chapter 6 and 7

When skin is this color, it should not be massaged

red

One type of material that prevents air from circulating, causing the skin to sweat

plastic

A problem that can result from pulling a resident across the sheet when transferring him

shearing

Keeps Too sheets from resting on the legs and feet

bedcradle

Something that can be solved under the back and buttocks to absorb moisture or perspiration that may build up

sheepskin

The bottom sheet on a residents bed must be kept tight and free from

wrinkles

The minimum number of hours at which immobile residents should be repositioned

two

Skin should be kept clean and ___

dry

Bed cradle

Keeps bed covers from resting in the legs and feet

Bony prominences

areas of the body where the bone lies close to the skin

Draw sheet

Used to help residents who cannot help with turning or moving in bed; helps prevent skin damage from shearing

Footboard

Placed against the feet to keep them properly aligned and to prevent foot drop

Handrolls

Keeps fingers from curling tightly

Orthotic device

Helps support and align a limb and improve its functioning

Pressure points

areas of the body that bear much of its weight

Trochanter rolls

Keeps hips from turning outward

List one benefit of grooming

brushing hair

_________ 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

last

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

False

True

False

True

True

False

True

What can changed in vital signs indicate?

they can indicate a residents condition worsening

Which changed should be immediately reported to the nurse?

-fever

-a pulse that is too rapid or too slow

-blood pressure changes

residents pain is worse or not relieved by pain management

98.6-100.6 degrees F

Tympanic thermometer

axilla

rectum (rectal)

red

radial pulse

60-100 beats per minute

inspiration

expiration

12 to 20 breaths per minute

people may breathe more quickly if they know they are being observed

145/85

sphygmomanometer

diastolic

fractions

systolic

blood pressure 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 it start

-how severe is it

-can you describe it

-what were you doing before the pains tarted

-how long does it last, and how often does it occur

-what makes it better, what makes it worse

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