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Is the inability to urinate an emergency or should you tell Ms. Burd to continue to monitor Noodle for the rest of the day? - answer--Inability to urinate is an emergency and should be treated right away What does BUN stand for? What organ does a BUN test evaluate? - answer--BUN is Blood Urea Nitrogen - product of protein metabolism filtered out by kidneys. When glomerular filtration rate is decreased or urinary tract is obstructed, urea nitrogen will build up in blood stream. Kidneys are unable to fully filter out urea nitrogen out of the vascular system causing BUN levels to decrease. What other blood chemistry values may be altered in a patient with a urethral blockage, especially with longer-term blockage? - answer--It is important to monitor blood pH; potassium levels of many animals with urethral blockages will become hyperchloremic and acidotic which can be life threatening. What is urohydropulsion? - answer--Procedure used to clear urethra of foreign materials in male dogs. Urinary catheter is inserted and fluids injected into urethra while prepuce is closed shut. Urethra caudal to obstruction is also held shut rectally allowing fluid to expand urethra and hopefully flush the stone backwards into the urinary bladder. Why would cystocentesis be the best

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Hartman's Nursing Assistant Care
long-term care (LTC) - answer care given in long-term care facilities for people who need 24-hour,
skilled care.



skilled care - answer medically necessary care given by a skilled nurse or therapist.



length of stay - answer the number of days a person stays in a healthcare facility.



chronic - answer long-term or long-lasting.



diagnoses - answer physicians' determinations of an illness.



home health care - answer care that is provided in a person's home.



assisted living - answer residences for people who do not need skilled, 24-hour care, but do require
some help with daily care.



adult day services - answer care for people who need some help during certain hours, but who do not
live in the facility where care is given.



acute care - answer 24-hour skilled care for short-term illnesses or injuries; generally given in hospitals
and ambulatory surgical centers.



subacute care - answer care given in a hospital or in a long-term care facility for people who need less
care than for an acute illness, but more care than for a chronic illness.



outpatient care - answer care is given for less than 24 hours for people who have had treatment or
surgery and need short-term skilled care.

,Hartman's Nursing Assistant Care
rehabilitation - answer care that is given by specialists to help restore or improve function after an
illness or injury.



activities of daily living - answer daily personal care tasks such as bathing; caring for skin, nails, hair, and
teeth; dressing; toileting; eating and drinking; walking, and transferring.



culture change - answer a term given to the process of transforming services for elders so that they are
based on the values and practices of the person receiving care; core values include choice, dignity,
respect, self-determination, and purposeful living.



person-directed care - answer a type of care that places the emphasis on the person needing care and
his or her individuality and capabilities.



Medicare - answer a federal health insurance program for people who are 65 or older, are disabled, or
are ill and cannot work.



Medicaid - answer a medical assistance program for people with low incomes, as well as for people with
disabilities.



charting - answer documenting important information and observations about residents



assistive devices - answer special equipment that helps a person who is ill or disabled to perform
activities of daily living; also called adaptive devices.



chain of command - answer the line of authority within a facility.



liability - answer a legal term that means someone can be held responsible for harming someone else.

, Hartman's Nursing Assistant Care
scope of practice - answer defines the tasks that healthcare providers are legally allowed to do and how
to do them correctly.



care plan - answer a plan developed for each resident to achieve certain goals; it outlines the steps and
tasks that the care team must perform.



policy - answer a course of action that should be taken every time a certain situation occurs



professional - answer having to do with work or a job



procedure - answer a method, or way, of doing something.



personal - answer relating to life outside one's job, such as family, friends, and home life.



professionalism - answer how a person behaves when he is on the job; it includes how a person dresses,
the words he uses, and the things he talks about.



ethics - answer the knowledge of right and wrong.



laws - answer rules set by the government to help people live peacefully together and to ensure order
and safety.



Omnibus Budget Reconciliation Act (OBRA) - answer a law passed by the federal government that
includes minimum standards for nursing assistant training, staffing requirements, resident assessment
instructions, and information on rights for residents.



cite - answer in a long-term care facility, to find a problem through a survey.

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