Nursing Assistant: Protocols and Measurements
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Questions and Answers

What does proper catheter care by a nursing assistant include?

  • Using the same pair of gloves for multiple residents.
  • Disconnecting the catheter at night.
  • Emptying the catheter bag once a week.
  • Keeping the genital area clean. (correct)

How far should a tympanic thermometer be inserted into the ear?

  • Until resistance is met
  • Completely into the ear canal
  • 2 to 3 inches
  • 1/4 to 1/2 inch (correct)

Which type of urine specimen does not include the first morning urine?

  • Routine
  • 24-hour
  • Clean-catch (correct)
  • Sterile

Eight ounces is equal to how many milliliters?

<p>240 (C)</p> Signup and view all the answers

To convert ounces to milliliters, by what number should the NA multiply?

<p>30 (A)</p> Signup and view all the answers

When may restraints be applied to a resident?

<p>Only with a doctor's order. (A)</p> Signup and view all the answers

What is one serious condition that can lead to restraint use?

<p>Respiratory distress (B)</p> Signup and view all the answers

Which of the following is an example of a restraint alternative?

<p>Giving the resident a repetitive task (D)</p> Signup and view all the answers

What is another term for axillary?

<p>Underarm (C)</p> Signup and view all the answers

What color is an oral thermometer usually coded?

<p>Green or blue (B)</p> Signup and view all the answers

What is the typical temperature range, in Fahrenheit, for oral temperature readings?

<p>97.6-99.6 (C)</p> Signup and view all the answers

What is a common use for an overbed table in a healthcare setting?

<p>Placement of food trays (B)</p> Signup and view all the answers

Which type of thermometer is designed to measure temperature via the ear?

<p>Tympanic thermometer (D)</p> Signup and view all the answers

Which method of temperature measurement is generally considered to be the most accurate?

<p>Oral (B)</p> Signup and view all the answers

What is the correct procedure for handling dirty or soiled bed linens?

<p>Fold them with the dirty side inwards (A)</p> Signup and view all the answers

In which situation should a nursing assistant avoid taking an oral temperature on a resident?

<p>The person just finished drinking iced water (A)</p> Signup and view all the answers

Where should the call light be positioned when a nursing assistant leaves a resident's room?

<p>Within the resident's reach (C)</p> Signup and view all the answers

During a resident's admission, what is one thing a nursing assistant should do to promote comfort and ease anxiety?

<p>Address the resident by name (B)</p> Signup and view all the answers

When measuring a rectal temperature, what must the nursing assistant do?

<p>Hold onto the thermometer throughout the measurement (D)</p> Signup and view all the answers

What is the most common anatomical site used to measure the pulse during vital sign assessment?

<p>Radial pulse (D)</p> Signup and view all the answers

Flashcards

Catheter care

Clean the genital area to prevent infection.

Tympanic thermometer insertion

1/4 to 1/2 inch

Clean-catch urine specimen

A urine specimen that does NOT include the first morning urine.

Eight ounces (oz)

240 milliliters (mL)

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Ounces to milliliters

Multiply by 30

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Restraint application

Only with a doctor's order.

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Respiratory distress

A condition where breathing becomes difficult.

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Restraint alternative

Providing a resident with a simple, repeatable activity.

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Axillary

Underarm

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Oral thermometer color

Green or blue

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Normal oral temperature range

97.6-99.6 degrees Fahrenheit.

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Overbed table use

For serving meals and personal activities.

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Tympanic Thermometer

Measures temperature from the ear.

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Most accurate temperature site?

Oral temp is considered the most accurate.

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Handling dirty linens

Folded with the dirty side inside to prevent contamination.

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Call light placement

Within resident's reach, to allow resident to easily call for help.

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Resident Admission Task

Call them by preferred name to create comfort.

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Rectal temperature safety

Must hold to prevent injury.

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Normal resting heart rate (men)

60 to 100 beats per minute.

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Hypertension

High blood pressure

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Study Notes

  • Usual hotness range for spoken arrangement: 97.6-99.6 degrees Fahrenheit.
  • An overbed table can be used for food installation

Temperature Measurement

  • Tympanic instrument measures hotness from the ear
  • Oral temperature measurement is considered the most accurate.

Bed Linens

  • Dirty bed linens should be folded up with the dirty side in.

Nursing Assistant Protocols

  • A nursing assistant (NA) should not measure temperature orally if the person has a fever.
  • The call light should be placed within the resident's reach when an NA leaves the room.
  • During a resident's admission, the NA should call the resident by her name to create comfort.
  • When measuring rectal temperatures, the NA must hold the instrument at all times.
  • During an inner transfer of a resident, the NA should pack all of the resident's belongings.
  • NAs remove but do not insert catheters.

Vital Signs

  • The most common pulse site for measuring vital signs is the brachial pulse.
  • Usual breathing rate for women ranges from 12 to 20 breaths per minute.
  • The normal resting heart rate for men is 60 to 100 beats per minute.
  • Respirations should be counted immediately after taking the pulse for ease.
  • A normal blood pressure reading is 119/75.
  • Hypertension is high blood pressure.
  • A correct recording of a blood pressure reading is 120/75.

Pain Management

  • Pain is a subjective experience felt differently by each person.
  • Changing positions can help decrease pain.

Dressings

  • Non-sterile dressings cover open wounds.

IV Therapy

  • Nursing assistants (NAs) monitor the IV site for complications.

Catheter Care

  • Proper catheter care includes keeping the genital area clean to prevent contamination.

Tympanic Thermometer

  • A tympanic thermometer should be inserted 1/4 to 1/2 inch into the ear

Urine Specimen

  • A clean-catch urine specimen does not contain the first morning urine.

Conversions

  • Eight ounces equals 240 milliliters.
  • To convert ounces to milliliters, multiply by 30.

Restraints

  • Restraints may be applied only with a doctor's order.
  • Respiratory distress is a serious condition that can lead to restraint use.
  • Giving the resident a repetitive task is a restraint alternative.

Additional Terms

  • Axillary is another term for underarm.
  • An oral thermometer is usually color-coded green or blue.

Oxygen Delivery

  • An oxygen concentrator is a device that delivers air with increased oxygen content.

Catheters

  • An indwelling urinary catheter remains in place for an extended period.

Weighing Residents

  • Before weighing a resident, the scale should be set to zero.

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Description

Covers temperature ranges, usage of overbed tables. Highlights bed linen handling, NA protocols including temperature measurement cautions, call light placement, resident comfort during admission, and catheter handling. Also discusses common pulse sites.

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