Nurse Aide Procedures and Client Care, Exams of Nursing

Download Nurse Aide Procedures and Client Care and more Exams Nursing in PDF only on Docsity! HOSA NURSING ASSISSTING EXAM PREP 2024- GRADED A What is the term for a device used to take the place of a missing body part? - Prosthesis when a client has left-sided weakness, what part of a sweater is put on first - Left sleeve It is appropriate for a nurse aide to share the information regarding a client's status with: - the staff on the next shift When helping a client who is recovering from a stroke to walk, the nurse aide should assist - on the clients weak side The nurse aide is caring for a client who is agitated. The nurse aide SHOULD: - talk in a slow, calm, reassuring manner the purpose for paddling side rails on the clients bed is to: - protect the client from injury exercises that move each muscle and joint are called - range of motion How can the nurse aide BEST help a client who is not accepting a loss - Encourage the cliet to accept the loss The Heimlich maneuver ( abdominal thrust) is used for a cliet who has: - a blocked airway The BEST communicate with a client who is totally dea, the nurse aide should - write out information The Nurse is asked by a confused client what day it is. The nurse should - point to the date on a calendare and say the date To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the clients - upper thigh A nurse can assist client with their spiritual needs by: - allowing clients to talk about their beliefs A nurse MUST wear gloves when: - doing a peri-care When getting ready to dress a client, the Nurse should: - give the client choice of what to wear if the nurse discovers fire in a clients room, The FIRST thing to do - remove the client In order to comminicate clearly with a client who has hearing loss, the nurse aide should. - look directly at the client when speaking what is the final stage of dying - acceptance If a client says, " God is ponishing me" or "Why me", how should the nurse aide respond - listen quietly The role of ombudsman is to - work with the nursing hometo protect clients rights A nurse who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse SHOULD: - respect the clients beliefes and avoid starting religious discussions The nurse notices that a client mail has been delivered to te clients room. The nurse SHOULD: - give the client the unopened mail and offer help as needed. Wat is the correct measurement of urinary output - 300cc the clients offers a nurse aide a twenty dollar bill as a thank you for all that the nurse has done. The nurse aid should - politely refuse the money All of the following situations are examples of abuse or neglect except - restraining a client according to a physician's order if a client is sitting in a chair in his room masturating, the nurse aide should - leave the client alone and provide privacy to convert four ounces of juice to milliliters ( ml) the nurse SHOULD: - 4x30 ml In giving care according to the clients Bill of Rights, the nurse SHOULD: - provide privacy during the clients personal care The last sence of dying client will lose - hearing a client wakes up during the night and asks for something to eat. the Burse aide Should: - check clients diet before offering nourishment The normal aging process is BEST defined as the time when: - normal body functions and senses decline If a client confused, The nurse SHOULD: - help the client to recognize familiar things and people What is the process of restoring a disabled client to the highest level of functioning possible. - Rehabilitation you need to turn a heavy person in bed. YOU - use good body mechanics When transforring a person from a wheelchair to bed, you never - have the person put his or her arms around neck When making a bed you - wear gloves when removing linen to give perineal care to a male you - use a circular motion and start at the meatus and work outwards A person has an indwelling catheter. YOU - have the drainage bag hang from the bed frame or chair. A person needs to eat a diet that containes protein. Protein...... - is needed for tissue repair and growth Older Persons - may not feel thirsty a person is NPO. You - remoce the water pitcher and glass fromt eh room A person drank 3 oz of milk at lunch. He or she drank - 90ml When feeding a person - allow time for chewing and swallowing You need to do ROM to a person's right shoulder. YOU..... - support the part being exersized A person has a week left leg. The person should - hold the cane in his or her right hand To promote comfort and relieve pain, you - position the person in good allignment A person is receiving oxygen through a nassal cannal. YOU - check behind the ears and under the nose fr signs of irritation you accidentally dropped a mercury- glass thermometer. YOU - tell the nurse at once When taking a person's pulse. YOU - tell the nurse if the pulse is less than 60 you are counting respirations on a person. YOu - count for one minute if an abnormal breathing pattern is noted you are taking blood preasure on people assigned to you . An older person has a blood pressire of 188/96. YOU - report the BP to the nurse at once When would you take a rectal temperature? - the person is unconscious A person has been admitted to the nurse nursing center recently. YOU - Introduce the person to the other residents When taking person height and weight, you - have the person void before being weighted A person is bedfast. to prevent pressure ulcers, you - keep the skin free of moisture from urine, stools or perspiration a person has a hearing problem. when talking with the person - face the person when caring for a person who is blind or vissualy impaired, you - explain the location of food and beverages you are caring for a person with demenia. you - protect confedential information When caring for a confused person. you - ask clear simple questions A person with Alzheimer's disease likes to wonder. You - exercise the person as ordered Restorative nursing programs - promote self-care measures When caring for a person with disability, you - remind he person of his or hers progress in the rehabilitation program after a person dies, you - respect the persons right to privacy you enter a person's room and find fire in the waste basket. your first action is to - remove the person from the room you leave a person lying in urine and he or she develops a bedsore. This is - Neglect A nurse asks you to place a drug and sterile dressing on a small foot wound. you - politely tell the nurse you cannot do the task you observe a person's urine is foul-smelling and darn amber. your first action is to - tell the nurse A daughter asks you for water for her mom. your response is - i will be happy to do that a person has a restraint on. you - know that unnecessary restraint is false imprisonment The nurse asks you to place a person in the supine postion. you - place the person on his or her back with the bed flat the most important way to prevent or avoid spreading infecton is to - wash hands when moving a person up in bed, you should - ask a co-worker to help you a person is on sodium - controlled diet. this means - canned vegetables are ommited from his or her diet elastic stockings - should not have wrinkles or creases after being applied before bathing a person, you should - offer the bed pan or urinal when taking a rectal temperature, you insert the thermometer - 1 inch what does the word "Touch" mean - is a form of nonverbal comunication you may share information about a persons care and condition to - the staff caring for the person A person tells you he or she has pain upon urination. YOu - tell the nurse a persons culture and religion are different from yours. YOU - ask the person to explain his or her beliefs and practice to you you need to wear gloves when you - give perineal care an older person is normally alert. Today he or she is confused . What should you do - tell the nurse while walking with a person, he or she tells you he feels faint. what do you do first - have the person sit down you are asked to encourage fluids for a person. YOU - increase the person's fluid intake communication fils when you - talk to much during bathing a person may - decide what product to use people in late adulhood need to - develop new friends and relationships one myth about aging is that - mental function declines with age when providing nail and foot care. you - check between the toes for cracks and sores a person needs a condom catheter applied. you remember to - use elastic tape to secure the catheter for comfort during bowel elimination - leave the person alone if possible Resident's rights - Rights for home health care clients and residents of long term care facilities provided by OBRA 87 regulations Skin changes occur during aging. Care should NOT include: - Using soap daily Changes occur in the musculoskeletal system during aging. What statement is false? - Bed rest is needed because of loss of strength The people between the ages 65 and 85 are - Old Respiratory changes occur with aging. What statement is false? - The side-lying position is the best for breathing Changes occur in the digestive system. The older person should NOT eat... - Fruits and vegetables with skin and seeds, dry and fatty foods, and raw apricots and celery. The doctor has ordered an increased fluid intake for an older resident. You should... - Give most of the fluid before 5:00 pm Changes occur in the reproductive system during aging. What statement is false? - Ovaries and testies increase in size (T/F) Bed fails are kept up when bed is in the highest horizontal position - True (T/F) Bed rails are restraints under OBRA - True (T/F) Calling patients and residents by name is the best way to identify them - False (T/F) Restraints are used for staff convenience - False (T/F) Restraints are removed every 2 hours - True (T/F) A vest restraint is used to position a person on the toilet - False (T/F) Restrained persons are checked every 30 minutes - False (T/F) A vest restraint crosses in front - True (T/F) Bed rails are padded when vest restraints are used - True To prevent equipment accident, you should - Check glass and plastic items for damage (T/F) An item is sterile if nonpathogens are present - False (T/F) Protective equipment is removed before leaving work area - True The person with an infection may have: - Fever Nausea Vomiting Sores Pain/tenderness Redness Swelling Fatigue Loss of appetite Discharge Microbes enter and leave the body through... - The respiratory tract The gastrointestinal system Blood The reproductive system Urinary system A mask... - Is contaminated when moist When are contaminated work surfaces cleaned? - After completing a task Immediately when there is obvious contamination After blood or potentially infectious material is spilled The Bloodborne Pathogen Standard involves... - Washing hands after gloves are removed Discarding sharp objects into containers with the BIOHAZARD symbol Staring food and blood in separate places The Food Guide Pyramid encourages... - A low-fat diet How many daily servings of breads, cereals, rice, and pasta are recommended? - 6-11 How many daily servings of the meat group are recommended? - 2-3 What food group contains the most fat? - Meat, poultry, fish, dry beans, eggs, and nuts Fats, oils, and sweets... - Are used sparingly Protein is needed for - Tissue growth and repair What foods provide the most protein? - Meats and fish Sodium restricted diets are usually ordered for those with... - Heart disease Kidney disease Liver disease For persons with diabetes mellitus, diet planning involves... - A consistant amount of carbohydrate daily OBRA requires that: - Hot foods and cold foods be served hot and cold, respectively Food smells good Food tastes good Adult fluid requirements for a normal fluid balance are about... - 2000-2500 mL daily a person is NPO. You - remove the water pitcher and glass from the room What are signs of a swallowing problem? - Drooling Coughing while eating Pocketing What statements about feeding a person is false? - Engage the person in a pleasant conversation A person with a feeding tube is usually... - NPO To prevent regurgitation after a tube feeding, the person is positioned... - In semi-Fowler's position for 1 hour after the feeding What is true of medical records? - The record is used to communicate information about the person The record can be used in a court of law Anyone working in the agency can read the medical record You assist the patient with oral care. You will record this on the... - Activities of daily living Flow sheet What is considered a symptom? - Pain Measures in the comprehensive care plan are carried out. What step of the nursing process is this? - Implementation What statement is true of nursing process? - It is used to communicate the patient's care pleurisy - inflammation of the pleura cholecystitis - inflammation of the gallbladder cirrhosis - chronic degenerative disease of the liver diverticulitis - inflammation of the diverticula gastroenteritis - stomach flu GERD (gastroesophageal reflux disease) - Chronic disease of the digestive tract peritonitis - inflammation of the peritoneum ulcerative colitis - chronic inflammation of the colon with ulcerations renal calculus - kidney stone uremia - urine in the blood goiter - enlarged thyroid gland Graves disease - Hyperthyroidism hyperparathyroidism - excessive production of parathormone hypoparathyroidism - deficient production of parathyroid hormone Addison's disease - Decreased secretion of aldosterone Cushing's syndrome - Over secretion of adrenal cortex, too much hormone, too much steroid prostatic hypertrophy - enlarged prostate Infancy - Birth to 1 year Feeding Toddler - 1-3 years Toilet training Preschool - 3-6 years Independance School age - 6-12 years School adolescence - 12-18 years Peer Young adulthood - 19-40 years Love Middle adulthood - Parenting older adulthood - 65-death Reflection/Acceptance What layer of skin contains pigment? - Epidermis