Exam #2 Modules A, B, and C

What is a contracture?

Decreased motion and stiffness of a joint caused by shortening of a muscle

What is atrophy?

The decrease in size or wasting away of tissue

What is Flexion?

Bending a body part

3 Types of ROM

PROM, AROM,AAROM

PROM (Passive ROM)

You move the joints through their range of motion

AAROM (Active Assistive ROM)

The person does the exercises with some help

AROM (Active ROM)

Are done by person

Where do you stand when ambulating a person?

The nurse assistant walks at the persons side and slightly behind her.

What is phantom limb pain?

Pain that seems to come from a body part that is no longer there

How do you introduce yourself a new resident/patient?

Introduce yourself by name and briefly explain your title.

How do you balance a scale (stand up scale) ?

Balance the 2 bars with measurements. The lower and upper bar values are added for the weight. Push the numbers to zero. Use a dime to balance.

Before you weigh a person what do you need to ask them to do?

Have the person void before being weighed. A full bladder adds weight.

A resident is going to be discharged. You can do all of the following except?

A person may want to leave the agency without the doctors permission. Tell the nurse at once. The nurse of social worker handles that matter.

How long does a tub bath last?

No longer then 20 minutes.

What is the absolute water temperature for a tub bath?

Temperature is 105 F/40.5 C

Peri-care temperature is between?

105 F to 109 F (40.5 C to 42.7 C)

Peri-care is given (perineal care) is given WHEN?

Perineal care is done daily during bath. It is also done when the area is soiled with urine or feces.

What is an anticoagulant? What razor must be used for an anticoagulant?

It a drug that prevents or slows down blood clotting. A electric razor is used.

Shaving is done when? The skin must be soft from moistening the skin with warm water.

Facial shaving is a routine nursing task.

How are your fingernails cut according to IDPH? (Process)

What water temperature to use, soak fingernails for usually 5 to 10 minutes, and soak feet (usually 15 to 20 minutes), fingernails must be filed not trimmed, push the cuticle back with an orangewood stick.

How are your fingernails cut according to IDPH?

Fingernails are clipped straight across

What is Abduction?

Moving a body part away from the midline of the body

What is Adduction?

Moving a body part toward the mid-line of the body

What is plantar flexion?

Bending the foot down at the ankle

How do you give mouth care to an unconscious person?

The head is turned well the the side to prevent aspiration. A plastic tongue depressor keeps the mouth open with cleaning the mouth with swabs.

How do you clean dentures?

Hold them firmly over sink filled half-way with water. Line the sink with a towel. Use a denture brush or tooth to clean teeth and inside of the mouth. Put cleaning agent into clean water and place denture in cup to soak. Top drawer bedside stand. Pat dry dentures.

What temperature is the water when cleaning dentures?

Cool or warm water

How do you store dentures that are not being worn?

Insert cleaning solution into warm water in cup or store in denture cup.

Complete Bed Bath water is what temperature?

110 F to 115 F (43.3 C to 46.1 C)

What do you use when giving a complete bed bath?

Mitted Washcloth

Where do you start 1st with the bed bath process on the person?

Make a mitten and wipe eyes fist.

How do you dry the person you are bathing?

Paper towels wipe down the area, then use another paper towel is wipe another area

What if the person wants a perineal bath, not a complete bath?

The face, hands, underarms, back, buttocks, and perineal are washed

What is prosthesis?

A artificial replacement for a missing body part

How is a gait belt/transfer belt to be applied to the person?

The belt is inserted into the buckle over clothing. The belt goes into the buckle. The belt goes into the side with teeth first. The belt is inserted into the buckles smooth side. The buckle is off center in the front. Excess strap is tucked into belt.

What is the purpose of the heat/hot application?

Promote healing and comfort and reduce tissue swelling

What happens to blood vessels when heat is applied to them?

Blood vessels dilate (blood vessels expand), when heat is applied for too long blood vessels constrict (narrow)

What happens to vessels when cold is applied to them?

Reduce pain, prevent swelling, decrease circulation and bleeding, cool the body when fever is present

How long are hot applications applied for?

99 F to 106 F (37 C to 40 C)

How long are cold applications applied for?

50 F to 64 F (10 C to 18 C)

What are the complications of using cold\\hot applications?

It can cause burns, pain, excess redness, and blisters

What area is involved with a Sitz bath?

Perineal and rectal areas

What kind of fluid do you put in an Aquathermia pad?

Distilled water

How often is the skin checked after applying a hot/cold application?

Observe the skin every 5 minutes. Total of 20 minutes.

How do you remove dirty linens? 4.

Place linens on a clean surface. First place the barrier between the clean surface and clean linens if required by agency policy.

How do you remove dirty linens? 5.

Raise the bed for body mechanics. Bed rails are down.

How do you remove dirty linens? 6.

Put gloves on

How do you remove dirty linens? 7.

Remove linens. Roll each piece away from you. Place each piece in laundry bag.

Dirty linens must never go where?

Never put linens on clean clothes or floor

When dirty linens changed?

When they are soiled, wet, and wrinkled

When a person is receiving oxygen therapy their persons mouth will become … ?

Dry

Due to persons mouth being dry how often is mouth care given?

2 hours

You must check that the sponge on the stick is…?

Tight

What all is used when giving mouth to mouth?

Always tell the person even when unconscious what you are doing

What is the proper way to use alcohol base hand rub?

Rub together and cup fingers, do circular motions. Rub until dry.

What is friction?

Rubbing one surface against another

What is shearing?

When the skin sticks to a surface while muscles slide in the direction the body is moving

How many workers are needed to use a mechanical lift?

2 staff members

Linens are held?

Away from your body and uniform

Clean linens are placed?

Clean surface

What happens with the extra linen you brought into a room?

Extra linens are considered contaminated. Put them with used laundry.

Fowlers Position

A semi-sitting position. The head of the bed is raised between 45 and 60 degrees.

Supine (dorsal recumbent position)

Back-lying position. Head and shoulders are supported by pillow. Arms and head are at sides.

Prone Position

The person lies on the abdomen with the head turned to 1 side. Small pillows are under the head, stomach, and lower legs. Arms are flexed at the elbows

Lateral position (side lying position)

The person lies on one side or the other. Upper leg is in front of lower leg. The ankle, upper leg, and thigh is supported with pillows. Back is at 45 degree angle.

SIMs position (semi-prone position)

Left side-lying position. The upper leg (right leg) is sharply flexed so it is not on the lower leg (left leg). The lower arm (left arm) is behind the person.