Final Exam

What is acute?

A sudden illness or pain from which a person can recover from

What is chronic?

An ongoing illness or pain that has no known care or continues for a long time

What is OBRA?

The Omnibus Budget Reconcilation Act of 1987 a federal law

What is communication?

The exchange of information

What is abuse?

The willful infliction of injury

What do you do if you see abuse?

Tell the nurse

What do you do if someone wants to see their chart?

Ask the RN

What is the 24 hour clock?

Military time or international time

What does ADL stand for?

Activities of daily living

What does ROM stand for?

Range of motion

What is a Nursing Care Plan?

A written guide about the persons nursing care

What is Objective?

Signs

What is Subjective?

Symptoms

What is the purpose of a care plan?

It provides direction for individualized care

Who is Abraham Maslow?

He is a psychologist who was best known for creating Maslow’s hierarchy of needs

What is the Integumentary system

The skin, the largest system

How many bones are in our body?

206

Ball and socket means?

Hips and shoulders

Hemiplegia means?

Paralysis on 1 side of the body

Paraplegia means?

Paralysis in the legs and lower trunk

Quadriplegia means?

Paralysis in the arms, legs and trunk (4)

What is the universal sign for chocking?

Hands clutched on the throat

What do you do for a person that is choking?

Ask if they are chocking and then ask them if they give you permission to help them and then start giving some abdominal thrust

How do you use a fire extinguisher?

Use the PASS method

What dose PASS stand for?

Pull, Aim the nozzle, Squeeze, Sweep

What do people need on their feet before getting them out of bed?

Non-Skid footwear

How do you put a gait belt on?

at the waist over clothing

What do you do when a person has fallen?

• Do not move them

• Stay Calm, encourage to take breaths, examine the patient and tell the nurse right away

What is a Pathogen?

A microbe that is harmful and can cause an infection

What is a Microorganism? 221

A small living thing seen only with a microscope; microbe

Where is a local infection? 223

in a body part, or one general area

When washing your hands where do you start drying your hands?

Fingertips to wrist

How do you put ON PPE? 247

• Gown

• Mask

• Eye Protection

• Gloves

How do you take OFF PPE?

• Gloves

• Eye Protection

• Gown

• Mask

Where do you take off PPE?

In the room

You have a wet mask on in the room, what do you do?

Throw it away and put on a new one

What part of the gown is contaminated?

The gown front and sleeves

Before ever going to your face, you need to clean, sanitize, or decontaminate your hands

Hand hygiene

What is body mechanics? 225

Using the body in an efficient and careful way

What is fowlers position?

The head of bed is raised between 45 and 60 degrees

What is a wide base of support for?

balance

How often does repositioning need to be done?

Every 2 hours

What is a Log Rolling?

Turing the person as a unit, in alignment with 1 motion

What is friction?

The rubbing of 1 surface against another

What is shearing?

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

How do you move someone to the closet side of the bed? 276

Shoulder, Waist, Hip, Feet

What is POW?

Put on weak side first

What is TOSS?

Take off strong side

If someone has a weak side, what side moves first?

The strong side

How many people are needed to use a sit to stand?

1-2

How many people are needed to use a mechanical lift?

2 or more

When are linens changed? 325

If wet, damp, solid or very wrinkle

What is Medical Asepsis? 221

Practices used to reduce the number of microbes and prevent their spread

What are you supposed to use when making a bed?

Proper body mechanics

What is PM care? 351

Evening care

What is Peri Care?

Cleaning the genital and anal area

What do you do before using a sponge on a stick?

Make sure it is tight on the stick so the patient doesn’t swallow it

How do you clean the mouth of an unconcious person?

Head is turned all the way to the side, with a padded tounge blade to keep mouth open and always explain to the patient what you are doing

A person has just been bathed and is now incontinent of urine. What do you do?

Wear clean gloves, do peri care and change their brief

How long does a tub bath last?

20 minutes

When is is peri care given? 366

done daily during a bath, when area is soiled with urine or feces (stool)

How do you shampoo a person hair in bed?

The person head and shoulders are at edge of bed, the tray you use goes under head

How do you shave face and underarms?

Follow the way the hair are growing in and use any shaving cream or anything the person uses

What do you do before you shave a male? 383

soften facial hair before shaving

What is a catheter used for? 420

to drain or inject fluid through a body opening

What is Dysuria? 403

Painful or difficult urination

What is Hematuria? 403

Blood in urine

What is urinary incontinence?

The involuntary loss of leakage of urine

What is oliguria?

Scant amount of urine

What is the purpose of the urinary system?

To remove waste products from the blood

How much urine should healthy adults produce?

1500 ml or 3 pints of urine in 24 hours

What does normal urine look like?

Pale yellow, straw colored or amber, it is clear with no particles or faint odor is normal

What do you do after someone used the bedside commode?

Help with hand hygiene

Where is a drainage bag kept?

Below the level of the bladder

How often do you do peri care on a person with a catheter? 424

daily, twice a day , after BM or vaginal discharge

How often do you apply a condom catheter?

Hold penis firmly, roll condom, leave one inch between penis and end of catheter secure condom make sure the tip does not touch the condom.

What is the goal of bladder training? 417

control of urination

What is Aspiration?

Breathing fluid, food, vomitus, or an object into the lungs

What is Dysphagia?

Difficult swallowing

What is a urine graduate? 429

measure and recording urine

What can a person have on a house or general diet?

No dietary limits or restrictions

What is a full liquid diet? 465

foods liquids at room temperature

What does a diabetic need in their diet? 466

same amount of carbohydrates, proteins, and fats each day

What us bradycardia? 503

A slow heart rate, less than 60 bpm

What is pulse deficit? 503

the difference between the apical and radial pulse rate

What is respiration? 503

breathing air into (inhalation) and out of (exhalation) the lungs

What is body temperature the lowest?

In the morning

When can a person not have an oral temp taken? 505

is unconscious

What is rotation?

Turning the joint

Where is a hip abduction wedge placed?

Between the thighs

What does PROM? 534

Excercises that you move the joints through their range of motion

What is AROM?

Exercises that are done by the person

What is AAROM?

Exercises that the person does the exercises with some help

What do you do to a scale before weighing someone?

Zero the scale out

What do you ask a person to do before you put the on a scale?

Void

What is the 1st step to collect a midstream? 583

preform peri care

What is the 1st step in collecting a 24 hour urine? 584

Urinate (empty the bladder) for the first time and flush it down the toilet.

True or False, Can urine and stool can be collected together?

False

How often do you check on a compress? 650

Every 5 minutes

What is a disability?

Any loss, absent or impaired physical or mental function