Fundamentals exam 2: Chapters 13-20 Questions With Complete Solutions.

1. Why are bedrails padded? - ANSWER to protect client from injury 2. abdominal thrusts are used for - ANSWER a blocked airway 3. What is the best way to communicate with a deaf client? - ANSWER write out information 4. If asked the date by a confused client what is the best way to answer - ANSWER point to the date on a calendar and say the date 5. If a CNA discovers a fire in a client's room what is the first thing to be done? - ANSWER remove the client 6. When dressing a client what should a CNA do? - ANSWER Give the client a choice of what to wear 7. A nurse aid can assist with spiritual needs by - ANSWER allowing client to talk about their beliefs 8. gloves should be worn - ANSWER any time blood or body fluids are involved ex/ pericare 9. Where should a catheter be taped? - ANSWER to a person's thigh to avoid pulling on the catheter 10. ombudsman - ANSWER A person who supports or promotes the needs and interests of another person. Works with the long term care facility to protect a resident's rights. 11. When dealing with hearing loss always - ANSWER face the client when speaking 12. urinary output is measured in - ANSWER cc's 13. Is it ok to take a tip as a CNA? - ANSWER no, politely refuse 14. You must always have a ____________ to restrain a client - ANSWER Dr's order 15. How many ml in 1 ounce? - ANSWER 30 16. What is the last sense a dying client loses? - ANSWER hearing 17. If a client wakes up at night and asks for something to eat you should - ANSWER check the diet before offering nourishment 18. normal aging process - ANSWER normal body functions and senses decline 19. when changing an unsterile dressing the CNA should wash their hands - ANSWER before, after the soiled dressing is removed, and after the proceedure 20. T/F clients have the right to access to a telephone - ANSWER T 21. If you find a client lying on the floor what is the FIRST thing you should do? - ANSWER check for signs of injury 22. rehabilitation - ANSWER A process in which the resident is assisted in reaching their highest level of ability physically, mentally and emotionally. 23. what is given when restraints are in place? - ANSWER skin care 24. How often are restraints removed? - ANSWER Every two hours 25. cheyne-stokes respirations - ANSWER Respiratory pattern that involves alternating periods of apnea and deep, rapid breathing 26. agonal breathing - ANSWER irregular, gasping breaths that precede apnea and death 27. stages of grief - ANSWER Denial, Anger, Bargaining, Depression, Acceptance 28. Alzheimer's disease - ANSWER A progressive and irreversible brain disorder characterized by gradual deterioration of memory, reasoning, language, and finally, physical reasoning 29. cyanosis - ANSWER A bluish discoloration of the skin and mucous membranes. 30. edema - ANSWER SWELLING 31. stethoscope - ANSWER a medical instrument for listening to the sounds generated inside the body 32. gait belt - ANSWER device used to transfer people from one position to another or from one thing to another. 33. terminal cleaning - ANSWER Cleaning of patient room after discharged. 34. open bed - ANSWER bed that allows linens to be turned down, making it easier for a person to get into or out of. 35. closed bed - ANSWER a bed completely made with the bedspread and blankets in place usually done after terminal cleaning 36. body mechanics - ANSWER A term used to refer to the way in which the body moves and maintains its balance by the most efficient use of all its parts 37. occupied bed - ANSWER a bed made while a person is in the bed. 38. TED hose - ANSWER brand name of anti-embolism stocking 39. decubitus ulcers - ANSWER Bed sores 40. NCS - ANSWER no concentrated sweets 41. full liquid diet - ANSWER Consists of foods that are liquid at room temperature 42. clear liquid diet - ANSWER Consists of foods that are clear and liquid at room temperature 43. soft diet - ANSWER Regular diet that has been modified to eliminate foods that are hard to digest and to chew, including those high in fiber, high in fat, and highly seasond. 44. pureed diet - ANSWER foods have been blenderized to liquid form; consistency based on client's needs, nectar or honey thick, can be long term 45. low fat/ low cholesterol diet - ANSWER People who have heart disease & artery problems. Also for people who have gallbladder or liver disease. Skim milk, white meats of turkey chicken, fish 46. dehydration - ANSWER An abnormally low amount of water in the body. 47. when measuring urine it should be - ANSWER at eye level 48. orient a blind patient using - ANSWER the face of a clock 49. force fluids - ANSWER a medical order for a person to drink more fluids. FF 50. pagophagia - ANSWER ice craving 51. hematuria - ANSWER Blood in the urine 52. thickened fluids - ANSWER The CNA should thicken all fluids if ordered, even water. Honey, nectar and pudding 53. When walking with a stroke patient walk - ANSWER on the weak or affected side 54. adduction - ANSWER MOVEMENT TOWARD THE MIDLINE OF THE BODY 55. abduction - ANSWER Movement away from the midline 56. rotation - ANSWER CIRCULAR MOVEMENT AROUND AN AXIS 57. dementia - ANSWER Long-term decline in mental faculties such as memory, concentration, and judgment; often seen in the elderly 58. diaphoresis - ANSWER Sweating 59. q2h - ANSWER Every 2 hours 60. prn - ANSWER As needed 61. stat - ANSWER immediately 62. how often a client is turned - ANSWER q2h 63. Elizabeth Kubler-Ross - ANSWER wrote "On Death and Dying"; developed 5 stage theory of grief 64. Red dot on hearing aid means - ANSWER right ear 65. perineal care - ANSWER Cleaning the genital and anal areas; pericare 66. disinfection - ANSWER A process that eliminates many or all microorganisms, with the exception of bacteria spores, from inanimate objects 67. antisepsis - ANSWER A process that greatly reduces the number of microorganisms on skin or other tissue 68. standard precautions - ANSWER CDC precautions used in the care of all patients regardless of their diagnosis or possible infection status; this category combines universal and body substance precautions. 69. mask needed with a TB patient - ANSWER N 95/respirator mask 70. OSHA - ANSWER Occupational Safety and Health Administration 71. Bath temperature - ANSWER 105 degrees 72. What percentage of accidents do falls account for in health care facilities - ANSWER 70% 73. Homes for the aged are licensed by the Division of Health Service Regulation and monitored by Adult Home Specialist within the - ANSWER County department of social services 74. Home Health Agencies - ANSWER allows patients home care services in order to remain at home 75. OBRA - ANSWER Omnibus Budget Reconciliation Act - Federal law applies to all 50 states - sets standards for care and requires nursing assistant training and competency training 76. HIPAA - ANSWER Health Insurance Portability and Accountability Act - 1996- written to protect the privacy of health info.