Term | Definition |
Stage 1 pressure sore | appear as a reddened area that does not blanch when pressed. Skin is intact. |
Stage 2 pressure sore | partial breakdown of the upper layer of skin, but does not extend all the way through the skin. May look like a blister |
Stage 3 pressure sore | Full-thickness tissue loss. the skin is gone. Subcutaneous fat may be exposed. Slough may be present |
Stage 4 pressure sore | Full thickness tissue loss with muscle, tendon, and bone exposure. Slough and eschar may be present. |
Unstageable | Full-thickness tissue loss with the ulcer covered by slough and/or eschar. |
A patient who is about to under go surgery should be on what type of diet? | NPO-Nothing by mouth |
An agency or program for persons who are dying | hospice |
Person who perform delegated tasks under the supervision of licensed nurses are | Nursing assistants |
The goal of the health team is to | provide quality care |
A federal health insurance program providing benefits for persons 65 years of age or older and for some younger people with certain disabilities | Medicare |
nursing assistants work under the supervision of | licensed nurses |
An illness from which the person will not likely recover is | terminal illness |
The official record of persons who have successfully completed a nursing assistant training and competency evaluation program | Nursing assistant registry |
The intentional mistreatment or harm of another is | abuse |
Nursing assistants can have their certification denied, revoked, or suspended for | neglecting a patient or resident |
Negligence by a professional person | malpractice |
You observe a patient's daughter slapping him. Who should you inform? | Tell the nurse at once |
Seeing things for another's point of view | empathy |
Trusting another with personal and private information | confidentiality |
When planning your work, you need to decide what to do and when to do each task. this is | priority setting |
Stress affects | the whole person |
A written or electronic account of a persons condition and response to treatment is the | medical record |
Flow sheets are | used to record frequent measurements or observations |
priorities and goals are set during this step of the nursing process | planning |
Anterior | at or toward the front of the body or body part |
inflammation of a joint | arthritis |
"ab" | away from |
You have a disagreement with a co-worker about your work schedule. What should you do? | ask to talk about the problem with your supervisor. |
the language, values beliefs, habits, likes, dislikes, and customs of a group passed from one generation to the next is | culture |
Any lost, absent or impaired physical or mental function is a | disability |
communication that uses the written or spoken word is | verbal communication |
direct questions are used to | make sure you understand what was said |
the basic unit of body structure | cell |
bone that bears the body's weight | long bone |
The largest part of the brain and the center of thought and intelligence is | cerebrum |
The substance in bed blood cells that carries oxygen and gives blood it's color is | hemoglobin |
Which heart chamber pumps blood to the lungs | right ventricle |
where does digestion begin | the mouth |
food mixed with gastric juice to form a semi-liquid substance is called | chyme |
urine passes from the bladder through the | urethra |
the neck of the uterus is | cervix |
the system that protects the body form disease and infection | immune system |
retirement often means | reducing income |
You notice a frayed electrical cord on a resident's bed. What should you do | report it to the nurse at once |
Check the ________ before using a hazardous substance | MSDS |
Errors in care are reported | at once |
Risk management involves | identifying and controlling risks and safety hazards affecting the agency |
Inflammation of the mouth | stomatitis |
Surgical replacement of a joint | arthroplasty |
Aphasia | total or partial loss of the ability to use or understand language |
Amyotrophic Lateral Sclerosis (ALS) affects | muscles for speaking, chewing, and swallowing |
Age-related muscular degeneration | blurs central vision |
Braille | reading and writing system that uses raised dots |
Resting blood pressure is too high in | hypertension |
TB is spread by | Airborne droplets |
What cannot be changed with risk factory for CAD? | Age, gender, family history |
Diverticular disease involves | small pouches in the colon |
Hepatitis A is spread by | Fecal-Oral route |
Cystitis | bladder infection |
HIB virus is spread by | unprotected anal, vaginal, and oral sex |
any action that punishes or penalizes a person | discipline |
What is required for restraint use? | doctor's order |
unnecessary restraint | false imprisonment |
Most falls occur in | patient and resident rooms and bathrooms |
1 ounce | 30 cc |
ADL | Activities of Daily Living |
DNR | Do Not Recessutate |
Ergonomics | changing the task, work station equipment and tools to help reduce stress on the worker's body |
What will likely lead to a back disorder | twisting while lifting |
back-lying position | supine or dorsal recumbent |
The person's unit | a private area |
you help control noise by | answering phone and signal lights promptly |
A person has arrived by stretcher, you make a _________bed | surgical |
When handling bed linens you | collect them in the order of use |
a chronic condition in which a person cannot sleep or stay asleep all night is | insomnia |
to promote sleep | make sure linens are clean, dry, and wrinkle free |
UTI | Urinary tract infection |
the amount of oxygen given is the | flow rate |
What is collected for routine urinalysis | random urine specimen |
to use regent strips correctly: | follow manufacturer's instructions |
Hemoptysis | bloody sputum |
Muscle atrophy | decrease in the size of or a wasting away of muscle tissue |
a resident on bed rest needs | good body alignment |
abduction | moving away form the midline |
A patient wears an ankle brace, when you remove the brace, you notice a reddened area on the ankle bone what should you do | report it to the nurse |
rehabilitation starts when | the person seeks health care |
rehabilitation focuses on | the whole person
the person's abilities |
you help prevent pressure ulcers by | turning and repositioning, keeping the linens clean and wrinkle free, keeping the resident clean and dry. |
A person does not feel that he is making progress, the person is angry, how can you help them? | try to understand the person's feelings and offer support |
You are feeling frustrated by a person's slow progress. What should you do? | discuss your feeling with the nurse |
using pillows and blankets to prevent skin from being in contact with skin helps | prevent pressure ulcers |
After applying heat or cold application, how often do you need to observe the application site for complications? | 10-15 minutes |
HIV is spread by | unprotected anal, vaginal, and oral sex |
Angina | chest pain |
Quadriplegia | paralysis in arms, legs, trunk |
Closed fracture | bone is broken but skin is intact |
radiation | destroys cancer cells and normal cells |
Anorexia | loss of appetite |
Aspiration | breathing in of fluid, food, vomitus, or an object into the lungs |
how much water does an adult need daily for normal fluid balance | 2000 to 2500mL |
NPO | Nothing by mouth |
An eternal nutrition through a gastrostomy tube, to prevent regurgitation, the person is positioned in | Fowler's or semi fowler's position |
an alarm is sounding on an IB infusion pump. What should you do | tell the nurse at once |
what part of the health team is responsible for IV therapy | RN |
you notice that the IV flow rate is going to fast. What should you do | tell the nurse |
Oral care | prevents mouth odor and infection |
When logrolling the person | turn the person as a unit, in alignment with one motion |
head lice | pediculosis corporis |
alopecia | hair loss |
Undress the _______ side first | strong |
Dress the ______ side first | weak |
A microbe that is harmful and can cause infection | microbe |
Process of becoming unclean | contamination |
local infection | an infection in a body part |
health care associated infection | an infection that develops in a person cared for in any setting where health care is given |
cleaning | destroys pathogens |
protection against a certain disease | immunity |
if you are unsure of a vital sign measurement | promptly ask the nurse to take it again |
Normal body temperature | 98.6 |
normal respirations for a healthy adult | 12-20 |
hypertension | systolic above 140, diastolic above 90 |
the period of heart muscle relaxation | diastole |
Pain felt in a body part that is no longer there | phantom pain |
Painful or difficulty urination | dysuria |
frequent urination at night | nocturia |
The loss of urine in response to a sudden urgent need to void | urge incontinence |
Constipation is caused by | decreased fluid intake, some drugs, inactivity |
a person complains of abdominal discomfort and rectal pain. Liquid feces is seeping from the person's anus. these are sings and symptoms of | fecal impaction |
Infection control in the nursing home is important because the elderly | are more susceptible to disease |
Proper body mechanics means | standing straight with your knees bent and lifting with you legs |
The rigidity of Parkinson's Disease makes the resident more prone to | falls |
The foods or fluids that would most likely cause a resident with a CVA (stroke) to choke are | thin fluids |
When communicating with a resident with a hearing aid, you should | face the resident so they can see you speak |
You are delegated to provide passive ROM to left lower and upper extremities. This means you | support each joint and provide extension and flexion movements on the left side of the body. |
CPR | cardiopulmonary resuscitation |
All behavior has meaning to the | person performing the behavior |
ROM exercises help prevent | contractures |
Genital areas should be washed from | clean to dirty |
Moral principles or standards that guide our behavior are | ethics |
A symptom of Alzheimer's Disease is | memory loss |
Osteoporosis is | porous and brittle bones |
Gait belt is used for | ambulation |
Transfer belt is used for | transfers |
Messages sent through facial expression, gestures, and body movements are | body language |
An observation of what you actually see, hear, smell, or feel regarding a resident | objective |
Holistic care is caring for the resident spiritually, emotionally, and | physically |
when feeding a resident, you should be | at eye level |
elastic stockings are used to | prevent blood clots |
if a resident becomes combative during care, you should | make sure the resident is safe and try again later |
an example of resident centered care is staff | allowing resident's choice of wake time |
to support residents' through the death and dying process, you should | listen to their beliefs about death. |
waterless hand soap/gel is | used when soap and water are not available |
when removing contaminated gloves, the nursing assistant should | grasp the cuff of one glove on the outside with fingers of the other gloved hand |
the best way to help a resident who has experienced a loss of taste would be to | encourage good oral hygiene |
to measure the height of a resident who must remain in bed you should | place the resident in supine position and measure her from head to foot |
when caring fro the elderly, the CNA should | let the resident perform as much personal care as possible |
To assist residents to eat the nursing assistant should | offer liquids frequently to moisten the food |
you can assist the family to adjust when they place their loved one in a nursing facility by | including the family in the care planning of their loved one |
clean bed linen placed in a resident's unit but not used should be | put in the dirty linen container. |
when the goal is to maintain confidentiality, the nursing assistant may discuss personal information about the resident with | the nursing assistant providing direct care who has a need to know |
resident would most likely become short of breath quickly due to | increasing rigidity in the lungs |
appropriate care after death includes | providing privacy during post mortem care |
the positions of the hands when performing the abdominal thrusts should be | on the middle of the abdomen above the navel |
to assist a resident with a paralyzed arm put on a front buttoning shirt, the nursing assistant should | put the shirt on the weak arm first |
Mr. Dobb had a recent stroke and has some difficulty chewing his food. the doctor ordered a therapeutic diet to fit his needs. The best diet for him would be a | mechanical soft diet |
You just finished bathing a resident and have disinfected the tub. You should put the disinfectant | in a locked cupboard |
Marinating a clean health care facility is the responsibility of | the health care team. |
Annabelle has a hearing aid in her ear. Before you wash and style her hair, you should | remove the hearing aid |
A 1987 law passed to set many standards for the health care industry including certification for nursing assistants is the | Omnibus Budget Reconciliation Act (OBRA) |
Errors in communication can be reduced by | confirming the message was received and understood |
What is the proper procedure for correction of a documentation error | cross out the error with one line, initial next to it and continue your documentation |
to serve a resident solid foods you should use a | spoon |
When lying in a prone position, a resident would be on her | abdomen |
one of the main causes of constipation in the elderly is | immobility and medication |
explaining the care that you give and providing the opportunity for choices is showing | emotional support |
residents residing in long term care facilities are at risk for infections because | they usually have chronic health problems |
you can best assist a resident during bladder retraining by | keeping track of incontinence |
whenever you feel stressed or angry the best way to deal with your feelings is to | try to understand why you feel the way you do. |
The environment that works best for residents with Alzheimer's disease who are confused is | a closed unit with a consistent routine |
Standard precautions are based on the simple principle that all residents | have potential for spreading infection |
Standard precautions | prevent the spread of pathogens through the air: are used for all patients and residents; require gowns, masks, and gloves |