Test Chapter 21 - 23, 26, 29, 30

  1. Describe a closed bed.
    Top linens are not folded back. The bed is ready for a new patient or resident. Closed beds are made for a new patient or resident. Closed beds are made for a resident who are up during the day.
  2. Explain how used linens are removed from the bed.
    Remove used linens 1 piece at a time roll each piece away from you. The side that touched the person is inside the roll and away from you.
  3. ____, ____, and ____ linens are changed right away.
    Wet, damp, and soiled
  4. Always hold linens ____ from your uniform.
  5. What is the purpose of the plastic drawsheet?
    It is waterproof. Protect the bed if people are incontinent.
  6. An open bed is made for:
    • Newly admitted persons arriving by wheelchair.
    • Persons who are getting ready for bed.
    • Persons who are out of bed for a short time.
  7. When making an occupied bed, cover the person with ____ before removing the top sheet.
    bath blanket
  8. Surgical beds are made for persons:
    • Returning to their rooms from surgery. 
    • Who arrive at the agency by ambulance.  
    • Who go by stretcher to treatment or therapy areas.
    • Using portable tubs.
  9. What information do you need before making any bed?
    • What type of bed to make – closed, open, occupied, or surgical. 
    • If you need to sue cotton drawsheet or a padded water proof drawsheet waterproof underpad incontinence product. 
    • If the person used bed rails.
    • The person’s treatment therapy, and activity schedule.
    • Position restriction or limits in the person’s movement or activity.
    • How to position the person and the positioning device.
    • If the bed needs to be locked into a certain position
    • When to report observations.
    • What patient or resident concerns to report at once.
  10. When you are finished making the bed, the wheels should be ____
  11. Oral hygiene reduces the risk for ______ and __________.
    cavities and periodontal disease
  12. Which observations made during oral hygiene are reported to the nurse?
    • Dry, cracked, swollen, or blistered lips.  
    • Mouth or breath odor.  
    • Redness, swelling, irritation, sourness, or white patches in the mouth or on the tongue.
    • Bleeding, swelling, or redness of the gums.  
    • Loose teeth.
    • Rough, sharp, or chipped areas on dentures.
  13. You are giving mouth care to an unconscious person. What should you use to keep the person’s mouth open?
    Keep a padded tongue blade.
  14. How often is mouth care given to the unconscious person?
    At least every 2 hours.
  15. You are cleaning a resident’s dentures. Explain how you will protect the dentures from breakage.
    Never carry dentures in your hands. Always use a denture cup or kidney basin.
  16. Explain why hot water is not used to clean or store dentures.
    Hot water caused dentures to lose their shape.
  17. To promote safety when giving a shower, you must turn _____ water on first, then ___ water. Turn ___ water off first, then ____ water.
    cold water on first, then hot water. Turn hot water off first, then cold water.
  18. To safely apply powder, you need to:
    • Turn away from the person.
    • Sprinkle a small amount of power onto your hand or cloth.
    • Apply the powder in a thin layer.
    • Make sure powder does not get on the floor.
  19. A complete bed bath involves
    Washing the person’s entire body in bed. (110 F and 115 F)
  20. Why might a towel bath be given to a person with dementia?
    The towel bath is quick, soothing and relaxing.
  21. Before assisting a person with a tub bath or shower, what information do you need from the nurse and the care plan?
    • What bath to give.        
    • How much help the person needs.     
    • The person’s activity or position limits.
    • What water temperature to use what skin care products to use and what the person prefers.                                     
    • What observations to report and record.
    • When to report observations.
    • What patient or resident concerns to report at once.
  22. When giving perineal care, what safety measures are practiced?
    • Measure water temperature. 
    • Protect yourself and the person from infection.
    • Protect the person and dry garments and linens from wet or soiled items.
  23. Alopecia means _____.
    hair loss
  24. _______ is infestation of the scalp with lice.
  25. You assist persons with hair care. The nursing process reflects the person’s _____, ______, ______, _______, and _____.
    culture, health history, personal choice, self-care skin, and scalp.
  26. Before brushing and combing hair, what information do you need from the nurse and the care plan?
    • How much help the person needs.     
    • What to do for matted or tangled hair.      
    • What to do for curly, course, or dry hair.    
    • What hair care products to use.               
    • What observations to report and record. 
    • The person’s preferences and routine hair care measures.  
    • When to report observations.  
    • What patient or resident concerns to report at once.
  27. A resident’s hairbrush has sharp bristles. What should you do?
    Reports concerns about the person’s brush or comb.
  28. You are shampooing a resident’s hair during her tub bath. How will you keep shampoo out of the person’s eyes?
    Have the person hold a wash cloth over the eyes.
  29. Before shaving a person, what information do you need from the nurse and the care plan?
    • What shaver to use - electric or safety.
    • If the person takes anticoagulant drugs.
    • When to shave the person.
    • What facial hair to shave.    
    • If there are tender or sensitive areas on the person’s face.
    • What observations to report and record.
    • When to report observations.
    • What patient or resident concerns to be report at once.
  30. A patient has diabetes. Which health team member cuts the person’s toenails?
    The RN or podiatrist cuts toenails and provides food care for patients with diabetes.
  31. A patient has an IV in his left arm. You are changing the person’s gown. The gown is removed from the ____ arm first.
    no IV
  32. Remove clothing from the ____ side first. Apply clothing to the weak side first.
    strong, weak
  33. The introduction of fluid into the rectum and lower colon
  34. A surgically created opening between the ileum and the abdominal wall
  35. Gas or air passed through the anus
  36. Excreted feces
  37. A surgically created opening between the colon and the abdominal wall
  38. The frequent passage of liquid stools
  39. The alternating contraction and relaxation of intestinal muscles
  40. The prolonged retention and buildup of feces in the rectum
    Fecal impaction
  41. The inability to control the passage of feces and gas through the anus
    Fecal incontinence
  42. The passage of a hard, dry stool
  43. The excessive formation of gas or air in the stomach and intestines
  44. A cone-shaped, solid drug that is inserted into a body opening
  45. Bleeding in the stomach and small intestine causes ____ or ____ stools.
    black or tarry
  46. Describe the role of diet in preventing constipation.
    High fiber foods leave a residue for needed bulk to prevent constipation. Milk and milk products can cause constipation. Plenty of fluids.
  47. How does fluid intake affect bowel elimination?
    Feces harden and dry when large amounts of water are absorbed or from poor fluid intake.
  48. A resident has diarrhea. You need to:
    • Assist with elimination needs promptly.
    • Dispose of stools promptly.
    • Give good skin care.
  49. The person with fecal incontinence may need the following care measures:
    • Bowel training.
    • Help with elimination after meals and every 2 to 3 hours.
    • Incontinent product to keep gourmet and linens cleans.
    • Give good skin care.
  50. If flatus is not expelled, the intestines distend. List four measures that often reduce flatus.
    • Exercise.
    • Walking.           
    • Moving in bed.
    • Left side-lying position.
  51. _____ stools drain constantly from an ileostomy.
  52. The person with an ostomy can wear normal clothing. Why are tight garments avoided?
    Tight garments can prevent feces from entering the pouch.
  53. Unless otherwise ordered, take vital signs with the person at ____.
  54. What should you do if you are unsure of any vital sign measurement?
    Ask the nurse to take them again.
  55. Body temperature is the balance between
    The amount of heat produced and the amount lost by the body.
  56. Glass thermometers have the following problems:
    • They take long time to register 3 to 10 minutes.                   
    • They break easily
    • The person may bite down and break oral thermometer.
  57. You should not use hot water to clean a glass thermometer because ______.
    it could break
  58. Rectal temperatures are not taken if the person:
    • Has diarrhea.
    • Has a rectal disorder or injury.
    • Has heart disease. 
    • Had rectal surgery.
    • Is confused or agitate.
  59. The nurse asks you to take a resident’s temperature. How should you hold the adult’s ear?
    The ear is pulled up and back.
  60. What special measures are needed when taking a temperature using the axillary site?
    Make sure axilla is dry. Do not use the site right after bathing leave the thermometer in place for 5 to 10 minutes.
  61. The ____ pulse is used for routine vital signs.
  62. A ______ is an instrument used to listen to sounds produced by the heart, lungs, and other body organs.
  63. Which pulse is taken with a stethoscope?
    Apical pulse
  64. An irregular pulse occurs when the beats are not evenly special or beats are skipped.
    the beats are not evenly special or beats are skipped
  65. Hard-to-feel pulses are described as __________________
    weak, thready,or feeble PMI (Point of Maximal)
  66. How long should you count an apical pulse?
    1 minute
  67. Each respiration involves
    the chest rising and falling.
  68. When counting respiration, observe, report, and record the following:
    • Respiratory rate.            
    • Equality and depth of respiration. 
    • If the respirations here regular or irregular.
    • If the person has pain or difficulty breathing.
    • Any respiratory noises.
    • An abnormal respiratory pattern.
  69. What is the normal respiratory rate for newborns?
    35 respirations per minute.
  70. The systolic pressure is __________
    the period of heat muscles contraction
  71. You must report any systolic pressure at or above __________ and any diastolic pressure at or above ______.
    120 mm Hg and 80 mm Hg
  72. Hypotension is
    systolic pressure is 140 mm HG or lower or the diastolic pressure is 90 mm Hg or lower.
  73. List two complications of bedrest affecting the gastrointestinal system.
    • Pressure ulcers
    • Constipation
  74. A contracture is ______________________. The contracted muscle is __________________.
    • the lack of joint mobility caused by abnormal shortening of a muscle.
    • fixed into piston, is deformed, and cannot stretch.
  75. ______ is a decrease in size or wasting away of muscle.
  76. What is the purpose of a hip abduction wedge?
    Keep the hips abducted. The wedge is placed between the person’s legs.
  77. Hand rolls and hand grips prevent contractures of the _____, _______, and _______.
    thumb, fingers, and wrist
  78. Why are bed cradles used?
    Keeps the height of top lines off the feet and toes.
  79. The movement of a joint to the extent possible without causing pain is
    Range of Motion (ROM)
  80. Bending a body part
  81. Turning the joint upward
  82. Bending the foot down at the ankle
  83. Turning the joint inward
    Internal rotation
  84. Moving a body part away from the mid-line of the body
  85. You have performed active-assistive range-of-motion exercises to a person’s knees. What information do you need to report and record?
    • Time the exercise were performed.
    • The number of times the exercise were performed.
    • Complaints of pain or signs of stiffness or spasm. 
    • The degree to which the person took part in the exercises.
    • When to report observations.
  86. List and describe the range-of-motion exercises performed to the forearm.
    • Pronation – turn the hand so the pals is down.
    • Supination – turn the hand so the palm is up.
  87. Before helping the person with ambulation, what information do you need from the nurse and the care plan?
    • How much help the person needs.
    • If the person uses a cane, walker, crutches, or an orthotic device.  
    • Areas of weakness.
    • How far to walk the person.
    • What observations to report and record.
    • When to report observations.
    • What patient or resident concerns to report at once.
  88. When are crutches used?
    When the person cannot use 1 leg or when 1 or both legs needs to gain strength.
  89. A cane is held on the ____ side of the body.
  90. _____ support weak body parts, prevent or correct deformities, or prevent joint movement.
    Orthotic device
  91. OBRA requires activity programs for nursing center residents. A good activity program improves __________.
    physical and mental well being.
Card Set
Test Chapter 21 - 23, 26, 29, 30
CNA Test Chapter 21 - 23, 26, 29, 30