Shared Flashcard Set

Details

CNA
Prep Questions
276
Nursing
Professional
09/10/2011

Additional Nursing Flashcards

 


 

Cards

Term
What is the term for a device used to take the place of a missing body part?
Definition
Prosthesis
Term
When a client has left-sided weakness, what part of a sweater is put on first ?
Definition
Left Sleeve
Term
It is appropriate for a nurse aide to share the information regarding a client's status with?
Definition
The staff on the next shift.
Term
When helping a client who is recovering from a stroke to walk, the nurse aide should assist?
Definition
On the client's weak side.
Term
The nurse aide is caring for a client who ia agitated, the nurse aide should?
Definition
Talk in a slow, calm, reassuring manner.
Term
The purpose of padding side rails on the clients bed is to?
Definition
Protect the client from injury.
Term
Exercises that move each muscle and joint are called?
Definition
Range of Motion.
Term
How can the nurse aide Best help a client who is not accepting a loss?
Definition
Encourage the client to talk.
Term
The Heimlich Maneuver (Abdominal thrust) is used for a client who has?
Definition
A Blocked airway.
Term
To BEST Communicate with a client who is totally deaf, the nurse aide should?
Definition
Write out information.
Term
The nurse aide is aked by a confused client what day it is. The nurse aide should?
Definition
Point to the date on a calendar and say the date.
Term
To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's?
Definition
Upper thigh.
Term
A nurse aide can assist clients with their spiritual needs by?
Definition
Allowing clients to talk about their beliefs.
Term
A Nurse aide must wear gloves when?
Definition
Doing peri-care.
Term
When getting ready to dress a client, the nurse aide should?
Definition
Give the client a choice of what to wear.
Term
If the nurse aide discovers fire in a client's room, the FIRST thing to do is?
Definition
Remove the client.
Term
In order to communicate clearly with a client who has a hearing loss, the nurse aide should?
Definition
Look directly at the client when speaking.
Term
What is the final stage of dying?
Definition
Acceptance.
Term
If a client says, "God is punishing me" or "Why me" how should the nurse aide respond?
Definition
Listen quietly.
Term
The role of the ombudsman is to?
Definition
Work with the nursing home to protect client's rights.
Term
A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide Should?
Definition
Respect the client's beliefs and avoid starting religious discussions.
Term
The nurse aide notices that client's mail has been delivered to the client's room. The nurse aide should?
Definition
give the client the unopenned mail and offer help as needed.
Term
Which of the following is a correct measurement of urinary output?
Definition
300 cc. Measured in cc's.
Term
The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide should?
Definition
Politely refuse the money.
Term
All of the following situations are examples of abuse or neglect EXCEPT :
Definition
Restraining a client according to a physican's order.
Term
If a client is sitting in a chair in his room masturbating, the nurse aide Should?
Definition
leave the client alone and provide privacy.
Term
To convert four ounces of juice to milliliters (ml), the nurse aide should multiply?
Definition
4 x 30ml.
Term
In Giving care according to the client's Bill of Rights, the nurse aide should :
Definition
Provide privacy during the client's personal care.
Term
The LAST sense a dying client will lose is?
Definition
Hearing.
Term
A Client wakes up during the night and asks for something to eat. the nurse aide SHOULD :
Definition
Check clients diet before offering nourishment.
Term
The normal aging process is BEST defined as the time when?
Definition
Normal body functions ans senses decline.
Term
If a client is confused, the nurse aide should?
Definition
Help the client recognize familar things and people
Term
What is the process of restoring a disabled client to the highest level of functioning possible?
Definition
Rehabilitation.
Term
When changing an unsterile dressing, the nurse aide should wash hands?
Definition
Before, after removal of the soiled dressing, and after the procedure.
Term
Clean bed linen placed in a client's room but not used should be?
Definition
Put in a dirty linen container.
Term
The nurse aide finds a conscious client lying on the bathroom floor. The first thing the nurse aide should do is?
Definition
Call for assistance from the nurse in charge.
Term
If a nurse aide finds a client who is sad and crying, the nurse aide should?
Definition
Ask the client if something is wrong.
Term
Clients have the right to?
Definition
Have access to a telephone.
Term
Proper use of a waist restraint requires that the nurse aide?
Definition
Watch for skin irritation.
Term
To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed?
Definition
Put them in the dirty linen container.
Term
A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should?
Definition
Ask another nurse aide for help.
Term
To prevent dehydration of the client, the nurse aide should?
Definition
Offer fluids frequently while the client is awake.
Term
When transferring a client, MOST of the client's weight should be supported by the nurse aide's?
Definition
Legs.
Term
To be sure that a client's weight is measured accurately, the client should be weighed?
Definition
At the same time of day.
Term
How many tips does a quad-cane base have?
Definition
Four.
Term
Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide should wait?
Definition
10 to 20 minutes.
Term
Which of the following is the CORRECT way to remove a dirty isolation gown?
Definition
Roll it dirty side in away from the body.
Term
What would be the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke?
Definition
Encourage the client to do as much as possible and assist as needed.
Term
A safety device used to assist a DEPENDENT client from a bed to a chair is called a?
Definition
Transfer/gait belt.
Term
If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST?
Definition
Take the gown off before leaving the client's room.
Term
When making an occupied bed, the nurse aide should?
Definition
Raise side rail on the unattended side.
Term
The nurse aide is in the employee dining room. A group of nurse aides are eatting lunch together and begin discussing how rude a certain client was acting. The nurse aide should?
Definition
Suggest that this is not the place to discuss the client.
Term
The nurse aide enters a client's room, and the client state he has pain. What should the nurse aid do?
Definition
Report it to the nurse in charge.
Term
A client is upset and crying over the recent death of her husband. How should the nurse aide respond?
Definition
Sit with the client and allow her to talk about her feelings.
Term
Which temperature is considered MOST accurate?
Definition
Rectal.
Term
What is the begining sign ofa pressure sore?
Definition
Discoloration.
Term
While assisting a client with denture care the nurse aide observes that the upper plate is cracked. The nurse aide SHOULD?
Definition
Report the damage to the nurse in charge.
Term
A new client refuses to wear a clothing protector at lunch. The nurse aide should?
Definition
Respect the client's wishes.
Term
The nurse aide can best show that he is listening to the client by?
Definition
Responding when appropriate.
Term
The BEST time to prepare for a disaster is?
Definition
Before it happens.
Term
What is the purpose of the federal law OBRA, 1987-Ominibus Budget Reconciliation Act?
Definition
Protect the rights and privilages of people, to adopt standards for nursing assistant training, and to provide legal standard (the lowest standard of behavior).
Term
What are the local / state resources for client advocacy?
Definition
Ombudsman program- long tern care, Bureau of Quality Assurance, and the coalition for advocacy- for mental/ developmental disabled clients.
Term
How often is the State Survey (Bureau of Quality Assurance) done?
Definition
It is done every 9-12 months (any shift) - more frequently if deficiencies are present.
Term
What is the focus of the State Survey (Bureau of Quality Assurance)?
Definition
Abuse, Dignity, Weight loss and hydration, infection control, falls, and pressure sores.
Term
If a nurse aide is questioned by a State Surveyor what should they do?
Definition
Answer the question asked honestly.
Term
Cardinal Rules to Protect Residents from Abuse (RAGE)?
Definition
Remove resident from harm, Alert supervisor immediately, Give statement of Witnessed abuse, Everytime you witness Verbal or Physical Abuse.
Term
What is Negligence?
Definition
Failure to give care that is reasonably expected.
Term
Examples of Negligence?
Definition
Failure to follow the individual care plan, To ignore or disregard a client's request or needs, Failure to answer a call light promptly, and failure to carry out an expected or required duty either through carelessness or by intention.
Term
What is abuse?
Definition
To treat badly, to injure, berate, insult, or mistreat.
Term
Examples of abuse?
Definition
Striking a client, Using profanity or name calling, restraining clients for the convienence of staff, withholding food as a punishment, inflicting pain or mental anguish, excessive use of drugs, and harassment.
Term
What is assault?
Definition
A threat or an attempt to commit bodily harm.
Term
Examples of assault?
Definition
Shaking a fist at a client or threatening to use a restraint for punishment.
Term
What is Battery?
Definition
An assault that is carried out such as punching or hitting a client or the unnecessary rough handling of a client.
Term
What is slander?
Definition
Gossip or saying untruths.
Term
What is Libel?
Definition
Defamation of character in writing, signs or pictures. False documentation or drawing a degrading picture.
Term
What is false imprisionment?
Definition
Keeping or restraining a person without proper consent.
Term
Examples of false imprisionment?
Definition
Locking a client in his room or putting a restraint on a client for the convienence of the staff.
Term
What is invasion of privacy?
Definition
When a person's body is unnecessarily exposed or personal information is exposed publicly.
Term
Examples of invasion of privacy?
Definition
Leaving a client exposed while giving a bed bath or reading a client's chart and telling people not pertinent to the care of the client information.
Term
What are the effects of abuse on Elderly?
Definition
Embarrassment , Feel like they will not be believed, and they feel they deserve it.
Term
What are Ethics?
Definition
A system of moral principles or standards governing conduct. (Doing what is right at the right time)
Term
What is an Ombudsman?
Definition
An ombudsman is an advocate for long term care consumers who are aged 60 and over who reside in nursing homes, group homes, or are participating in the Community Options Program.
Term
Components needed for sucessful communication?
Definition
Sender-person giving the message, Message- images, feelings, and ideas transmitted, Receiver- person reciving the message, and Feedback-response to the message.
Term
Types of Communication?
Definition
Verbal - messages sent with written or oral words. Non-verbal - messages sent through the use of the body.
Term
What is the best way to communicate?
Definition
To be a good listener.
Term
What is HOH ?
Definition
Hard of Hearing.
Term
What is HOB ^ 30 degrees at all times?
Definition
Head of Bed up 30 degrees at all times.
Term
What is W/C?
Definition
Wheelchair.
Term
What are objective statements?
Definition
Information that can be seen, heard, felt, smelled, or measured by another person - signs.
Term
What are subjective statements?
Definition
Information that is reported by a client - symptoms.
Term
What are some barriers to effective communication?
Definition
Sensory deficit (sight, hearing, speaking), confusion/memory loss, language.
Term
What is a flowsheet?
Definition
Records that allow information to be recorded quickly and monitored easily; information from flow sheets help health team members to make important decisions.
Term
What is charting?
Definition
Charting is the record keeping responsibilities - they vary by facility.
Term
What is tact?
Definition
To quietly inform someone of something.
Term
What is acute?
Definition
Sudden, quick, goes away fast.
Term
What is Chronic?
Definition
Comes slowly and lasts a long time.
Term
What is medical asepsis?
Definition
Medical asepsis are the practices used and precautions taken to prevent the spread of microorganisms from one person, place, or object to another.
Term
What is a Nosocomial infection?
Definition
An infection acquired after admission to a health care facility.
Term
What is a nonpathogen?
Definition
Microorganism that does not ordinarily cause infection. (Helpful organism)
Term
What is a pathogen?
Definition
Micoorganism that is harmful or capable of causing infection or disease.
Term
What is a microrganism?
Definition
Small living plant or animal that can only be seen with the aid of a microscope.
Term
What is infection?
Definition
Illness caused by a pathogen.
Term
What are antibodies?
Definition
They are specialized proteins which help our bodies fight off specific microbes.
Term
What are antibiotics?
Definition
A drug that is able to kill bacteria or make it difficult for them to reproduce or grow.
Term
What is direct contact transmission?
Definition
Direct -body surface to surface contact and physical transfer of microorganism.
Term
What is indirect transmission?
Definition
Indirect - involves touching of contaminated objects used by an infected person.
Term
What is airborne transmission?
Definition
Spread of evaporated droplets or dust particles that contain the infectous microorganism which can be spread through the air and inhaled.
Term
What is droplet transmission?
Definition
Spread of droplets ejected from the mouth or nose during coughing, sneezing, or talking.
Term
What are standard precautions?
Definition
Practices to prevent exposure to all clients' blood, body fluids, non-intact skin, and mucus membranes.
Term
What is Personal Protective Equipment(PPE)?
Definition
Specialized clothing, equipment, or barriers used to prevent exposure to blood, body fluids, non-intact skin, and mucous membranes for example gloves, goggles, masks, gowns.
Term
What is Disinfection?
Definition
Process by which pathogens are destroyed - kills most microorganisms - 1:10 ratio bleach and water.
Term
What is Sterilization?
Definition
The process by which all microorganisms and their spores are destroyed.
Term
What is isolation?
Definition
Specific precautions to prevent the spread of communicable disease.
Term
What is a communicable disease?
Definition
Disease caused by pathogens that are easily spread.
Term
What is common vehicle transmission?
Definition
Applies to microorganisms transmitted by contaminated items such as food, water, medications, devices, and equipment.
Term
What is Vectorborne transmission?
Definition
This occurs when vectors such as mosquitoes, flies, ticks, and vermin transmit microorganisms such as west nile or lymes disease.
Term
What is cross infection?
Definition
The spread of infection from one person to another.
Term
What is OSHA?
Definition
Occupational Safety and Health Administration- government agency regulating employee safety.
Term
What is MSDS?
Definition
Material Safety Data Sheets - listing of potentially hazardous chemicals used in the workplace; this listing explains proper use, dilution, precautions to take (PPE) , clean up and disposal procedures, and first aid measures for exposure.
Term
What is MRSA?
Definition
Methicillin Resistant Staphylococcus Aureus - strong infection.
Term
What is VRE?
Definition
Vancomycin Resistant Enterococcus.
Term
What is the number one way diseases are spread?
Definition
By not washing your hands.
Term
In the Chain of Infection what must be present for disease to occur and spread?
Definition
An infectous agent, a Reservoir(host), A portal of exit, a mode of transmission, a portal of entry, and a sustiple host.
Term
What is a bloodborne pathogen?
Definition
A bloodborne pathogen is a disease microbe that is transmittedthrough blood or other body fluids such as blood, semen, vaginal secretions, and cerebosinal fluid.
Term
Common diseases caused by bloodborne pathogens?
Definition
Hepatitis - A,B, C, D, and E and HIV.
Term
Conditions favorable to growth of microorganisms?
Definition
Warmth, oxygen-can be anaerobic or aerobic, darkness, nourishment, and moisture.
Term
Elements needed for effective handwashing?
Definition
Running water, soap, and friction.
Term
When are gloves worn?
Definition
When contact is likely with blood/body fluids, secretions, exerctions (except sweat), non-intact skin, and muscus membranes. When touching soiled dressings, tissues, linens etc... Between procedures on the same client.
Term
When is protective clothing and eyewear worn (i.e. gowns, aprons, masks goggles)?
Definition
During situations where exposure to blood/body fluids is possible.
Term
Areas considered clean?
Definition
Linen room/cart, treatment/supply room, overbed table, top drawer and top shelf in bedside table, and food cart prior to all trays being served.
Term
Areas considered dirty?
Definition
Floor, Bottom shelf of bedside stand, seat of chair in client's room, toileting areas, soiled utility room, sinks, door handles/knobs, linen hampers, nursing assistants uniform.
Term
What is routine isolation?
Definition
Keeps germs inside the clients room.
Term
What is Reverse (protective) Isolation?
Definition
Keeps germs outside the client's room.
Term
What is respiratory arrest?
Definition
Condition where breathing has stopped.
Term
What is Cardiac arrest?
Definition
Condition where the heart stops beating.
Term
What is aspiration?
Definition
Inhaling food or fluid.
Term
What is the Heimlich maneuver?
Definition
Abdominal thrusts used to clear an obstructed airway in an adult or child older than 1 year.
Term
What is hemorrhaging?
Definition
Excessive loss of blood in a short time.
Term
What is choking?
Definition
An airway obstruction.
Term
What are the signs of a partial airway obstruction?
Definition
Person may have foreign object in throat but still may be capable of some air exchange. If a person is able to cough or talk. If coughing diminishes and a wheezing gurgling noise are heard -do the heimlich maneuver.
Term
What are the signs of complete airway obstruction?
Definition
Inability to speak or cough, Person grasps neck and opens mouth to indicate inability to breathe, no coughing or sounds heard from airway, and skin color change to bluish gray or dusky color.
Term
What should you do if a fall occurs?
Definition
Stay with your resident, do not move them, Call for help from the nurse on duty, and complete an incident report.
Term
What is the role of the nurse aide in any emergency?
Definition
Recognize emergency, Action - stay calm and assess the situation, Stay with the client, Call for nurse, Follow the nurse's instructions, provide care until EMS arrives, Do not offer food or fluids, and document - incident report.
Term
Fire - What are the elements needed for combustion?
Definition
Fuel, Heat, and O2.
Term
What does RACE stand for?
Definition
Rescue/Remove all Patients, Activate the Alarm, Confine-close doors and windows, and Extinguish if possible.
Term
What should you remember concerning the basic use of a fire extinguisher?
Definition
PASS. Pull Safety Pin, Aim the nozzle, Squeeze the handle, Sweep from side to side on the flames.
Term
What is supine?
Definition
Lying on the back, face up.
Term
What is prone?
Definition
Lying face down.
Term
What is dangle?
Definition
To sit on the edge of the bed.
Term
What is ambulatory?
Definition
Able to Walk.
Term
What does Fowlers mean?
Definition
Head of bed elevated.
Term
What is shearing?
Definition
The force created when something or someone is pulled across a surface that offers resistance; can lead to skin breakdown.
Term
What is logrolling?
Definition
A technique for turning a person in which the person's body is moved in one fluid motion to keep the spine in alignemnt.
Term
What is an assistive device?
Definition
Equipment which facilitates movement (walker, cane, wheelchair)
Term
What is lateral?
Definition
Side lying position.
Term
What are Body Mechanics?
Definition
Ways of moving in order to maximize strength, minimize fatigue and avoid strain and injury to ourselves and our patients.
Term
What are the basic principles of body mechanics?
Definition
Inform client you plan to move him, size up your load, space feet apart for support, get as close as possible to the client, push or pull rather than lift, bend at the knees and hips, communicate by counting to indicate when move will occur, turn with yo
Term
What are the basic positioning techniques?
Definition
Side lying, prone, supine, and fowlers.
Term
What is a transfer?
Definition
The movement of an object or person from one surface to another with or without assistance.
Term
What are the types of transfer?
Definition
Independent (patient does it on their own), assisted (anything from verbal to physical help), and dependent (using a stand up or houer lift.)
Term
When moving a client what side do you move them toward?
Definition
Their strongest side.
Term
What is a contracture?
Definition
A permanent shortening of a muscle.
Term
What is foot drop?
Definition
A contracture of the foot due to atrophy of the anterior leg muscles.
Term
What is atrophy?
Definition
Wasting of muscle tissue.
Term
What is Phlebitis?
Definition
inflammation of a blood vessel.
Term
What is DVT?
Definition
Deep Vein Thrombosis - a blood clot that usually develops in the lower legs - often the calf area.
Term
What is PE (Pulminary Emboli)?
Definition
A blood clot which has disloged and moved into the pulmonary system - often fatal.
Term
What is a restraint (Chemical or physical)?
Definition
Physical restraints limit movement / chemical restraints are used to sedate patients.
Term
What is a pressure sore/decubitus ulcer/bed sore?
Definition
An area of skin that breaks down due to decreased blood flow when a client stays in one position too long and doesn't shift weight.
Term
What is constipation?
Definition
Condition that occurs when feces (stool) remain in the intestine too long resulting in hard stools that are difficult to pass.
Term
What is fecal impaction?
Definition
Condition that occurs when constipation is not relieved; it may require surgical intervention.
Term
What is edema?
Definition
Excessive fluid in the tissue.
Term
What is cyanosis?
Definition
Bluish discoloration to the skin, lips, nail beds or mucous membranes due to lack of oxygen in blood.
Term
What is the integumentary system comprised of?
Definition
Skin, hair, nails, sweat glands and oil glands.
Term
What is the function of the integumentary system?
Definition
Protection, heat regulation, elimination, and sensory perception.
Term
How often must a clients position be changed?
Definition
Change position at least once every 2 hours.
Term
What technique is used to improve circulation?
Definition
Massage.
Term
Why are anti-embolism stockings or TED hose used?
Definition
To support the veins, minimize edema, prevent an emboli.
Term
When checking circulation what do you look for?
Definition
CSM - color, sensation and movement.
Term
When should restraints be applied?
Definition
Only on the written order of a physican.
Term
What are some types of restraints?
Definition
Vest, Wrist or ankle restraints, side rails, geri chair with tray, or a recliner (if patient is unable to set chair upright to get out of the chair).
Term
How often should restraints be checked?
Definition
Every 1/2 hour.
Term
How long should restaints be removed and how frequently?
Definition
Remove restraints every 2 hours for at least 10 minutes.
Term
What is range of motion?
Definition
The movement of a joint to the extent possible without causing pain.
Term
What is the purpose of performing range of motion?
Definition
Maintain joint mobility, prevent loss of function, increase mobility in a joint, and improve circulation of an extremity.
Term
What are the types of R.O.M.?
Definition
Passive (R.O.M done for the client by another), Active (R.O.M. done by the client independently), and Active Assist (R.O.M. done by the client with some assistance from the rehabilitative team member.)
Term
What is abduction?
Definition
To move a body part away from the body.
Term
What is Adduction?
Definition
To move a body part towards the body.
Term
What is the body's first line of defense against disease?
Definition
Skin.
Term
What is oral Hygiene?
Definition
Care of the mouth and teeth and gums.
Term
What does P.O. cares stand for?
Definition
Oral Care.
Term
What does indentureless mean?
Definition
Without teeth.
Term
What position should a client being in when receiving oral care?
Definition
Sitting up.
Term
What is a complete bed bath?
Definition
Bathing the entire body with or without shampoo.
Term
What is a partial bed bath?
Definition
Involves body areas that have a greater tendency of develping ordors- it is done daily - cleanest to dirtiest - eyes and face-no soap, under breasts, axilla - under arms, perineal, perianal, and assess if nail care should be done.
Term
What does DNR stand for?
Definition
Do not resisitate.
Term
What to do if a client has a seizure.
Definition
Protect them from injuring themselves, keep airway open, and after the seizure place the client on his side.
Term
What to do if a client is bleeding.
Definition
Try to find out what area is bleeding, raise the affected parts above the head when possible, apply pressure dressing, if it is an embedded object -do not remove.
Term
What is perineal Care?
Definition
Cleaning the genital and anal areas of the body.
Term
Clothing should be removed from what side first?
Definition
Remove from the strongest side first.
Term
Clothing should be put on from what side first?
Definition
Put clothing on the weakest side first.
Term
What is aspiration?
Definition
Accidental inhalation of foreign material (like foods, liquids, vomitus) into the airway.
Term
What is dehydration?
Definition
Too little fluid in the body.
Term
What is edema?
Definition
Swelling caused by excessive fluids in tissues of the body.
Term
What is dysphagia?
Definition
Difficulty swallowing.
Term
What is diaphoresis?
Definition
Profuse sweating.
Term
What is nutrition?
Definition
The process by which the body uses food for growth and repair to maintain health.
Term
What are the 6 basic nutrients ?
Definition
Carbohydrates, proteins, and fat supply energy. Minerals, vitamins, and water regulate body processes.
Term
What are some special orders for fluid balance?
Definition
Encourage (push) fluids / Restrict fluids (give only what is on the tray or as directed / NPO (hold all fluids/food for now).
Term
What is incontinence?
Definition
An inability to control urinary and or fecal elimination; may be temporary or permanent.
Term
What is stoma?
Definition
An artificial opening.
Term
What is ostomy?
Definition
An alternative way of eliminating feces from the body.
Term
What is ileostomy?
Definition
Created with part of the small intestine - the entire large intestine or colon has been removed.
Term
What is a colostomy?
Definition
Created from part of the large intestine the colon is still present.
Term
What is an indwelling catheter?
Definition
A catheter that is left inside the bladder to provide continuous urinary drainage - also called a foley catheter.
Term
What is a suprapubic catheter?
Definition
A catheter that is surgically inserted directly into the bladder through the abdominal wall, right above the pubic bone.
Term
What is a straight catheter?
Definition
A catheter that is inserted and removed after urine has been drained out or specimen collected.
Term
What is an enema?
Definition
The introduction of fluid into the large intestine via the anus to promote elimination of stool.
Term
What is a suppository?
Definition
Medication inserted into an opening of the body.
Term
What is fecal impaction?
Definition
Large mass of dry, hard stool that can develop in the rectum due to chronic constipation.
Term
What are the factors that influence elimination?
Definition
Diet, fluids, activity, medications, privacy, illness, disease, disabilities, and pain.
Term
What is the bodies way of eliminating waste from the bloodstream?
Definition
Urine.
Term
What are the types of urinary incontinence- temporary or permanent?
Definition
Stress-coughing, sneezing, exercise / urge, functional, reflex, and overflow- urinary retention-cannot go on their own - need a catheter.
Term
What removes waste from the digestive system, is formed in the intestines and is temporarily stored in the rectum?
Definition
Stool.
Term
What causes fecal incontinence - temporary or permanent?
Definition
Severe diarrhea, person who is unconscious, dementia patients develop in later stages.
Term
How often should clients be checked for toileting needs?
Definition
Every 2 hours.
Term
What should urine and stool be observed for?
Definition
COCA - color, odor, consistency, and amount.
Term
Urine is measured in ?
Definition
CC's
Term
Stool is measured in?
Definition
Small, med, large, extra large.
Term
At what level should the tubbing and bag of a catheter be kept?
Definition
Keep tubing above level of the bag and the bag below level of the bladder.
Term
When should the catheter bag be emptied?
Definition
Empty at the end of shift.
Term
What do vital signs measure?
Definition
How the body is doing -temperature, pulse, respiration, bllod pressure.
Term
What is the axillary temperature?
Definition
Measured in the armpit (96.6 - 98.6 normal) it is the least accurate.
Term
What is Aural (tympanic) temperature?
Definition
Measured in the ear canal (97.6 - 99.6 normal).
Term
What is oral temperature?
Definition
Measured in the mouth (97.6-99.6 normal).
Term
What is rectal temperature?
Definition
Measured in the rectum (98.6-100.6 normal) it is the most accurate.
Term
What is temporal temperature?
Definition
Measured on the forehead (97.6-99.6 normal).
Term
What are the factors that increase body temperature?
Definition
Infection, Shivering, Exercise, Warmth, dehydration, and stress.
Term
What are the factors that decrease body temperature?
Definition
Shock, cold, age, and drugs.
Term
What are the normal number of heart beats per minute?
Definition
Normal is 60 -100 beats per minute.
Term
What factors increase your pulse rate?
Definition
Exercise/heat, Stress/emotions, pain/injury, fever, drugs, heart disease, shock.
Term
What factors decrease your pulse rate?
Definition
Rest, heart disease, drugs, rectal stimulation, head injury, and cold environment.
Term
What is the normal number of respirations per minute?
Definition
12-20.
Term
What are the Stages of Growth and Development?
Definition
Infancy (Birth to 1 year), toddlerhood (1-3 years), Preschooler (3-5), School age (5-12), Adolescence (12-20), Young adulthood (20-40), Middle adulthood (40-65), Later adulthood (65-75), and older adulthood (75 plus).
Term
What are the physical changes in aging concerning the nervous system?
Definition
A decrease in the function of the nerve cells results in slowed conduction time, mild loss of memory for recent events, and confusion/ disorientation.
Term
What actions can the CNA take to help clients cope with the physical changes in aging?
Definition
Allow adequate time to make decisions, repeat directions as needed, avoid overwhelming changes in routine, and encourage involvement in activities what stimulate the mind: reading, word puzzles, traveling etc.., and explain who you are and what you will b
Term
What are some of the physical changes to the integumentary system in aging?
Definition
Sebaceous glands are less active resulting in dryness, sweat glands are less active results in increased risk of overheating, decreased circulation to the skin - it takes loger to heal, loss of fat and collagen - which decreases elasticity, causes skin to
Term
What are some of the physical changes to a client's senses in aging?
Definition
Vision decreases, hearing loss, taste buds decrease, sense of smell is dulled, sense of touch may diminish due to decreased circulation.
Term
What are some physical changes to a client's cardiovascular system in aging?
Definition
Heart muscle is less efficient so decreased circulation, increased pooling of blood. Loss of elasticity in vessels results in decreased control of blood pressure. Decreased number of red blood cells - client tires easily. Decreased number of white bloo
Term
What are some changes to the respiratory system in aging?
Definition
Lungs are less elastic they don't expand as deeply.
Term
What are some changes to the digestive system in aging?
Definition
Decrease in peristalsis- food moves through slower, increases risk of constipation. Decrease in saliva, stomach acid and digestive enzymes all decrease digestion time and make chewing and swallowing more difficult.
Term
What are some changes to the urinary system in aging?
Definition
Decrease of muscle tone in bladder increases chance for stress incontinence. Less filtration of wastes from kidneys increases risk of medication toxicity. Incomplete emptying of the bladder raises risk of urinary tract infections.
Term
What are some changes to the endocrine system?
Definition
Menopause in women and decreased sex drive in men, decrease in secretions from thyroid gland slow metabolism.
Term
What is rehabilitation?
Definition
Rehabilitation is the restoration of the client to the fullest physical, mental, social, and economic functioning as possible and preventing further complications.
Term
What is the definition of a disability?
Definition
Impaired physical, cognitive and or emotional function, limitations that represent a significant disadvantage in society.
Term
What is paraplegia?
Definition
Paralysis of the lower half of the body.
Term
What is quadriplegia?
Definition
Paralysis (partial or complete ) of all 4 extremities; the level at which the spinal cord is injured determines the amount of paralysis.
Term
What is hemiplegia?
Definition
Paralysis or weakness on one side of the body often seen with persons who have had a stroke.
Term
What is a myocardial infarction?
Definition
Heart attack.
Term
Signs and symptoms of a heart attack?
Definition
Pain, fullness, and/or squeezing sensation of the chest, jaw pain, toothache, headache, shortness of breath, nausea, vomiting, sweating, heartburn, indigestion, arm pain, upper back pain, general malaise-vague feeling of illness.
Term
What is congestive heart failure?
Definition
Reduction in the ability of the heart muscles to contract.
Term
What is arrhythmia?
Definition
It is a disturbance in the regular rhythm of the heartbeat. Several forms of arrhythmia are life threatening and a medical emergency.
Term
What is Osteoporosis?
Definition
It is a bone disorder characterized by loss of bone density (loss of the calcium storage of bone) which leads to bone brittleness.
Term
What is Cancer?
Definition
An overgrowth of abnormal cells.
Term
What is T.I.A.?
Definition
Transient Ischemic Attack. Signs and symptoms of a stroke.
Term
What is diabetes mellitus?
Definition
A Disease where either enough insulin is not produced, or cells are no longer receptive to the insulin. Blood sugar levels are high.
Term
What is COPD?
Definition
Chronic Obstructive Pulmonary Disease.
Term
What is Osteoarthritis?
Definition
Deterioration of joint cartilage and formation of new bone at joint.
Term
What is Rheumatoid Arthritis?
Definition
An autoimmune disorder where the body attacks itself.
Term
What is Parkinson's disease?
Definition
A slow, progressive, degenerative disorder of the central nervous system. Primary features TRAP - Tremors at rest, Rigidity and Rest, Akinesia (loss or impairment of movement) and Postural Instability (lose balance frequently and quickly).
Term
What is Multiple Sclerosis?
Definition
A progressive disorder of the central nervous system (brain and spinal cord); nerves are unable to communicate with one another.
Term
What is dementia?
Definition
A permanent and progressive loss of cognitive function - irreversible.
Term
What is delirium?
Definition
A temporary state of confusion due to underlying cause; reversible once cause is identified.
Term
What is Alzheimer's Disease?
Definition
An age related, irreversible brain disorder that develops gradually, but progressively and results in memory loss, behavioral and personality changes and eventual cause in all cognitive functions.
Term
What are the stages of Grief?
Definition
Denial, Anger, Bargaining, Depression, and Acceptance.
Term
What cares are performed to a client's body by the nurse aide after a client passes away?
Definition
Close the client's eyes, the body is carefully bathed using gloves, all tubing and dressings are removed as directed by the nurse and clean dressings are applied if indicated, denture are placed in the mouth according to policy, position the body in supin
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