrynoltics for strokes |
2-3 hours max
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Patients should be advised with a walker
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Move the walker forward until the back legs are even with the toes
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While you are washing hands after applying soap you
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Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20 seconds, keeping hands lower than the elbows and fingertips down.
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Before rinsing hands
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Clean fingernails by rubbing against the opposite palm
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do you dry off hands first or turn off faucet |
dry off hands
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after completing skill
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wash hands
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Positions on side
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.Before turning, lowers head of bed .Raises side rail on side to which body will be turned .Slowly rolls onto side as one unit toward raised side rail . Place pillow under head for support .Position client so not lying on arm . Support top arms with supportive device .Place supportive device behind client's back .Places supportive device between legs and top knee flexed, knee and ankle supported |
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You record
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after washing hands
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how to record pulse
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record pulse rate within plus or minus 4 beats of evaluator reading
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Do ROM on body parts |
3 times at least
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Before doing ROM instruct patient to let you know if they are in
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Pain
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Steps for cleaning dentures
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. Bottom sink is lined and/or sink is partially filled with water before denture is held over sink . Rinses denture n moderate temperature running water before brushing them . Applies toothpaste to toothbrush .Brush surface of denture .Rinses surfaces of denture under moderate temperature running water . Before placing denture into cup rinses denture cup and lid .Places denture in denture cup with moderate temperature water/solution and places lid on cup |
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Which food groups are a source of Vitamin D
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Fruit
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What period of time the resident should be informed if there is a transfer of discharge
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30 days of change
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What is a communicable disease
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A disease transmitted by pathogen that can infect many residents who live in the same area
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During fire always do what first
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remove clients
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Hemiplegia
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Type of paralysis
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