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Study Guide Chapters 6 and 7
Study questions for Chapters 6 and 7
54
Health Care
Not Applicable
01/07/2014

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Term
True or False..A transfer belt should be placed under a person's clothing and around their chest.
Definition
False. Transfer belts should be placed over a person's clothing and around a person's waist.
Term
Lateral position
Definition
Position in which a person is lying on his/her side. (p.119)
Term
Prone position
Definition
Position in which a person is lying on his/her stomach. (p. 119)
Term
Supine position
Definition
Position in which a person is lying flat on his/her back. (p.119)
Term
It is important that a CNA promote respect, dignity and privacy when providing care. Page 117 and 118 list ways a CNA can accomplish this. List 3.
Definition
1. Encourage residents to do as much as they can themselves.
2. Keep residents covered whenever possible when helping with dressing.
3. Knock before entering a resident's bedroom. (p.117-118)
Term
What is a pressure sore?
Definition
A serious wound resulting from skin breakdown; also known as a bed sore or decubitus ulcer. If not treated they can become life threatening. (p. 119)
Term
How many stages of pressure sores are there?
Definition
Four (p.119)
Term
What is the primary reason why pressure sores occur?
Definition
Immobility can cause pressure sores to occur. Immobility reduces the amount of blood that circulates to the skin (p.118)
Term
What are bony prominences?
Definition
Areas of the body where the bone lies close to the skin. (p.118)
Term
Guidelines for basic skin care are found on p. 120. Identify 3 ways a NA can provide good skin care.
Definition
1. Report any changes in a resident's skin.
2. Reposition residents often
3. Always check skin when bathing and document and report any changes.
Term
Bathing a resident is important. Bathing gives the NA an opportunity to observe the resident's ________ carefully. (p. 121)
Definition
skin
Term
Which areas of the body should be washed daily?
Definition
face, hands, underarms and perineum (p.122)
Term
How often should an elderly resident receive a complete bath or shower?
Definition
every other day (or less often)(p.122)
Term
Before bathing make sure the ____ ____ is safe and comfortable and the room is ______ enough.
Definition
water temperature, warm (p.122)
Term
When providing peri-care you should always wipe the patient from front to back or back to front?
Definition
front to back
Term
When should a NA provide nail care?
Definition
when the nails are dirty and/or jagged.
Term
True or False: NA are allowed to cut a resident's toe nails.
Definition
False. A NA is never allowed to cut a resident's toe nails. (p.130)
Term
If a resident has a weaker side from a stroke or injury, that side is called the _________ side.
Definition
affected (p.135)
Term
What terms should you use when talking about a resident's affected side?
Definition
weaker or involved (p.135)
Term
When assisting a resident with dressing it is important that you place the _________ limb in the garment first.
Definition
affected (weaker)(p.136)
Term
True or False: It is important that you encourage a resident to as much as they can on his/her own and honoring his/her choice as much as possible.
Definition
True.
Term
What is oral care?
Definition
Oral care is the care of the mouth, teeth and gums and is done at least twice a day.(p.138)
Term
When should a NA wear gloves?
Definition
Any time he/she is dealing with water or bodily fluids.
Term
What is a fracture pan?
Definition
A fracture pan is a bedpan that is used when a patient cannot raise his/her hips.
Term
What are the four sites of the body where you can take someone's temperature?
Definition
the mouth (oral), the rectum (rectal), the armpit (axillary), the ear (tympanic)(p.165)
Term
What is the normal range of a temperature taken orally?
Definition
97.6-99.6 degrees F (p.164)
Term
What is the normal range of a temperature taken rectally?
Definition
98.6-100.6 degrees F (p.164)
Term
Is the overbed table "clean" or "dirty"?
Definition
clean
Term
Which site of the body is considered the most place to take a temperature?
Definition
Rectal (p.166)
Term
How should a NA handle soiled bed linens?
Definition
Clean side out, soiled side in.
Term
True or False: It's ok for a NA to take an oral temperature on someone who is confused and disoriented.
Definition
False. You should not take an oral temperature on someone who is confused and disoriented. (p.165)
Term
An important thing to remember when taking a rectal temperature is that you must keep your ______ on the thermometer at all times.
Definition
hand (p.168)
Term
What are the different pulse points?
Definition
radial, brachial, carotid, pedal (p.171)
Term
What is a normal respiration rate for an adult?
Definition
12-20 breaths per minute. (p.171)
Term
When is a good time to observe respirations?
Definition
Immediately following taking the pulse. (p.171)
Term
What is the normal range for systolic blood pressure?
Definition
100-119 mmHg (p.172)
Term
What is the normal range for diastolic measurement?
Definition
60-79 mmHg (p.172)
Term
What is hypertension?
Definition
high blood pressure? (p.172)
Term
Pain is often referred to as the______.
Definition
"fifth vital sign" (p175)
Term
Why is it important to observe and report carefully a resident's pain?
Definition
Care plans are based on your reports. Pain is a personal experience. Since you spend the most time with residents, you play an important role in pain monitoring and prevention.
Term
True or False: Pain is a normal part of aging.
Definition
False. Pain is not a normal part of aging. Sustained pain may lead to withdrawal, depression and isolation.
Term
What are some measures that may reduce pain?
Definition
See page 177...
Term
Are NA's allowed to insert, remove or change IV lines?
Definition
No! It is not within the scope of practice.
Term
What is the difference between sterile and non-sterile dressings?
Definition
Sterile dressings cover open or draining wounds. Nurses change sterile dressings. Non-sterile dressings are applied to dry, closed wounds that have less chance of infection. NA's may help with non-sterile dressing changes. (p.195)
Term
What is a bandage?
Definition
A bandage holds a dressing in place.
Term
What is a catheter?
Definition
A catheter is a thin tube inserted into the body that is used to drain or inject fluids.(p.186)
Term
When someone has a catheter, where should the drainage bag be positioned?
Definition
The drainage bag should be kept lower than the hips or bladder. (p.186)
Term
What are the different types of urine specimens?
Definition
routine, clean catch (the first and last urine is not included), and 24 hour. (p.183)
Term
What types of specimens may be collected?
Definition
urine, stool (feces), and sputum (mucus coughed up from the lungs) (p.183)
Term
How do you convert ounces (oz) to milliliters (mL)?
Definition
Multiply ounces by 30 to get milliliters.
Term
What is a restraint alternative?
Definition
Any intervention used in place of a restraint or that reduces the need for a restraint. (p.181)
Term
Where do call lights need to be placed?
Definition
Where it can be easily accessed by the resident. (p.181)
Term
How often does a NA need to check on a resident if they are in a restraint?
Definition
every 15 minutes.
Term
What member of the care team can order a restraint?
Definition
The doctor must order a restraint.
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