Nurc 1001 Exam 4 With 100% Correct And Verified Answers, Exams of Advanced Education

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Nurc 1001 Exam 4 With 100% Correct

And Verified Answers

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 -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 Temperature: Temporal Artery - Correct Answer--Measured at the temporal artery (forehead) -Gently stroked across forehead and temporal artery-choose side of head exposed -Time: 3-5 seconds -Used wth people who are confused and resist care

What must you watch out for when taking rectal temperature? - Correct Answer-If the thermometer has a crack or break. Broken thermometers can injure the rectum and colon What Factors affect temperature? - Correct Answer--Eating warm food/fluids -time of day -infection -external tempertaure -exercise How do you obtain a pulse? - Correct Answer-Use 2-3 fingers to press gently over an artery; don't use thumb meausurement of number of times the heart beats/minute How do you obtain a Respiration? - Correct Answer--The inspirtation and expiration of air -Observe resident's chest -count for one full minute -Best to have resident unaware of respirations being taken What affects a resident's pulse rate? - Correct Answer--elevated body temperature -exercise -fear -anger -anxiety -excitement -heat -position -pain -medication 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 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/ systolic < 120 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 Changes with the respiratory system - Correct Answer--Decreased Lung Capacity

• Impaired ability to cough -shortness of breath on exertion -less airway size Nurse Aide care for residents with Respiratory conditions - Correct Answer--Position resident comfortably -keep personal items within reach -follow dietary restrictions -pace activities -follow safety measures with O -report any changes to the nurse Stroke - Correct Answer-Happens when:
• a blood vessel in the brai bursts and bleeds into the brain (cerebral hemorrhage)
• a blood clot blocks blood vessel in the brain. Blow flow stops -Brain cells do not get enough oxygen. Brain damage occurs Obtaining an accurate weight/height on a resident - Correct Answer--Weigh resident at same time of day -use the same scale each time -check to see that the scale balances before weighing the resident -re-weigh if there is a discprepancy -record weight accurately Why is weight and height important? - Correct Answer-Weight - checks nutritional status and caloric needs, helps determine if resident's caloric intake is adequate for nutritional needs Height - Measured on admission for a baseline measurement Urinary incontinence (UI) - Correct Answer-inability to control urination What is the appearance of normal urine? - Correct Answer-straw or yellow color, clear 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 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 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 -stool consistency depends on stomach site -wears pouch to collect stool caring for a resident with a colostomy - Correct Answer--note amount -observe consistency of stool (firm, formed, hard, liquid) -observe color -observe frequency of bowel movements Report: -any changes in patterns of elimination -if resident deveblops sudden diarrhea after constipation Age related GI changes - Correct Answer--feces passes through at a slower rate -constipation is a risk -some lose bowel control -Older persons are at risk for GI tumors and disorders NA responsibilites during admission - Correct Answer--prepare room for resident's needs -greet resident and family -show the resident the room,bathroom, closets, storage space -demonstrate how to us the call light, bed, and lights -introduce to roommate and other staff -observe how well the resident can move and perform activities -show resident around the facility -check resident frequently -document observations NA responsibilies during discharge - Correct Answer--allow the resident time to talk about anxieties/feelings -help resident gather clothing and other belongings -transport according to facility policy NA responsibilities during transfer - Correct Answer--moving resident from one room to another -offer support and reassurance -assist with packing and moving resident's belongings -may transport to next location 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

• 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