NURC 1001- Exam #4 Study Guide (CSCC) Questions with 100% Correct Answers, Exams of Nursing

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NURC 1001- Exam #4 Study Guide (CSCC) Questions with

100% Correct Answers

What color is normal for urine? - Correct Answer Straw yellow or clear What colors indicates abnormal urine? - Correct Answer Red, Dark, cloudy What two factors can affect the shades of urine? - Correct Answer 1. Medication

2. Diet What are four symptoms of UTI's? - Correct Answer 1. Odd Frequency
3. Fever
4. Confusion
5. Discoloration of urine (Hematuria) What are three ways a Nursing Assistant can help a resident who has a UTI? - Correct Answer 1. Clean Stool immediately
6. Keep Catheter bag from off the floor
7. Do not open the catheter system What are two causes of incontinence? - Correct Answer 1. Diseases processes (Diabetes, Enlarged Prostate, Dementia, etc.)
8. Nerve interference (Stroke victims, Spinal Cord Injuries, etc) How do Nursing Assistant's help prevent incontinence (3 Examples)? - Correct Answer
9. Be alert to cues
10. Establish a schedule
11. Check every 2 hours What is a catheter? - Correct Answer Hollow tube having small balloon at end. Balloon is inflated after catheter is inserted into bladder Where are two ways a catheter can be stored? - Correct Answer 1. Residents leg
12. Hangs from bed What are three ways Nursing Assistants' can maintain continuous drainage of a catheter? - Correct Answer 1. Observe every few hours
13. Tubing is kink free
14. Make sure resident is not lying on tubing How do we cleanse a catheter? - Correct Answer Cleanse away from body and 3- inches of cathter tubing

True or False: Location of intestinal track can determine consistency of stool,. - Correct Answer True What is the function of a bowel? - Correct Answer To remove solid waste from body True or False: Standard time for signs of impaction is 3 days. - Correct Answer True What are three signs stool is abnormal? - Correct Answer 1. Tarry

2. Liquid
3. Containing blood What are three signs of consitipation? - Correct Answer 1. Abdominal tension
4. Discomfort
5. No recent movements What is fecal impaction? - Correct Answer Hard stool in the lower bowel which prevents normal passage What are three causes of fecal impaction? - Correct Answer 1. Inadequate activity
6. Constant need to but cannot
7. No normal stool What are three ways Nursing Assistants can help prevent fecal impaction? - Correct Answer 1. Observe Bowel movements
8. Answer cues
9. Report any sudden changes What is a colostomy bag? - Correct Answer Surgically created opening between colon and abdominal wall True or False: Site of stoma determines bowel movement consistency. - Correct Answer True Who establishes a cleaning schedule for a colostomy bag elimintation? - Correct Answer Nurse and is written into nursing care plan What are three steps in bowel training? - Correct Answer 1. High Fiber Diet
10. Exercise
11. Hydration (2000 mL daily) What are three steps in bladder training? - Correct Answer 1. Schedule voiding
12. Hydration
13. Encouragement What are three measurements recorded for vital signs? - Correct Answer 1. Heart Rate
14. Body temperature

3. Respiration rate What are three reasons we record vital signs? - Correct Answer 1. Can signal life threatening event
4. Reflect response to treatment
5. Detect changes What is the normal body range for a oral temperature? - Correct Answer 97.6 to 99.6 F What is the normal body range for a Axillary temperature? - Correct Answer 96 to 98. F What is the normal body range for a Temporal temperature? - Correct Answer 97. 6 to

True or False: A person's normal temperature decreases with age. - Correct Answer True When is temperature the lowest? - Correct Answer in the morning What color indicates a rectal thermometer? - Correct Answer red What color indicates a oral thermometer? - Correct Answer blue How long do we wait to take an oral tempature after someone who eats/drinks? - Correct Answer 15-30 mins Which form of temperature taking is the least accurate? - Correct Answer Axillary How long does a tympanic temperatuer take? - Correct Answer 1-2 seconds How long does a temporal artery temperature take? - Correct Answer 3-5 Seconds What is the pulse? - Correct Answer measurement of heart rate per minute What is bradycardia? - Correct Answer abnormally slow heart rate (less than 60 bpm) What is tachycardia? - Correct Answer abnormally fast heart rate, over 100 bpm What is the location we use to take a HR through a stethoscope? - Correct Answer Apical pulse What are the three pulse sites? - Correct Answer 1. Carotid (Used in CPR)

2. Radial
3. Brachial

What is the normal range for respiration rate? - Correct Answer 12-20 breaths per minute True or False: Best method for respiration rate is to make resident unaware. - Correct Answer True What does is mean when there is labored respirations? - Correct Answer Difficulty breathing What does is mean when there is noisy respirations? - Correct Answer Obstruction or wheezing What does is mean when there is shallow respirations? - Correct Answer Small amount of air exchange What is apnea? - Correct Answer absence of breathing What are Cheyne-Stokes? - Correct Answer Breathing marked by apnea and gradually increasing depth and frequency What is dyspnea? - Correct Answer difficulty breathing What is blood pressure? - Correct Answer force of blood against arterial walls What is systolic pressure? - Correct Answer the maximum pressure achieved during ventricular contraction What is diastolic pressure? - Correct Answer pressure in the arteries during cardiac relaxation What is normal blood pressure? - Correct Answer 120/ What is the first heart sound? - Correct Answer systolic pressure What is the last heart sound? - Correct Answer diastolic pressure True or False: Most women have lower blood pressures. - Correct Answer True What are three factors that can affect the BP? - Correct Answer 1. Age

2. Race
3. Diet What is hypertension? - Correct Answer high blood pressure 140/90 or higher What is hypotension? - Correct Answer low blood pressure (less than 90/60)

What is orthostatic hypotension? - Correct Answer A drop in blood pressure due to a sudden change of posture. Why does our blood pressure change when we are older? - Correct Answer Arteries are less elastic, more narrow, and heart pumps less efficiently What is COPD? - Correct Answer Chronic Obstructive Pulmonary Disease. Irreversible decrease in the ability to force air out of the lungs. What can be affected by hypertension? - Correct Answer Can lead to stroke or heart attack What does FAST mean? - Correct Answer F- face A- arm S- speech T- time If someone has a stroke on the left side of their brain, what body side could be affected?

• Correct Answer Right side What is coronary heart disease? - Correct Answer Coronary artery narrows, can lead to heart attack What are three ways Nursing Assistants can help a resident going through vital changes? - Correct Answer 1. Position them comfortably

2. Pace activities
3. Report any changes to Nurse What are three things that can indicate COPD in the future? - Correct Answer 1. Asthma
4. Emphysema
5. Chronic Bronchitis