Hartman's Chapter 7: Basic Nursing Skills

Hartman's Chapter 7: Basic Nursing Skills _________ is often the first time a nursing assistant meets a new resident - ANS Admission The NA should try to make sure the resident has a good __________ of her and her facility - ANS Impression The NA should prepare the ____ before the resident arrives - ANS Room The NA should ask _________ to find out a residents personal preferences and ________ - ANS Questions Routines The NA should _________ herself to the resident and stay her position - ANS Introduce The NA should always call a resident by her ____ name until she tells the NA what she prefers to be called - ANS Formal/last name The NA should try to make sure the new resident feels welcome and wanted. The NA should not ____ the process or the new resident - ANS Rush The NA can help the resident by explaining daily life in the facility and offering to take the resident on a ____ - ANS Tour New residents must be given a copy of their legal ______ - ANS Rights It is important for the NA to _______ the new resident in case something important was missed - ANS Observe A resident has a legal right to have his _______ items that he has brought with him treated carefully - ANS Personal A transfer to a new facility or hospital is normally easy for residents to handle. - ANS False Residents should be informed of transfers as early as possible. - ANS True The resident will usually pack her own belongings for a transfer. - ANS False The nursing assistant should introduce the resident to everyone in a new area. - ANS True One way that a nursing assistant can involve the resident with the packing process is to show the resident her empty closet. - ANS True The NA will write the order when it is time for a resident to be discharged. - ANS False OBRA requires that residents have the right to receive advance notice before they are discharged. - ANS True What can changed in vital signs indicate? - ANS They can indicate that a resident's condition is worsening. Which changed should be immediately reported to the nurse? - ANS -Fever -Pulse is too rapid or too slow -Blood pressure changes -Pain is worse or not relieved by pain management Which of the following is the normal temperature range for the oral method? - ANS 97.6 - 99.6 degrees (F) Which of the following thermometers is used to take a temperature in the ear? - ANS Tympanic thermometer Which of the temperature sites is another word for the armpit area? - ANS Axilla Which temperature site is considered to be the most accurate? - ANS Rectum (rectal) A rectal thermometer is usually color-coded __________? - ANS Red Which pulse is most often used for measuring pulse rate? - ANS Radial pulse For adults, the normal pulse rate is? - ANS 60-100 beats per minute Breathing air into the lungs is also called? - ANS Inspiration Exhaling air out of the lungs is also called? - ANS Expiration The normal respiration rate for adults ranges from? - ANS 12 to 20 breaths per minute Why is it important for NA's to observe respirations without letting resident know what the are doing? - ANS People may breathe more quickly if they know they are being observed. Which of the following is considered a high blood pressure reading? - ANS 145/85 Which of the following is a blood pressure cuff used to measure blood pressure? - ANS Sphygmomanometer The second measurement of blood pressure reflects the phase when the heart relaxes. It is called the ______ phase. - ANS Diastolic Blood pressure measurements are recorded as ______ ? - ANS Fractions In the _____ phase of blood pressure, the heart is at work, contracting and pushing blood from the left ventricle of the heart. - ANS Systolic A pulse oximeter measures? - ANS Blood oxygen level and pulse rate If a resident complains of pain, what questions should the NA ask to get the most accurate information? - ANS Where is the pain? When did the pain start? How long does it last, and how often does it occur? How severe is the pain? Pain measurement scale 1-10. Can you describe the pain? What makes it better, what makes it worse? What were you doing before the pain started? List five things that an NA can do to help reduce a residents pain - ANS -report complaints of pain or unrelieved pain -position body in proper alignment -give back rubs -ask if resident would like a warm shower -help resident to the bathroom or commode or offer the bedpan or urinal Why must an NA report any weight a resident loses? - ANS weight changes can indicate illness How many inches are in one foot? - ANS 12 The purpose of restraint is - ANS to restrict voluntary movement or behavior An example of a physical restraint is - ANS raised side rails on a bed A chemical restraint is - ANS medication used to control behavior What is one reason the use of restraints has been restricted? - ANS they were sometimes abused by caregivers A restraint can be used - ANS when a doctor has ordered its use Restraint-feee care means that - ANS restraints are never used for any reason Restraint alternative are - ANS any interventions used in place of a restraint - ANS -release restraint -reassure resident -offer help with toileting -check for incontinence -offer fluids and food -check skin for irritation -report discolored skin to nurse -check for swelling and report it -reposition the resident -ambulate resident if he is unable - ANS True The fluid a person consumes is called intake or input - ANS True All of the body's fluid output is in the form of urine - ANS False Fluid balance is taking in and eliminating the same amounts of fluid - ANS True - ANS True Clean-catch specimen - ANS Excludes first and last urine from sample Hat - ANS Collection container put into toilet to collect samples Routine urine specimen - ANS Urine sample collected any time resident voids Specimen - ANS A sample that is used for analysis in order to try to make a diagnosis Sputum specimen - ANS Early morning is the best time to collect this specimen Stool specimen - ANS Urine and toilet paper should not be included with this specimen Catheter - ANS Thin tube inserted into the body that is used to drain or inject flyids Condom catheter - ANS Urinary catheter that had an attachment that fits into the penis Indwelling catheter - ANS Urinary catheter that stays inside the bladder for a period of time Straight catheter - ANS Urinary catheter that is removed immediately after urine is drained Urinary catheter - ANS Thin tube to drain urine from the bladder Oxygen is prescribed by a doctor - ANS True - ANS False - ANS False - ANS False - ANS True - ANS True - ANS False IV lines allow direct access to - ANS the bloodstream What is the NA's responsibility for IV care? - ANS documenting and reporting observations If the fluid in an IV bag is nearly gone, the NA should - ANS notify the nurse - ANS True - ANS False - ANS False - ANS False - ANS True - ANS False - ANS False - ANS True - ANS False - ANS False If an NA is asked to use a piece of equipment he doesn't not know how to use, he should - ANS ask for help Call lights should be placed - ANS within the resident's reach List five things that can disrupt a residents sleep - ANS -sleeping too much during the day -eating and drinking caffeine -wearing night clothes during the day -eating heavy meals during the day -taking new medications List three problems that can be caused by lack of sleep - ANS Decreased mental function. Reduced reaction time. Irritability - ANS to prevent infection and to promote comfort - ANS to prevent contamination of clothing - ANS roll it so that the soiled area is inside - ANS the nurse will change the bed - ANS at the point of origin A bed made with the bedspread and blankets in place is called a(n) - ANS closed bed Sterile dressings cover ____ or _____ wounds - ANS open drain A _____ changes sterile dressings - ANS nurse Non-sterile dressings are applied to dry, ______ wounds that have less chance of _________ - ANS closed infection Nursing assistants may ______ non-sterile dressings - ANS change Elastic bandages are also known as - ANS ACE bandages One purpose of elastic bandages is to - ANS hold a dressing in place How soon should a NA check on a resident after applying a bandage? - ANS 15 minutes vital signs - ANS measurement, temperature, pulse, respirations, blood pressure, pain level that monitor the functioning of tge vital organs of the body. Average mouth temperature - ANS 97.6-99.6 Normal blood pressure - ANS 100-119/60-79 low blood pressure - ANS Below 100/60 Prehypertension - ANS 120-139/80-89 high blood pressure - ANS 140/90 radial pulse - ANS pulse inside of the wrist brachial pulse - ANS the pulse felt in the upper arm Respiration - ANS is the process of breathing air into the lungs Inspiration - ANS Breathing in Expiration - ANS exhaling air Normal respiratory rate - ANS 12-20 breaths per minute Normal pulse rate - ANS 60-100 Systolic phase - ANS the heart is at work. it contracts and pushes blood from the left ventricle of the heart. Diastolic phase - ANS when the heart relaxes. it shows the pressure in the arteries when the heart is at rest. Pulse oximeter - ANS is a device that uses a light to determines the amount of oxygen in blood. it also measures a persons pulse rate. Restraint - ANS is a physical or chemical way to restrict voluntary movement or behavior Restraint free care - ANS means restraints are not kept or used for any reason restraint alternatives - ANS are any intervention used in the place of a restraint or that reduces the need for a restraint I&O - ANS input and output of fluid intake - ANS the fluid a person consumes; also called input output - ANS fluid eliminated includes, urine, feces and vomit fluid balance - ANS is maintaining equal input and output or taking in and eliminating equal amounts of fluid. specimen - ANS is a sample that is used for analysis in order to try to make a diagnosis Routine urine specimen - ANS is collected anytime the resident voids or urinates hat - ANS is a plastic collection container sometimes put into a toilet to collect and measure urine or stool clean catch specimen - ANS midstream specimen does not include the first and last year in in the sample its purpose is determine the presence of bacteria in the urine catheter - ANS is a thin tube inserted into the body that is used to drain fluids or inject fluids urinary catheter - ANS is used to drain urine from the bladder straight catheter - ANS does not remain inside the person it is removed immediately after urine is drained indwelling catheter also called a Foley - ANS remains inside the bladder for a period of time drains into a bag condom catheter - ANS also known as a Texas catheter has an attachment on the end that fits inside of the male oxygen therapy - ANS is the administration of oxygen to increase the supply of oxygen to the lungs combustion - ANS means the process of burning oxygen is a very dangerous fire hazard because it's the supports and makes things burn flammable - ANS means easily ignited capable of burning quickly intravenous therapy - ANS IV therapy is the delivery of medication nutrition or fluids through a person vein occupied bed - ANS is a bed made while the resident is in bed unoccupied bed - ANS is a bed made while resident is not in the bed close bed - ANS Susie bed completely made with the bedspread and blankets and blankets in place it is made for residents who will be out of bed most of the day it is also made when a resident is discharged open bed - ANS is a bed that is ready to receive a resident who has been out all day and who is being admitted to the facility Vital signs - ANS measurements - temperature, pulse, respiration, blood pressure, pain level - that monitor the functioning of the vital organs of the body. Radial pulse - ANS the pulse located on the inside of the wrist, where the radial artery runs just beneath the skin. Brachial pulse - ANS the pulse located inside the elbow, about one to one-and-a-half inches above the elbow. Respiration - ANS the process of breathing air into the lungs and exhaling air out of the lungs. Inspiration - ANS breathing in. Expiration - ANS exhaling air out of the lungs Systolic - ANS first measurement of blood pressure; phase when the heart is at work, contracting and pushing the blood from the left ventricle of the heart. Diastolic - ANS second measurement of blood pressure; phase when the heart relaxes or rests. Restraint - ANS a physical or chemical way to restrict voluntary movement or behavior. Restraint-free care - ANS an environment in which restraints are not kept or used for any reason. Restraint alternatives - ANS any intervention used in place of a restraint or that reduces the need for a restraint. Intake - ANS the fluid a person consumes; also called input. Output - ANS all fluid that is eliminated from the body; includes fluid in urine, feces, vomitus, and perspiration, moisture that is exhaled in the air, and wound drainage. Fluid balance - ANS taking in and eliminating equal amounts of fluids. Specimen - ANS a sample that is used for analysis in order to try to make a diagnosis. Routine urine specimen - ANS a urine specimen that can be collected any time a person voids. Void - ANS urinate. Hat - ANS in health care, a collection container that is sometimes inserted into a toilet to collect and measure urine or stool. Clean-catch specimen - ANS a urine specimen that does not include the first and last urine voided; also called mid-stream specimen. Catheter - ANS a thin tube inserted into the body to drain or inject fluids. Urinary catheter - ANS a thin tube inserted into the bladder in order to drain or collect urine. Straight catheter - ANS a catheter that does not remain inside the person; it is removed immediately after urine is drained or collected. Indwelling catheter - ANS a type of catheter that remains inside the bladder for a period of time; urine drains into a bag. Condom catheter - ANS catheter that has an attachment on the end that fits onto the penis; also called external or Texas catheter. Oxygen therapy - ANS the administration of oxygen to increase the supply of oxygen to the lungs. Combustion - ANS the process of burning. Flammable - ANS easily ignited and capable of burning quickly. Intravenous therapy (IV therapy) - ANS the delivery of medication, nutrition, or fluids through a person's vein. Occupied bed - ANS a bed made while a person is in the bed. Unoccupied bed - ANS a bed made while no person is in the bed. Closed bed - ANS a bed completely made with the bedspread and blankets in place. Open bed - ANS a bed made with lien folded down to the foot of the bed. _________ is often the first time a nursing assistant meets a new resident - ANS Admission The NA should try to make sure the resident has a good __________ of her and her facility - ANS Impression The NA should prepare the ____ before the resident arrives - ANS Room The NA should ask _________ to find out a residents personal preferences and ________ - ANS Questions Routines The NA should _________ herself to the resident and stay her position - ANS Introduce The NA should always call a resident by her ____ name until she tells the NA what she prefers to be called - ANS Formal/last name The NA should try to make sure the new resident feels welcome and wanted. The NA should not ____ the process or the new resident - ANS Rush The NA can help the resident by explaining daily life in the facility and offering to take the resident on a ____ - ANS Tour New residents must be given a copy of their legal ______ - ANS Rights It is important for the NA to _______ the new resident in case something important was missed - ANS Observe A resident has a legal right to have his _______ items that he has brought with him treated carefully - ANS Personal A transfer to a new facility or hospital is normally easy for residents to handle. - ANS False Residents should be informed of transfers as early as possible. - ANS True The resident will usually pack her own belongings for a transfer. - ANS False The nursing assistant should introduce the resident to everyone in a new area. - ANS True One way that a nursing assistant can involve the resident with the packing process is to show the resident her empty closet. - ANS True The NA will write the order when it is time for a resident to be discharged. - ANS False OBRA requires that residents have the right to receive advance notice before they are discharged. - ANS True What can changed in vital signs indicate? - ANS They can indicate that a resident's condition is worsening. Which changed should be immediately reported to the nurse? - ANS -Fever -Pulse is too rapid or too slow -Blood pressure changes -Pain is worse or not relieved by pain management Which of the following is the normal temperature range for the oral method? - ANS 97.6 - 99.6 degrees (F) Which of the following thermometers is used to take a temperature in the ear? - ANS Tympanic thermometer Which of the temperature sites is another word for the armpit area? - ANS Axilla Which temperature site is considered to be the most accurate? - ANS Rectum (rectal) A rectal thermometer is usually color-coded __________? - ANS Red Which pulse is most often used for measuring pulse rate? - ANS Radial pulse For adults, the normal pulse rate is? - ANS 60-100 beats per minute Breathing air into the lungs is also called? - ANS Inspiration Exhaling air out of the lungs is also called? - ANS Expiration The normal respiration rate for adults ranges from? - ANS 12 to 20 breaths per minute Why is it important for NA's to observe respirations without letting resident know what the are doing? - ANS People may breathe more quickly if they know they are being observed. Which of the following is considered a high blood pressure reading? - ANS 145/85 Which of the following is a blood pressure cuff used to measure blood pressure? - ANS Sphygmomanometer The second measurement of blood pressure reflects the phase when the heart relaxes. It is called the ______ phase. - ANS Diastolic Blood pressure measurements are recorded as ______ ? - ANS Fractions In the _____ phase of blood pressure, the heart is at work, contracting and pushing blood from the left ventricle of the heart. - ANS Systolic A pulse oximeter measures? - ANS Blood oxygen level and pulse rate If a resident complains of pain, what questions should the NA ask to get the most accurate information? - ANS Where is the pain? When did the pain start? How long does it last, and how often does it occur? How severe is the pain? Pain measurement scale 1-10. Can you describe the pain? What makes it better, what makes it worse? What were you doing before the pain started? List five things that an NA can do to help reduce a residents pain - ANS -report complaints of pain or unrelieved pain -position body in proper alignment -give back rubs -ask if resident would like a warm shower -help resident to the bathroom or commode or offer the bedpan or urinal Why must an NA report any weight a resident loses? - ANS weight changes can indicate illness How many inches are in one foot? - ANS 12 The purpose of restraint is - ANS to restrict voluntary movement or behavior An example of a physical restraint is - ANS raised side rails on a bed A chemical restraint is - ANS medication used to control behavior What is one reason the use of restraints has been restricted? - ANS they were sometimes abused by caregivers A restraint can be used - ANS when a doctor has ordered its use Restraint-feee care means that - ANS restraints are never used for any reason Restraint alternative are - ANS any interventions used in place of a restraint - ANS -release restraint -reassure resident -offer help with toileting -check for incontinence -offer fluids and food -check skin for irritation -report discolored skin to nurse -check for swelling and report it -reposition the resident -ambulate resident if he is unable - ANS True The fluid a person consumes is called intake or input - ANS True All of the body's fluid output is in the form of urine - ANS False Fluid balance is taking in and eliminating the same amounts of fluid - ANS True - ANS True Clean-catch specimen - ANS Excludes first and last urine from sample Hat - ANS Collection container put into toilet to collect samples Routine urine specimen - ANS Urine sample collected any time resident voids Specimen - ANS A sample that is used for analysis in order to try to make a diagnosis Sputum specimen - ANS Early morning is the best time to collect this specimen Stool specimen - ANS Urine and toilet paper should not be included with this specimen Catheter - ANS Thin tube inserted into the body that is used to drain or inject flyids Condom catheter - ANS Urinary catheter that had an attachment that fits into the penis Indwelling catheter - ANS Urinary catheter that stays inside the bladder for a period of time Straight catheter - ANS Urinary catheter that is removed immediately after urine is drained Urinary catheter - ANS Thin tube to drain urine from the bladder Oxygen is prescribed by a doctor - ANS True - ANS False - ANS False - ANS False - ANS True - ANS True - ANS False IV lines allow direct access to - ANS the bloodstream What is the NA's responsibility for IV care? - ANS documenting and reporting observations If the fluid in an IV bag is nearly gone, the NA should - ANS notify the nurse - ANS True - ANS False - ANS False - ANS False - ANS True - ANS False - ANS False - ANS True - ANS False - ANS False If an NA is asked to use a piece of equipment he doesn't not know how to use, he should - ANS ask for help Call lights should be placed - ANS within the resident's reach List five things that can disrupt a residents sleep - ANS -sleeping too much during the day -eating and drinking caffeine -wearing night clothes during the day -eating heavy meals during the day -taking new medications List three problems that can be caused by lack of sleep - ANS Decreased mental function. Reduced reaction time. Irritability - ANS to prevent infection and to promote comfort - ANS to prevent contamination of clothing - ANS roll it so that the soiled area is inside - ANS the nurse will change the bed - ANS at the point of origin A bed made with the bedspread and blankets in place is called a(n) - ANS closed bed Sterile dressings cover ____ or _____ wounds - ANS open drain A _____ changes sterile dressings - ANS nurse Non-sterile dressings are applied to dry, ______ wounds that have less chance of _________ - ANS closed infection Nursing assistants may ______ non-sterile dressings - ANS change Elastic bandages are also known as - ANS ACE bandages One purpose of elastic bandages is to - ANS hold a dressing in place How soon should a NA check on a resident after applying a bandage? - ANS 15 minutes