NURC 1001 Exam 4 Questions With 100% Correct Answers 2024, Exams of Advanced Education

Download NURC 1001 Exam 4 Questions With 100% Correct Answers 2024 and more Exams Advanced Education in PDF only on Docsity! NURC 1001 Exam 4 Questions With 100% Correct Answers 2024 Temperature: Oral Method - Correct Answer--frequent use -place under tongue -keep mouth and lips closed -electronic/digital paper thermometer -Times: depends on thermometer -WAIT 15-30 MIN IF A PERSON EATS, DRINKS, SMOKES, OR CHEWS GUM BEFORE TAKING AN ORAL TEMP. Temperature: Rectal Method - Correct Answer--Use when other routes are unsafe -position resident properly -cover with sheath and lubricant -insert about 1/2 inch -stay with resident and hod thermometer in place -Time: depends on thermometer Temperature: Axillary Method - Correct Answer--Used when other methods are unsafe or inaccurate pg. 1 professoraxe l -less accurate -place tip (use sheath) in center of underarm -stay with resident -keep arm in place -Time: depends on thermometer Temperature normal range - Correct Answer--Oral: 97.6 F- 99.6 F -Rectal: 98.6 F- 100.6 F -Axillary: 96 F- 98.6 F -Tympanic: 96 F- 99.6 F -Temporal: 97.6 F- 99.6 F OLDER ADULTS HAVE GREATER VARIATION IN THE NORMAL RANGE, WITH AGE TEMPERATURE DECREASES Temperature: Tympanic - Correct Answer--Gently insert tip inside ear canal-follow directions -time:1-2 seconds. Beep occurs digital number stop -Used wth people who are confused and resist care pg. 2 professoraxe l What affects a resident's respiration rate? - Correct Answer-- exercise -fever -lung disease -heart disease Bradycardia - Correct Answer-abnormally slow heartbeat techycardia - Correct Answer-fast heart rate apnea - Correct Answer-absence of breathing Tachyapnea - Correct Answer-excessively short, rapid breaths Pulse locations - Correct Answer--Radial Artery: found in the wrist -Apical Artery: go to center of chest below sternum to the left to locate and listen with stethoscope -Carotid: Both sides of neck -Brachial: inner arm opposite side of elbow pg. 5 professoraxe l systolic vs diastolic - Correct Answer-Systolic: The force when the heart is contracted (working) Diastolic: The force when the heart is relaxed (resting) Proper technique in taking Blood pressure - Correct Answer-- when to measure -size of cuff pediatric, regular, extra large -site selection -avoid arm with IV, cast, dialysis access site -avoid surgical site or injured arm -position: sitting, lying down How is blood pressure affected in the elderly? - Correct Answer-Blood pressure increases with age because the heart has to work harder and the artery walls are thinning and lose elasticity. Normal blood pressure in an adult - Correct Answer-120/80 systolic < 120 pg. 6 professoraxe l diastolic < 80 Hypertension - Correct Answer-BP measurments that remain above systolic of 140 MMHG or a diastolic pressure of 90 MMHG Hypotension - Correct Answer-BP measurements that remain below systolic of 90 MMHG or a diastolic pressurje of 60 MMHG Changes with the Cardiovascular System - Correct Answer-- heart pumps less efficiently -heart cannot accomodate to meet increased need -Arteries less elastic -BP may increase Nurse Aide care for residents with cardiovascular conditions - Correct Answer--pace activity -follow dietary restictions -change positions slowly -report dizziness -remove and re-apply anti-embolism stockings pg. 7 professoraxe l urinary tract infection (UTI) - Correct Answer-infection of one or more organs of the urinary tract -frequency -burning -urgency -discoloration of urine -strong odor -incontinence -fever -confusion Prevention of UTIs - Correct Answer--provide adequate hydration -wash and dry perineal area front to back -clean stool immediatley -toilet frequently -keep catheters clean -keep catheter bag and tubing below bladder and off the floor -maintain closed urinary draining system -DO NOT oprn drainage system pg. 10 professoraxe l How to care for an incontinet resident - Correct Answer-- Check at least every 2 hours -change clothing and linens if needed -wash and dry affected skin -use adult disposable protective under garments -use protective pads on resident bed -treat resident with respect hematuria - Correct Answer-presence of blood in the urine dysuria - Correct Answer-painful or difficult urination Care for resident with indwelling catheter - Correct Answer-- Provide with perineal care per facility policy -skill tips: -hold catheter near urinary meatus -cleanse catheter washing away from the body and down catheter about 3-4 inches -do not pull on catheter pg. 11 professoraxe l anuria - Correct Answer-absence of urine oliguria - Correct Answer-Decreased urine output Normal elimination - Correct Answer--brown in color -formed -frequency may vary -color may be affected by medication, diet what foods would stimulate bowel elimination? - Correct Answer-high fiber fecal impaction - Correct Answer-hard stool caught in the lower bowel wich prevent normal passage of feces facts about colostomies - Correct Answer--surgically created opening -provides exit for waste products when normal elimination is not possible -location varies -requires good skin care around stoma pg. 12 professoraxe l Common misconceptions about an older adult - Correct Answer--aging is synoymous with disease and frailty -older adults are able to elarn new skills -older adults are rigid and resist change eventually become cognitively impaired -unproductive and no longr contribute to society -are sexless -depression is normal -aging is genetically determined -most experience incontinence -old age starts at 65 -most elderly live in LTCFs -all are hard of hearing -hard to get along with -all are lonely Developmental stages elderly may face - Correct Answer-- adjusting to decrased strength and loss of health -adjusting to retirement and reduced income -coping wiht partner's death -developing new friends and relationships pg. 15 professoraxe l - finding meaning of life -sensory loss -changes in sleep patterns -slower sexual responses -prone to certain chronic conditions -postural changes gray hair and dry skin pg. 16 professoraxe l