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OBRA requires which of the following for foods served in long-term care centers?
That residents be served 3 meals and offered a bedtime snack
Food must be served:
promptly
A resident gets the house diet. Which is correct?
The person has no dietary limits or restrictions
Persons with difficulty swallowing usually require
dysphagia diet
Which foods are allowed on a clear liquid diet?
Water,tea,and coffee (without cream or milk), carbonated drinks, gelatin, fruit juices without pulp, fat free broth, hard candy, sugar, and popsicles
A person is on a full-liquid diet. Foods on this diet are:
cottage and cream cheese
A person is on a mechanical soft diet. The person can have which of the following?
Pudding and plain cake
A person is on a fiber- and residue-restricted diet. The person can have which of the following?
Cottage and cream cheese
A high-fiber diet is ordered for:
constipation and GI disorders
A person is on a bland diet. Which is correct?
Fried foods are not allowed
A person is on a high-calorie diet. Which is correct?
There are dietary increases in all foods
High-iron diets are ordered:
after blood loss
A person is on a low-cholesterol diet. Which food is allowed?
skim milk
A person is on a high-protein diet. Which foods are high in protein?
Meat, fish, poultry
A person on a sodium-controlled diet can:
eat fruit and vegetables
Diabetes meal planning involves:
consistency in what’s eaten
A person has diabetes. All food served is not eaten. What should you do?
provide a between-meal nourishment
A person’s 24-hour intake was 1500 mL. You know that this amount:
is below normal requirements
To maintain normal fluid balance, an adult needs to ingest:
2000-2500ml
Infants and young children:
need more fluids than adults
Older persons are at risk for dehydration because:
The amount of body water decreases with age
The doctor ordered “encourage fluids” for a patient. Which action is correct?
Offer fluids to person who cannot feed herself
The doctor ordered “restrict fluids” for a patient. Which action is correct?
Record the person’s intake.
A patient is NPO. This means that the person:
Cannot eat or drink anything
A resident has the following items on her meal tray. Which is counted as fluid intake?
soup
Intake and output are totaled:
At the end of shift and 24 hour day
A male resident is on I&O. When urinating, he needs to use:
urinal
A patient’s coffee cup holds 250 mL. The person did not drink all the coffee. You measure that 75 mL of coffee remain. How much did the person drink?
175ml
Which will help prevent the spread of infection when providing drinking water?
Label the mug with the person's name, room, and bed number
When do patients and residents need fresh drinking water?
Each shift and when the water mug is empty
The amount of fluid taken in (intake) and the amount of fluid lost (output) must be equal.
True
Excess fluid losses quickly cause death in an infant or child
True
A person has a nasogastric tube. To prevent the tube from irritating the nose, the tube is secured to the:
side of nose
Your state allows nursing assistants to give tube feedings. The procedure is in your job description. Before giving a tube feeding, you need which information from the nurse and the care plan?
what formula to use
Your state allows nursing assistants to give tube feedings. The procedure is in your job description. Before giving a tube feeding, you must always do which of the following?
trace feeding tube
A person is receiving hyperalimentation through an IV. The alarm sounds on the pump. What should you do?
tell the nurse
A person is receiving hyperalimentation. Which is correct?
you’re never responsible for this
A resident is receiving TPN. The person has an elevated temperature and complains of chills. What should you do?
report to nurse at once
A person has an IV. Which statement is correct?
you’re never responsible for starting/maintaining IV therapy
Which is a peripheral IV site?
basilic vein
When assisting with IV therapy, you can do which of the following?
follow Standard Precautions and Bloodborne Pathogen Standard
To check the IV flow rate, which is correct?
Count the number of drops in 1 minute.
You note bleeding from an IV insertion site. Which action is correct?
tell nurse at once
The alarm is sounding on an IV infusion pump. Which action is correct?
tell nurse at once
The nurse asks you to discontinue a peripheral IV. This task is not in your job description. What should you do?
politely refuse
Tube feeding formula is given cold to prevent microbes from growing in the formula.
False
A feeding pump is used for a continuous tube feeding.
True
You are never responsible for inserting feeding tubes or checking their placement
true
The nurse asks you to check an IV flow rate. You need to tell the nurse at once if no fluid is dripping or if the rate is too fast or too slow.
true
All states and agencies allow nursing assistants to change peripheral IV dressings.
false