2025
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
Initial Steps - 1-ASK nurse about residents needs, abilities, and limitations
2-KNOCK and identify yourself before entering the res room
3-GREET resident by name per resident preference
4-IDENTIFY yourself
5-EXPLAIN what you will be doing
6-GATHER supplies
7-CLOSE curtains, drapes and doors
8-WASH hands
9-WEAR gloves
10-USE proper body mechanics
Finals Steps - 1-REMOVE gloves
2-BE CERTAIN resident is comfortable and in good body alignment
3-LOWER bed height and position side rails
4-PLACE call light and water
5-ASK resident if they need anything
6-THANK resident
7-REMOVE supplies
8-OPEN curtains
,9-PREFORM visual safety check
10-REPORT unexpected findings
11-DOCUMENT
Chain of infection link - 1-causative agent
2-reservoir
3-portal of exit
4-mode of transmission
5-portal of entry
6-susceptible host
Important factors related to Hand Hygiene - 1-visibly soiled with blood or body fluids
2-exposure to potential pathogens
3-Spores C-Diff REQUIRES hand washing
STEPS of handwashing - (20 sec of friction & 40-60 total)
1- palm to palm
2-Right hand over top of left hand with interlaced fingers (vise versa)
3-palm to palm with fingers interlaced
4-backs of fingers to opposing palms with fingers interlace
5-rotational rubbing backwards and forwards with clapsed fingers, clean finger nails
Hemiplegia - Total paralysis of the arm, leg, and torso, on one side of the party
Hemorrhage - excessive loss of blood from a blood vessel
Nectar thick
Honey thick
Pudding thick - NT-thicker then water
HT-pours very slowly
PT- semi-soild (spoon should stand up straight)
,Scald - burn caused by hot liquids in contact with the skin
What do you take when a resident falls - Take pulse and respiration
Seizures - -CALL NURSE
-Place padding under head and move furniture away from res
-Do not restrain resident or place things in the mouth
-Assist nurse with placing resident on the side
-Loosen resident clothing around neck
-Note duration and time
Apical Pulse - located on the left side of the chest
Oral, Axillary, Tympanic temp normal - O-97.6-99.6 degrees
A- 96.6-98.6
T-98.6-100.6
Normal Pulse rate - 60-100
Note: rate, rhythm and force
Normal respiration rate - 12-20 per min
Note: rate, rhythm, and charater
Normal Blood pressure rate - Systolic: 100-139
Diastolic: 60-89
(if history of mastectomy or has dialysis take BP on other side)
When do you not take an oral temp - when resident is unconscious, uses O2, or who is
confused/combative/disoriented
How many fingers do you take pulse with? - 3 fingers
How much do you inflate the bp cuff? - 20mm/hg above KNOWN BP
or
160mm/hg when the BP is not known
, How often do you reposition a resident ? - Every 2 hours, to prevent pressure sores,
respiratory complications and decreased circulation
Folwers v Semi - F: 45-60 degrees
SF: 30-45 Degrees (less pressure to coccyx)
When do you put things on the unaffected side? - -Blood Pressure
-Cane
-Change res gown (remove from unaffected side)
-bedside comode (on side of bed)
-transfer to chair (side of bed)
-Transfer to wheelchair (side of bed)
When do you put things on the affected side? - -Dressing dependent (leg and arm)
-assit with walker (step with affected first)
-cane (step with affected first)
-change res gown (affected arm into gown first)
Where to apply padding during supine position? - Under neck, shoulders, arms, hands,
ankles, and lower back
Where to apply padding during lateral position? - Behing back, between knees, and
ankles, under top arm
How do you transport a resident in a wheelchair? - Transport resident up to closed door,
open door and back wheelchair through doorway.
What is the first thing you do when assisting with a cane? - Check for rubber rips on cane
Important places to pat dry AFTER the shower/shampoo? - Ensure to thoroughly pat dry
under the breasts, between skin folds, in the perineal area and between the toes.
Basics of the bed bath/peri care - Fill basin
Eyes, face, neck, and ears
Hands and arms
Chest and abdominal