Nursing Assistant Review: Patient Care

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Questions and Answers

What should you observe and record when admitting a patient?

  • Requests the patient makes
  • Bruises, marks, rashes, or broken skin (correct)
  • How much the patient has eaten and drunk
  • Color of stool and amount of urine voided

When responding to a patient on the intercom, what should you do?

  • Say, 'The nurse will answer your call'
  • Give your name and position (correct)
  • Say, 'May I help you?'
  • Ask for the patient’s name

What should you do to familiarize a new patient with their surroundings?

  • Tell the patient not to operate the TV
  • Show the patient where the call bell is and how to work it (correct)
  • Raise the side rails of the bed and raise the bed to high position
  • Ask visitors to leave the room while you finish admitting the patient

When arranging a patient’s room, you should do all of the following EXCEPT:

<p>Administer medications (D)</p> Signup and view all the answers

When assisting a patient in and out of bed, what should you always do?

<p>Employ body mechanic techniques (B)</p> Signup and view all the answers

When should you wash your hands?

<p>Before and after contact with a patient (B)</p> Signup and view all the answers

What is the correct procedure for serving a meal to a patient who must be fed?

<p>Bring the tray into the room when you are ready to feed the patient (B)</p> Signup and view all the answers

A newly admitted patient has dirty fingernails. When giving the patient a bath, what should you do first?

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

When you move a patient on a stretcher, where should you stand?

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

What is the most serious problem that wrinkles in the bedclothes can cause?

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

When making a bed, how can you save steps and time?

<p>Assemble all needed linen before starting to make the bed (D)</p> Signup and view all the answers

One important way to reduce the incidence of decubitus ulcers is to:

<p>Change position every 2 hours (C)</p> Signup and view all the answers

You are told to put a patient in Fowler’s position. Before changing the position of the patient’s bed, you should:

<p>Explain the procedure to the patient (C)</p> Signup and view all the answers

You touch the inside of the sink while rinsing soap off your hands. You should:

<p>Repeat the wash from the beginning (C)</p> Signup and view all the answers

As a safety measure, when you give mouth care to an unconscious patient, you should position the patient:

<p>With the head turned to the side (D)</p> Signup and view all the answers

When you obtain a clean-catch urine specimen, you should:

<p>Use clean techniques (C)</p> Signup and view all the answers

Mr. Roark, a newly admitted conscious patient, has been put to bed. Before leaving him alone, you should:

<p>Make sure he knows how to use the call light (A)</p> Signup and view all the answers

When lifting a heavy object, you should bend at the:

<p>Knees, keeping your back straight (A)</p> Signup and view all the answers

Wrinkles in the bedclothes can:

<p>Irritate the patient’s skin (C)</p> Signup and view all the answers

When shaving a patient, you should:

<p>All of the above (D)</p> Signup and view all the answers

When cleaning a patient’s dentures at the sink, the reason to either line the emesis basin with a paper towel or to fill the sink with water is to:

<p>Guard against breaking the dentures (A)</p> Signup and view all the answers

When assisting a patient with eating, one of the first things you should do is:

<p>Wash your hands and the patient’s hands (A)</p> Signup and view all the answers

A patient has a new cast on his right arm. While caring for him, you should observe for:

<p>Warmth and color of fingers (C)</p> Signup and view all the answers

Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is:

<p>Necessary for rehabilitation (D)</p> Signup and view all the answers

In caring for a confused elderly man, you should remember to:

<p>Keep the bedrails up except when you are at the bedside (A)</p> Signup and view all the answers

The water temperature for a tub bath is:

<p>105° F (A)</p> Signup and view all the answers

When giving a complete bed bath, you should:

<p>Keep the patient covered as much as possible (C)</p> Signup and view all the answers

When assisting Mr. Cohen in learning to use a walker, you should:

<p>Stand behind him and use a transfer belt (A)</p> Signup and view all the answers

Before assisting a patient into a wheelchair, check to see if the:

<p>Wheels of the chair are locked (C)</p> Signup and view all the answers

While giving an unconscious patient a bath, it is important to:

<p>Give passive range of motion to all joints (A)</p> Signup and view all the answers

When reporting your patient’s condition to your team leader, you should report immediately:

<p>Rash that appears suddenly (C)</p> Signup and view all the answers

When shaving a male patient’s face, you should:

<p>None of the above (D)</p> Signup and view all the answers

A decubitus ulcer is a:

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

You are assigned to assist Mrs. Kelley with her lunch. She is on bed rest. The best position for her, if permitted, would be:

<p>Semi-Fowler’s (C)</p> Signup and view all the answers

When caring for a patient with a nasogastric tube, you should:

<p>Protect the tube when moving or changing the patient’s position (C)</p> Signup and view all the answers

To prevent a patient from getting bedsores, you should:

<p>Turn the patient every 2 hours (A)</p> Signup and view all the answers

When moving a wheelchair on or off an elevator, you should stay:

<p>Behind the chair, pulling it toward you (D)</p> Signup and view all the answers

What position should a patient be in to receive an enema?

<p>Left Sim’s (A)</p> Signup and view all the answers

Nursing orders frequently instruct you to assist patient to cough and deep breathe. This activity helps the patient avoid:

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

A patient who has difficulty chewing or swallowing will need what type of diet?

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

How often should you total a patient’s intake and output records?

<p>Once each shift (B)</p> Signup and view all the answers

The Foley bag must be kept lower than the patient’s bladder so that:

<p>Urine will not return to the bladder, causing infection (A)</p> Signup and view all the answers

When assisting a nurse to irrigate a patient’s bladder, you notice that the nurse has contaminated the sterile field. You should:

<p>Offer to get the nurse another sterile pack (B)</p> Signup and view all the answers

When distributing drinking water, the nursing assistant should:

<p>Follow the policy of the institution (C)</p> Signup and view all the answers

Mr. Kaplan’s orders include the notation, strain all urine. This means that you should report:

<p>Any particles in the strainer (A)</p> Signup and view all the answers

Swelling caused by excess fluid in body tissues is called:

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

Mrs. Black is a diabetic. For her mid-afternoon nourishment, the kitchen has sent a carton of chocolate ice cream. Your first action should be to:

<p>Hold the nourishment and report to the team leader (C)</p> Signup and view all the answers

Your assignment sheet has the following notation: S & A, AC, tid for Mr. Able. This means that you should:

<p>Do a routine sugar and acetone urine test before meals three times a day. (C)</p> Signup and view all the answers

Mr. Brook has a broken hip and needs to have an enema. The best type of bedpan to use would be a:

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

Before you ambulate a patient who has a Foley catheter, you should:

<p>Carry the bag below the level of the bladder (D)</p> Signup and view all the answers

What is the primary reason for observing and recording bruises, marks, or broken skin when admitting a patient?

<p>To prevent accusations of abuse or neglect. (D)</p> Signup and view all the answers

When using the intercom to respond to a patient, what is an important part of your introduction?

<p>Giving your name and position. (B)</p> Signup and view all the answers

Which action is most important when familiarizing a new patient with their room?

<p>Showing the patient how to use the call bell. (C)</p> Signup and view all the answers

When arranging a patient's room, which of the following tasks is outside the scope of a nursing assistant's responsibilities?

<p>Administering medications. (C)</p> Signup and view all the answers

What is the most important practice to follow when assisting a patient in and out of bed?

<p>Using proper body mechanics. (C)</p> Signup and view all the answers

Flashcards

Patient Admission: Skin Observation

Observe and record bruises, marks, rashes, or broken skin upon admission.

Intercom Etiquette

When responding to a patient on the intercom, identify yourself by name and position.

Familiarizing New Patients

Show the patient where the call bell is and how to use it.

Medication Administration

Nursing assistants are not allowed to administer medications.

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Assisting Patients: Body Mechanics

Always employ proper body mechanic techniques when assisting a patient in and out of bed.

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Hand Hygiene

Wash hands before and after contact with a patient.

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Mealtime Assistance

Bring the meal tray into the room when you are ready to feed the patient.

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Cleaning Dirty Fingernails

Soak the nails first to soften them and ease cleaning.

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Moving a Patient on a Stretcher

Control a stretcher from the head to maintain control.

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Wrinkles in Bedclothes

Wrinkles in bedclothes can cause decubitus ulcers (bedsores).

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Making a Bed Efficiently

Assemble all needed linen before starting to make the bed to save time and steps.

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Preventing Decubitus Ulcers

Change the patient’s position every 2 hours to prevent bedsores.

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Explaining Procedures

Before changing the position of the patient’s bed, explain the procedure to the patient.

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Contaminated Hand Washing

Repeat the wash from the beginning.

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Mouth Care for Unconscious Patient

Position the patient with the head turned to the side to assist in drainage out of the mouth

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Clean-Catch Urine Specimen

Use clean techniques for a clean-catch urine specimen.

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Patient Safety

Make sure the patient knows how to use the call light before leaving him alone.

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Lifting Heavy Objects

Bend at the knees, keeping your back straight.

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Wrinkles in Bedclothes: Effect

Irritate the patient’s skin and cause bedsores.

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Patient Shaving

Wet the patient’s face, apply aftershave lotion when done, and give the patient a mirror when done.

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Cleaning Dentures

Guard against breaking the dentures.

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Assisting with Eating

Wash your hands and the patient’s hands.

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New Cast Observation

Observe for warmth and color of fingers.

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ADLs Importance

Necessary for rehabilitation.

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Caring for a Confused Patient

Keep the bedrails up.

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Tub Bath Temperature

The water temperature for a tub bath is 105° Fahrenheit.

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Giving a Bed Bath

Keep the patient covered as much as possible.

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Assisting with a Walker

Stand behind him and use a transfer belt.

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Wheelchair Safety

Check to see if the wheels of the chair are locked.

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Bathing Unconscious Patient

Give passive range of motion to all joints.

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Reporting Patient Condition

Report rash that appears suddenly.

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Shaving a Male Patient

None of the above

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Decubitus ulcer

Pressure sore

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Eating in Bed

Semi-Fowler’s

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Patient with Nasogastric

Protect the tube when moving or changing the patient’s position

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Preventing Bedsores

Turn the patient every 2 hours.

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Moving wheel chair on elevator

Behind the chair, pulling it toward you

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Administering enema

Left Sim’s

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Breathing treatment

Pneumonia

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Diet Restrictions

Mechanical soft

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Intake and Output

Once each shift

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Foley bad

Urine will not return to the bladder, causing infection

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Sterile Field Control

Offer to get the nurse another sterile pack

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Distributing drinking water

Follow the policy of the institution

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Straining urine

Any particles in the strainer

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Study Notes

  • Review questions for nursing assistants

Patient Admission Observations

  • Note and record the presence of bruises, marks, rashes, or broken skin during patient admission to prevent potential accusations of abuse later.

Responding to Patients via Intercom

  • Always give your name and position when responding to a patient on the intercom.

Patient Orientation to Surroundings

  • Show the patient where the call bell is and how to operate it, ensuring they can call for help when needed.

Arranging a Patient's Room

  • Nursing assistants are not allowed to administer medications

Assisting Patients In and Out of Bed

  • Employ proper body mechanic techniques when assisting patients in and out of bed to prevent injury.

Hand Hygiene

  • Wash your hands before and after any contact with a patient to prevent infection.

Serving Meals to Patients

  • Bring the meal tray into the room only when you are ready to feed the patient, especially if the patient needs assistance.

Bathing Patients

  • Soak dirty fingernails first to soften debris and ease cleaning, before trimming or applying lotion.

Moving Patients on a Stretcher

  • Always maintain control of a stretcher from the head to ensure better maneuverability and safety.

Preventing Decubitus Ulcers

  • Wrinkles in bedclothes are a serious problem because they cause decubitus ulcers.

Making a Bed

  • To save time when making a bed, gather all necessary linen before starting.

Reducing Incidence of Decubitus Ulcers

  • Change the patient's position every two hours to prevent pressure sores.

Preparing to Change Patient Position

  • Always explain the procedure to your patient before changing the position of the bed.

Handwashing After Touching Sink

  • If you touch the inside of the sink while rinsing soap off your hands, repeat the handwashing procedure from the beginning to avoid contamination.

Mouth Care for Unconscious Patient

  • When providing mouth care to an unconscious patient, position them with their head turned to the side to facilitate drainage and prevent aspiration.

Collecting Urine Specimen

  • A clean-catch urine specimen requires clean, not sterile, techniques.

Post-Admission Patient Care

  • Before leaving a newly admitted patient alone, ensure they know how to use the call light to summon assistance

Lifting Heavy Objects

  • When lifting a heavy object, bend at the knees while keeping your back straight to protect your back muscles.

Bedclothes

  • Irritation from wrinkles can result in bedsores.

Shaving a Patient

  • Wet the patient's face before shaving, apply aftershave lotion, and give the patient a mirror when done.

Cleaning Dentures

  • When cleaning a patient's dentures, line the emesis basin with a paper towel or fill the sink with water to prevent breakage if dropped.

Aiding Patient with Eating

  • Wash your hands and the patients hands to prevent infection.

Observing a Patient with a Cast

  • Circulatory impairment can happen with a new cast, check warmth and color of fingers.

Promoting Patient Independence

  • Rehabilitation should always be part of the care plan.

Caring for Confused Elderly Patients

  • Follow agency policy and keep the bedrails up except when at the bedside.

Bath Water Temperature

  • The water temperature for a tub bath is 105° Fahrenheit.

Complete Bed Bath Guidelines

  • Keep the patient covered as much as possible and use proper care techniques.

Assisting with Walker Use

  • For patients learning to use a walker, stand behind them and use a transfer belt to protect both patient and aide.

Transferring Patients to Wheelchairs

  • Before assisting a patient into a wheelchair, ensure the wheels are locked.

Bathing an Unconscious Patient

  • Give passive range of motion to all joints.

Reporting Patient Condition

  • Report any rash that appears suddenly

Decubitus Ulcer

  • Also called a bedsore

Patient Positioning for Meals

  • Semi-Fowler’s position is best because the patient is on bedrest.

Caring for Patients with Nasogastric Tubes

  • When changing the patient's position, protect the tube.

Bed Sore Prevention

  • Turn the patient every 2 hours.

Moving a Wheelchair on Elevators

  • When moving a wheelchair on or off an elevator, stay behind the chair, pulling it toward you

Administering Enemas

  • The correct position is left Sim’s, and this allows better irrigation of the colon.

Preventing Pneumonia

  • Assist patient to cough and deep breathe. This activity helps the patient avoid pneumonia

Diets for Swallowing Difficulties

  • A mechanical soft diet is easy to chew, swallow, and digest for those with chewing or swallowing issues.

Recording Patient Data

  • Input and output are totaled once per shift as well as every 24 hours.

Foley Catheter Care

  • The Foley bag must be kept lower than the patient’s bladder so that urine will not return to the bladder, causing infection

Maintaining Sterile Environments

  • Replace sterile pack, nurse may not know the field is contaminated.

Distributing Drinking Water

  • Follow agency policy.

Monitoring Urine

  • Particles in the strainer means you should report it.

Identifying Edema

  • Swelling caused by excess fluid in body tissues.

Managing Diabetic Patient Nourishment

  • Always report abnormal conditions.

Diabetic Urine Testing

  • S & A is a diabetic test done on urine, before meals.

Assisting Patients with Broken Hips

  • Choose a fracture pan so Mr. Brook will have a minimal distance to lift his hips.

Assisting Patients with Foley Catheters

  • Before you ambulate a patient who has a Foley catheter, you should carry the bag below the level of the bladder

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