Hartman's Chapter 7: Basic Nursing Skills

_________ is often the first time a nursing assistant meets a new resident

Admission

The NA should try to make sure the resident has a good __________ of her and her facility

Impression

The NA should prepare the ____ before the resident arrives

Room

The NA should ask _________ to find out a residents personal preferences and ________

Questions Routines

The NA should _________ herself to the resident and stay her position

Introduce

The NA should always call a resident by her ____ name until she tells the NA what she prefers to be called

Formal/last name

The NA should try to make sure the new resident feels welcome and wanted. The NA should not ____ the process or the new resident

Rush

The NA can help the resident by explaining daily life in the facility and offering to take the resident on a ____

Tour

New residents must be given a copy of their legal ______

Rights

It is important for the NA to _______ the new resident in case something important was missed

Observe

A resident has a legal right to have his _______ items that he has brought with him treated carefully

Personal

A transfer to a new facility or hospital is normally easy for residents to handle.

False

Residents should be informed of transfers as early as possible.

True

The resident will usually pack her own belongings for a transfer.

False

The nursing assistant should introduce the resident to everyone in a new area.

True

One way that a nursing assistant can involve the resident with the packing process is to show the resident her empty closet.

True

The NA will write the order when it is time for a resident to be discharged.

False

OBRA requires that residents have the right to receive advance notice before they are discharged.

True

What can changed in vital signs indicate?

They can indicate that a resident's condition is worsening.

Which changed should be immediately reported to the nurse?

-Fever

-Pulse is too rapid or too slow

-Blood pressure changes

-Pain is worse or not relieved by pain management

Which of the following is the normal temperature range for the oral method?

97.6 - 99.6 degrees (F)

Which of the following thermometers is used to take a temperature in the ear?

Tympanic thermometer

Which of the temperature sites is another word for the armpit area?

Axilla

Which temperature site is considered to be the most accurate?

Rectum (rectal)

A rectal thermometer is usually color-coded __________?

Red

Which pulse is most often used for measuring pulse rate?

Radial pulse

For adults, the normal pulse rate is?

60-100 beats per minute

Breathing air into the lungs is also called?

Inspiration

Exhaling air out of the lungs is also called?

Expiration

The normal respiration rate for adults ranges from?

12 to 20 breaths per minute

Why is it important for NA's to observe respirations without letting resident know what the are doing?

People may breathe more quickly if they know they are being observed.

Which of the following is considered a high blood pressure reading?

145/85

Which of the following is a blood pressure cuff used to measure blood pressure?

Sphygmomanometer

The second measurement of blood pressure reflects the phase when the heart relaxes. It is called the ______ phase.

Diastolic

Blood pressure measurements are recorded as ______ ?

Fractions

In the _____ phase of blood pressure, the heart is at work, contracting and pushing blood from the left ventricle of the heart.

Systolic

A pulse oximeter measures?

Blood oxygen level and pulse rate

If a resident complains of pain, what questions should the NA ask to get the most accurate information?

Where is the pain?

When did the pain start?

How long does it last, and how often does it occur?

How severe is the pain? Pain measurement scale 1-10.

Can you describe the pain?

What makes it better, what makes it worse?

What were you doing before the pain started?

List five things that an NA can do to help reduce a residents pain

-report complaints of pain or unrelieved pain

-position body in proper alignment

-give back rubs

-ask if resident would like a warm shower

-help resident to the bathroom or commode or offer the bedpan or urinal

Why must an NA report any weight a resident loses?

weight changes can indicate illness

How many inches are in one foot?

12

The purpose of restraint is

to restrict voluntary movement or behavior

An example of a physical restraint is

raised side rails on a bed

A chemical restraint is

medication used to control behavior

What is one reason the use of restraints has been restricted?

they were sometimes abused by caregivers

A restraint can be used

when a doctor has ordered its use

Restraint-feee care means that

restraints are never used for any reason

Restraint alternative are

any interventions used in place of a restraint

-release restraint

-reassure resident

-offer help with toileting

-check for incontinence

-offer fluids and food

-check skin for irritation

-report discolored skin to nurse

-check for swelling and report it

-reposition the resident

-ambulate resident if he is unable

True

The fluid a person consumes is called intake or input

True

All of the body's fluid output is in the form of urine

False

Fluid balance is taking in and eliminating the same amounts of fluid

True

True

Clean-catch specimen

Excludes first and last urine from sample

Hat

Collection container put into toilet to collect samples

Routine urine specimen

Urine sample collected any time resident voids

Specimen

A sample that is used for analysis in order to try to make a diagnosis

Sputum specimen

Early morning is the best time to collect this specimen

Stool specimen

Urine and toilet paper should not be included with this specimen

Catheter

Thin tube inserted into the body that is used to drain or inject flyids

Condom catheter

Urinary catheter that had an attachment that fits into the penis

Indwelling catheter

Urinary catheter that stays inside the bladder for a period of time

Straight catheter

Urinary catheter that is removed immediately after urine is drained

Urinary catheter

Thin tube to drain urine from the bladder

Oxygen is prescribed by a doctor

True

False

False

False

True

True

False

IV lines allow direct access to

the bloodstream

What is the NA's responsibility for IV care?

documenting and reporting observations

If the fluid in an IV bag is nearly gone, the NA should

notify the nurse

True

False

False

False

True

False

False

True

False

False

If an NA is asked to use a piece of equipment he doesn't not know how to use, he should

ask for help

Call lights should be placed

within the resident's reach

List five things that can disrupt a residents sleep

-sleeping too much during the day

-eating and drinking caffeine

-wearing night clothes during the day

-eating heavy meals during the day

-taking new medications

List three problems that can be caused by lack of sleep

Decreased mental function. Reduced reaction time. Irritability

to prevent infection and to promote comfort

to prevent contamination of clothing

roll it so that the soiled area is inside

the nurse will change the bed

at the point of origin

A bed made with the bedspread and blankets in place is called a(n)

closed bed

Sterile dressings cover ____ or _____ wounds

open

drain

A _____ changes sterile dressings

nurse

Non-sterile dressings are applied to dry, ______ wounds that have less chance of _________

closed

infection

Nursing assistants may ______ non-sterile dressings

change

Elastic bandages are also known as

ACE bandages