Basic Nursing Skills 1

The purpose for padding side rails on the client's bed is to

protect the client from injury

When taking an oral temperature, it is important to

place the thermometer under the tongue.

The most comfortable position for a resident with a respiratory problem is

Fowler's

-When a client is having difficulty breathing, Fowler's position can provide relief. When sitting in Fowler's position, the client is upright at 90 degrees, allowing the chest to expand as much as possible. Prone (on the abdomen), supine (on the back), and lateral (on the side) are all flat positions, which can make respiratory distress worse.

What is the FIRST thing a nurse aide should do when finding an unresponsive client?

Call for help

Clean bed linen placed in a client's room but NOT used should be

put in the dirty linen container

While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD

call for assistance and perform the Heimlich maneuver (abdominal thrusts).

When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's

wrist.

Which of the following is NOT considered to be a way to restrain a client?

Pain management

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

on the client's weak side

If the nurse aide discovers fire in a client's room, the FIRST thing to do is

remove the client

To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's

upper thigh

When operating a manual bed, the nurse aide should remember to

fold cranks under bed.

-When working a manual bed, be sure to first lock the bed by pressing down the levers on the wheels at the head and foot of the bed. At the end of the bed there are three cranks which control the bed height, as well as raising and lowering the head and feet. Cranks are turned clockwise (left to right) to raise each section, and counter-clockwise to lower them. After positioning the client, always fold the cranks under the bed to prevent others from tripping or falling.

To be sure that a client's weight is measured accurately, the client should be weighed

at the same time of day

-Obtaining the client's weight is an important part of assessment. Weight should be done at the same time every day; morning is the best time. Ideally, to get the most accurate, or dry, weight, use the same scale and weigh the client after the first void and before breakfast.

Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects?

Speech therapist

How many tips does a quad-cane base have?

4

What is the term for a device used to take the place of a missing body part?

Prosthesis

A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should

ask another nurse aide to help

The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST?

Unplug the shaver

While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD

report the broken side rail immediately.

NPO means

Nothing by mouth

-NPO is a common medical term that means the client can not eat or drink anything, including water or ice chips. A doctor orders a patient to be NPO for situations such as before surgery or certain lab work. If a client is ill or has a gastrointestinal condition, the doctor may write an order to be NPO until the cause is known. The nurse aide can provide mouth care for a client who is NPO. Placing a "NPO" sign over the client's bed will remind all staff members not to give the client anything to eat or drink.

What type of fire can be put out with water?

Paper

To lift an object using good body mechanics, the nurse aide SHOULD

bend knees and keep back straight.

For safety, when leaving a client alone in a room, the nurse aide SHOULD

place signaling device within client's reach.

The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client's feet?

Rubber-soled slippers or shoes

A client is to be assisted out of bed to sit in a wheelchair. Which action would make this procedure safe?

place the bed in the low position

The Heimlich maneuver (abdominal thrusts) is used for a client who has

a blocked airway

Which of the following is a correct measurement of urinary output?

300 cc

To convert four ounces of juice to milliliters (ml), the nurse aide should multiply

4 x 30 ml

Insulin, a hormone, regulates

The amount of sugar in the blood

When transferring a client, MOST of the client's weight should be supported by the nurse aide's

legs

The equipment you need to gather to do unconscious oral care would include

toothette/mouth swab

The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD

comfort the client while moving to a safe place.

Which of the following best helps reduce pressure on the bony prominences?

Flotation mattress

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD

clean up the spill.

The nursing care plan states, "Transfer with mechanical lift." however, the client is very agitated. To transfer the client, the nurse aide SHOULD

get assistance to move the client.

-Client safety is always the top priority. When a patient is not able to cooperate for any reason, do not try to accomplish a task alone. It is important to follow the nursing care plan, including all steps of operating any equipment being used to move or transfer the client. Ask a co-worker to help if you have any concerns about keeping the client safe. If the client remains agitated, notify the nurse before proceeding.

When caring for a client who uses a protective device (restraint), the nurse aide SHOULD

check the client's body alignment.

-When a physician orders a restraint for a client, staff must strictly follow the protocols to maintain the client's safety. The nurse aide should become familiar with the policies regarding restraints. The policy will state the defined times to monitor the client, directions for reporting on the client's status, as well as directions for documenting all observations.

A client is paralyzed on the right side. The nurse aide should place the signaling device

on the left side of the bed near the client's hand.

Physical restraints are used MOST often

to prevent client injury.

The nurse aide is responsible for all of the following fire prevention measures EXCEPT

taking cigarettes and matches away from all clients and visitors.

The nurse aide notices that the client's radio cord is draped across a chair in order to reach the nearest outlet. The FIRST thing the nurse aide should do is

see if any changes can be made so that the radio can be plugged in safely.