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Questions and Answers
Ethical decision making should be based on:
Ethical decision making should be based on:
- the patient's wishes (correct)
- the technician's wishes
- the doctor's wishes
- a facilities policy
When can you legally use force against a patient?
When can you legally use force against a patient?
- never
- only in self defense, if you have reason to believe you are being or about to be attacked (correct)
- if you cannot get the patient to cooperate
- with permission from a family member
First aid treatment for a patient having a seizure is to:
First aid treatment for a patient having a seizure is to:
- put in Sim's position
- lay flat on back
- notify the doctor immediately
- turn to a lateral position (correct)
A person who is on steroid therapy should be checked frequently for:
A person who is on steroid therapy should be checked frequently for:
The most common side effect of Thorazine is:
The most common side effect of Thorazine is:
Patients taking diuretics should be encouraged to increase their intake of:
Patients taking diuretics should be encouraged to increase their intake of:
A common side effect associated with antibiotic therapy is:
A common side effect associated with antibiotic therapy is:
Red, swollen gums with loose teeth is a symptom of which vitamin deficiency?
Red, swollen gums with loose teeth is a symptom of which vitamin deficiency?
The body's only source of nitrogen is:
The body's only source of nitrogen is:
The food with the highest protein content is:
The food with the highest protein content is:
Of the following which would be evidence of a systemic infection?
Of the following which would be evidence of a systemic infection?
Type of soak you expect to put on an open, draining wound.
Type of soak you expect to put on an open, draining wound.
Most effective method for promoting communication when dealing with a patient with speech impairment
Most effective method for promoting communication when dealing with a patient with speech impairment
Which chemical is released during an inflammatory response?
Which chemical is released during an inflammatory response?
Which position is best for a comatose patient?
Which position is best for a comatose patient?
When positioning a patient in the right lateral Sim's position, the pillows should be placed where?
When positioning a patient in the right lateral Sim's position, the pillows should be placed where?
What is the best intervention to prevent foot drop in a bedfast patient?
What is the best intervention to prevent foot drop in a bedfast patient?
Why should someone bend their knees before moving a patient?
Why should someone bend their knees before moving a patient?
The two most important elements in the selection of food for most people is taste and texture.
The two most important elements in the selection of food for most people is taste and texture.
Carbohydrates, proteins, and——-
are the macronutrients.
Carbohydrates, proteins, and——- are the macronutrients.
Which of the following supplies the most amount of protein?
Which of the following supplies the most amount of protein?
Essential nutrients:
Essential nutrients:
One example of a chemical in food that is not a nutrient is:
One example of a chemical in food that is not a nutrient is:
What are the major concerns when lifting or moving a patient?
What are the major concerns when lifting or moving a patient?
Passive range-of-motion exercises are done for the patient:
Passive range-of-motion exercises are done for the patient:
Before assisting a patient to ambulate with a cane or walker, you should:
Before assisting a patient to ambulate with a cane or walker, you should:
When the patient has a weak side, it is best to move him:
When the patient has a weak side, it is best to move him:
When moving a patient up in bed, the pillow should be:
When moving a patient up in bed, the pillow should be:
Using a draw sheet when moving patients helps prevent:
Using a draw sheet when moving patients helps prevent:
When moving a patient up in bed, ask the patient to help by:
When moving a patient up in bed, ask the patient to help by:
What is the correct positioning for the patient when sitting in a chair?
What is the correct positioning for the patient when sitting in a chair?
Body alignment is:
Body alignment is:
Using good body mechanics does all of the following except:
Using good body mechanics does all of the following except:
Proper body mechanics includes:
Proper body mechanics includes:
An effect of immobility on the circulatory system may be:
An effect of immobility on the circulatory system may be:
Prosthesis is:
Prosthesis is:
The process designed to help a person restore and maintain the highest level of ability is:
The process designed to help a person restore and maintain the highest level of ability is:
The adjustable table used for patient care and for serving food trays is the—— table
The adjustable table used for patient care and for serving food trays is the—— table
Check the call ——— every day to be sure it works properly
Check the call ——— every day to be sure it works properly
The gatch handles of the bed should be:
The gatch handles of the bed should be:
When making an unoccupied bed, you should:
When making an unoccupied bed, you should:
If a patient is in a bed that is elevated, you should:
If a patient is in a bed that is elevated, you should:
This type of chair has wheels and a tray that is a type of restraint
This type of chair has wheels and a tray that is a type of restraint
A device used to assist a patient when moving from the bed to a chair is a—— belt
A device used to assist a patient when moving from the bed to a chair is a—— belt
Accident prevention is the responsibility of the:
Accident prevention is the responsibility of the:
If a patient begins to fall while you are walking with him, you should:
If a patient begins to fall while you are walking with him, you should:
If a patient is coughing and able to breathe, which of the following should be done?
If a patient is coughing and able to breathe, which of the following should be done?
An abnormal change in the digestive system that you should report is:
An abnormal change in the digestive system that you should report is:
When caring for someone in a wheelchair, you should avoid using which word:
When caring for someone in a wheelchair, you should avoid using which word:
When observing skin changes in a patient, you should note and report which of the following?
When observing skin changes in a patient, you should note and report which of the following?
When communicating with someone who has a vision impairment it is important to:
When communicating with someone who has a vision impairment it is important to:
Which of the following is a communication barrier?
Which of the following is a communication barrier?
Communication is effective when the message is:
Communication is effective when the message is:
A program to help a person relearn dates, time, place and identity is called—— orientation
A program to help a person relearn dates, time, place and identity is called—— orientation
When a person is angry or agitated, the underlying feeling may be:
When a person is angry or agitated, the underlying feeling may be:
When caring for someone who has mental impairments, you should keep the daily routine:
When caring for someone who has mental impairments, you should keep the daily routine:
A person who is disoriented is:
A person who is disoriented is:
Compassionate understanding is:
Compassionate understanding is:
If someone refuses a procedure, health care workers must———— the consequences of the refusal
If someone refuses a procedure, health care workers must———— the consequences of the refusal
Adaptive equipment is:
Adaptive equipment is:
Restraint:
Restraint:
When preparing a person to take part in activities, it is important to:
When preparing a person to take part in activities, it is important to:
Methods people have of handling stress are what kind of mechanisms?
Methods people have of handling stress are what kind of mechanisms?
Calling a person by the name he or she prefers is one way of meeting the need for:
Calling a person by the name he or she prefers is one way of meeting the need for:
The last sense to be lost by a dying person is:
The last sense to be lost by a dying person is:
The first step in the grieving process is:
The first step in the grieving process is:
Psychological or psychosocial needs are:
Psychological or psychosocial needs are:
Of the following, which statement is true?
Of the following, which statement is true?
Exposing a patient's body when giving care is a form of invasion of:
Exposing a patient's body when giving care is a form of invasion of:
A patient has asked for pain medication. The nurse is very busy. You should:
A patient has asked for pain medication. The nurse is very busy. You should:
How much time should you spend washing your hands?
How much time should you spend washing your hands?
With frequent hand washing, hands become dry. You should invest in a good hand cream because:
With frequent hand washing, hands become dry. You should invest in a good hand cream because:
How many germs are on a hand at any given time?
How many germs are on a hand at any given time?
The majority of cold germs are spread through:
The majority of cold germs are spread through:
The single most effective way to prevent transmission of disease is:
The single most effective way to prevent transmission of disease is:
CPR: The proper way to determine unresponsiveness is:
CPR: The proper way to determine unresponsiveness is:
What is the best position for a patient to be in when performing CPR?
What is the best position for a patient to be in when performing CPR?
Systolic blood pressure represents:
Systolic blood pressure represents:
The ABC's of basic life support stand for:
The ABC's of basic life support stand for:
Minor bleeding is best controlled by:
Minor bleeding is best controlled by:
What is the normal daily fluid intake for an adult?
What is the normal daily fluid intake for an adult?
Which of the following would not be included in a clear liquid diet?
Which of the following would not be included in a clear liquid diet?
Dehydration occurs when:
Dehydration occurs when:
When a patient is on an intake and output, you must record:
When a patient is on an intake and output, you must record:
The body's way of removing waste products is:
The body's way of removing waste products is:
Normal urine is:
Normal urine is:
In normal aging, the blood flow to the kidneys is:
In normal aging, the blood flow to the kidneys is:
Incontinence:
Incontinence:
A container that a male patient uses for urination in bed is an):
A container that a male patient uses for urination in bed is an):
When placing a patient on a commode to defecate, you are placing patient:
When placing a patient on a commode to defecate, you are placing patient:
The patient's blood pressure is 120/84. The diastolic reading is:
The patient's blood pressure is 120/84. The diastolic reading is:
Before placing dentures in a patient's mouth:
Before placing dentures in a patient's mouth:
When removing soiled linen from a bed:
When removing soiled linen from a bed:
To properly give a bath:
To properly give a bath:
The correct positioning of the patient's body is called:
The correct positioning of the patient's body is called:
To properly wash the eyes while giving a bed bath, you would
To properly wash the eyes while giving a bed bath, you would
Your patient's care plan is to check blood pressure q.I.d. How often must you check it?
Your patient's care plan is to check blood pressure q.I.d. How often must you check it?
When you take a patient's pulse, you are using a/an:
When you take a patient's pulse, you are using a/an:
The strongest muscles you should use for lifting are in your:
The strongest muscles you should use for lifting are in your:
An example of an adaptive device to help a patient with dressing and grooming tasks would be a:
An example of an adaptive device to help a patient with dressing and grooming tasks would be a:
When you logroll a patient, before placing him/her on a bedpan, place your hands on the patient's:
When you logroll a patient, before placing him/her on a bedpan, place your hands on the patient's:
When you sit a patient up on the edge of the bed and the patient becomes dizzy, your best action would
When you sit a patient up on the edge of the bed and the patient becomes dizzy, your best action would
To properly practice what you have been taught about standard precautions, it is best to:
To properly practice what you have been taught about standard precautions, it is best to:
The inability to speak or understand communication because of an injury or illness is called:
The inability to speak or understand communication because of an injury or illness is called:
A form of communication that conveys a message without words:
A form of communication that conveys a message without words:
Abnormal drowsiness or sleepiness is:
Abnormal drowsiness or sleepiness is:
Treating a person with respect is called:
Treating a person with respect is called:
How many steps are in the grieving process?
How many steps are in the grieving process?
Fixed armrests on a wheelchair are recommended for users who will be:
Fixed armrests on a wheelchair are recommended for users who will be:
During an interview, the assistant/technician questions the patient as follows: "Describe your pain for me.
How has your appetite been? How have you been sleeping?" All of these are examples of:
During an interview, the assistant/technician questions the patient as follows: "Describe your pain for me. How has your appetite been? How have you been sleeping?" All of these are examples of:
When you introduce yourself to a patient and inform them of the treatment goals, desired outcome, and potential risk, this is called:
When you introduce yourself to a patient and inform them of the treatment goals, desired outcome, and potential risk, this is called:
The use of touch by a caregiver is a form of:
The use of touch by a caregiver is a form of:
A caregiver's primary responsibility is for the—— of each patient
A caregiver's primary responsibility is for the—— of each patient
Persons who are required to lift, reach, push, pull, and carry objects should be instructed to use proper:
Persons who are required to lift, reach, push, pull, and carry objects should be instructed to use proper:
Forces that add resistance to many activities associated with lifting, reaching, pushing, and carrying an object are:
Forces that add resistance to many activities associated with lifting, reaching, pushing, and carrying an object are:
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Study Notes
Ethical Decision Making
- Ethical decisions should be guided by principles that consider the well-being and rights of individuals.
Use of Force Against a Patient
- Force can be legally applied when a patient poses an imminent threat to themselves or others.
First Aid for Seizures
- Protect the patient from injury by ensuring safety, timing the event, and placing them in a recovery position after it ends.
Steroid Therapy Monitoring
- Patients on steroids require frequent checks for signs of infection and metabolic changes.
Common Side Effect of Thorazine
- Sedation is the most commonly reported side effect related to Thorazine usage.
Diuretics and Fluid Intake
- Encourage increased fluid intake to prevent dehydration in patients taking diuretics.
Antibiotic Therapy Side Effects
- Common side effects from antibiotics may include diarrhea and allergic reactions.
Vitamin Deficiency Symptoms
- Red, swollen gums and loose teeth can indicate a Vitamin C deficiency, known as scurvy.
Nitrogen Source
- The body's only source of nitrogen is through dietary protein.
Highest Protein Content Food
- Animal products such as eggs and meat are noted for having the highest protein content.
Evidence of Systemic Infection
- Signs include fever, chills, and elevated white blood cell count.
Wound Soaking
- A saline or antiseptic soak is typically used for open, draining wounds.
Communication with Speech Impairment
- Utilizing non-verbal cues and clear, simple language promotes effective communication with patients who have speech impairments.
Inflammatory Response Chemicals
- Histamine and other mediators are released during inflammation.
Best Position for Comatose Patients
- The lateral position is recommended to maintain airway patency and prevent aspiration.
Right Lateral Sim's Position
- Pillows should be placed under the head, arms, and legs for comfort and support.
Preventing Foot Drop
- Ankle-foot orthosis or heel suspension devices help prevent foot drop in immobile patients.
Proper Patient Lifting Technique
- Bending knees engages strong leg muscles and protects the back.
Food Selection Elements
- Taste and texture are crucial elements influencing food selection.
Macronutrients
- Carbohydrates, proteins, and fats are the three main macronutrients essential for health.
Essential Nutrients
- Nutrients that must be ingested from food as the body cannot synthesize them include vitamins and minerals.
Chemical in Food, Not a Nutrient
- Additives, such as preservatives and flavor enhancers, are chemicals present in food that are not considered nutrients.
Patient Handling
- Major concerns include maintaining the patient’s dignity, avoiding injury to the patient and caregiver, and ensuring safety.
Passive Range-of-Motion Exercises
- They are performed for patients unable to move their limbs independently to preserve joint function.
Assisting Ambulation
- Before ambulating a patient with a cane or walker, ensure safety and proper grip techniques.
Moving Patients with Weak Sides
- Position such that the weak side is closest to the caregiver to ensure safety while assisting.
Pillow Positioning in Bed
- The pillow should be placed under the head and possibly between the legs for alignment.
Benefits of a Draw Sheet
- It helps reduce friction and protect patient skin integrity during movement.
Patient Participation in Movement
- Encourage patients to assist by pushing with their arms or legs when repositioned in bed.
Correct Chair Positioning
- Ensure the patient is seated with their back supported and feet flat on the ground for proper comfort and alignment.
Body Alignment
- Maintaining a straight, symmetrical position in relation to the body enhances comfort and reduces strain.
Good Body Mechanics
- Proper techniques reduce the risk of injury; avoiding twisting the back is crucial.
Immobility Effects on Circulation
- Prolonged immobility can lead to deep vein thrombosis (DVT) and impaired circulation.
Definition of Prosthesis
- A prosthesis is a device designed to replace missing body parts for functionality or cosmetic reasons.
Rehabilitation Process
- The goal is to restore and maintain the highest level of ability for individuals recovering from illness or injury.
Adjustable Table Function
- A bedside or serving table assists in patient care and meal provision.
Call Light Maintenance
- Regular checks ensure proper functionality of the call light for patient safety.
Gatch Handles Position
- They should be easily accessible for caregivers to adjust the bed’s position.
Unoccupied Bed Making
- Start by removing soiled linens and replacing them with clean ones in a tidy manner.
Patient Bed Elevation
- If a patient is in an elevated bed, ensure comfort and safety when assisting them.
Wheelchair with Tray
- A geriatric chair or tray table serves as a restraint for patients who may be unsteady.
Transfer Belt Usage
- A transfer or gait belt aids in safely moving patients from bed to chair.
Accident Prevention
- It is the responsibility of all healthcare providers to ensure patient safety and prevent accidents.
Responding to a Falling Patient
- Safely lower the patient down, protecting their head and guiding them gently.
Coughing Patient Care
- If a patient is coughing but can breathe, encourage coughing to clear secretions without obstruction.
Digestive System Changes
- Report any abnormal digestive symptoms such as severe pain or persistent changes in bowel habits.
Language Use with Wheelchair Patients
- Avoid using derogatory or insensitive terms when communicating with individuals in wheelchairs.
Skin Change Observations
- Document and report any unusual color, texture, or open lesions on the skin.
Vision Impairment Communication
- Ensure clear, verbal instructions and maintain eye contact to enhance understanding.
Communication Barriers
- Noise, language differences, and cognitive impairments can hinder effective communication.
Effective Communication
- Messages should be clear, concise, and understood by the receiver.
Orientation Program Purpose
- It helps individuals relearn their connection to time, place, and personal identity.
Underlying Feelings of Anger
- Aggression may stem from fear, frustration, or pain.
Maintaining Daily Routine for Mental Impairments
- Consistency aids in reducing anxiety and confusion.
Disoriented Individual
- A disoriented person exhibits confusion regarding time, place, or identity.
Compassionate Understanding
- It encompasses empathy towards patients' feelings and experiences.
Consequences of Procedure Refusal
- Health care workers must inform patients of the repercussions of their choices to ensure informed consent.
Adaptive Equipment Definition
- Tools or devices designed to assist with daily living tasks for individuals with disabilities.
Definition of Restraint
- A restriction method to limit patient movement, often used for medical safety.
Preparing for Activities
- Ensure readiness by addressing physical needs and understanding patient capabilities.
Stress Handling Mechanisms
- Coping strategies vary and can include problem-solving, accepting, or avoiding stressors.
Preference for Names
- Addressing patients by their chosen names fulfills their need for respect and individuality.
Last Sense to Fade
- Hearing is typically the last sense lost before death.
First Grieving Step
- Denial is the initial response for individuals processing grief.
Psychological or Psychosocial Needs
- These encompass emotional well-being, social interaction, and mental health aspects.
Invasion of Privacy
- Exposing a patient's body during care constitutes a violation of personal privacy.
Responding to Pain Medication Requests
- Prioritize pain management by informing staff and delegating timely care when busy.
Hand Washing Duration
- Recommended hand washing should last at least 20 seconds for effective germ removal.
Hand Dryness from Washing
- Frequent washing can lead to dry skin; using hand cream mitigates dryness and irritation.
Germ Presence on Hands
- Millions of bacteria can reside on hands at any time.
Germ Transmission Methods
- The majority of cold and flu viruses are transmitted through direct contact.
Disease Transmission Prevention
- Regular hand hygiene is the single most effective method to prevent illness spread.
CPR Unresponsiveness Check
- Assess airway, breathing, and circulation to determine if the patient is unresponsive.
CPR Positioning
- The patient should be positioned on their back on a firm surface for effective CPR.
Systolic Blood Pressure
- It indicates the pressure in arteries during heartbeats, measured in mmHg.
ABCs of Basic Life Support
- A = Airway, B = Breathing, C = Circulation.
Minor Bleeding Control
- Apply direct pressure to the wound and elevate the area if possible.
Normal Fluid Intake
- Adults should aim for approximately 2 to 3 liters or 8 to 12 cups of fluid daily.
Clear Liquid Diet Restrictions
- Foods that are opaque or fibrous, such as milk, are typically excluded from a clear liquid diet.
Dehydration Definition
- It occurs when fluid loss exceeds intake, leading to an imbalance.
Intake and Output Recording
- All fluid intake and output must be documented to monitor a patient's hydration status.
Waste Removal from Body
- The kidneys help filter and excrete waste products through urine.
Normal Urine Characteristics
- Clear, pale yellow urine indicates proper hydration and kidney function.
Aging and Kidney Blood Flow
- Blood flow to the kidneys generally decreases with age, affecting renal function.
Definition of Incontinence
- Incontinence involves the inability to control urination or defecation.
Male Urinal Usage
- A urinal is a container used by male patients for urination in bed.
Commode Positioning
- When placed on a commode, ensure the patient is comfortable and secure.
Blood Pressure Measurements
- In a reading of 120/84, 84 represents the diastolic pressure
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