nursing107 study guide with complete answers ( solutions by expert), Exams of Nursing

Download nursing107 study guide with complete answers ( solutions by expert) and more Exams Nursing in PDF only on Docsity! nursing107 study guide with complete answers ( solutions by expert) Chapter 34: Definitions 1. Client care records: records of care given, clients response to care, housekeeping tasks completed, and observations 2. Intermittent care: when nursing assistant or care giver goes to a client’s home to perform certain procedures or treatments, then leaves 3. Time/travel records: records of how you spend your time in the client’s home 4. Case manager: a registered nurse who coordinated the health care of a client 5. Custodial: type of care that involves providing services and supplies to assist a person with activities of daily living 6. Outcome and Assessment Information Set (OASIS): the Medicare data collection tool that the case manager must complete and transmit electronically to the government. 7. Skilled home health nursing: intermittent, medically necessary skilled care that is ordered by a physician and given by a nurse, physical therapist, occupational therapist, and/or speech-language pathologist. Chapter review (Fill-in-the-blank) 1. An advantage to working as a nursing assistant in the home is that there are opportunities for part-time employment 2. In home care, there is an opportunity to give complete care to one client at a time 3. The home health care assistant has an opportunity to work with greater independence 4. The care of the client is planned by the nurse 5. The services of the home nursing assistant may be implemented after a referral from a(n) insurance group. 6. It is important to keep accurate time and cost records of the care you give 7. Most persons using home care have been discharged from a(n) hospital or skilled nursing facility 8. Clients may be in need of assistance with activities of daily living. 9. A nursing assistant may be assigned to care for a client for a(n) number of hours daily 10. The care plan is developed with the client by the home health care team. nursing107 study guide with complete answers ( solutions by expert) 11. Liability can be avoided if the nursing assistant carries out actions as they were taught. 12. Keeping time/travel records require accuracy and calculations Short answer 1. Name three different types of home care providers a. Hospices b. Hospital-sponsored agencies c. Government- sponsored agencies controlled by city or county government 2. List four advantages to working for a home health agency. a. Part-time employment, if desired b. Opportunity to work with greater independence and autonomy c. Satisfaction of giving complete care to one client at a time d. Satisfaction of caring for the same client over a period of time 3. What are five time and cost values to record? a. Time of arrival b. Time of departure c. Length of time required for specific activities d. Travel time if working in more than one home e. Mileage or other transportation cost 4. What are five ways to avoid liability when providing home care? a. Carry out procedures carefully and do them as you were taught b. Be familiar with the client’s rights c. Notify your supervisor if you break something in a client’s home d. Always keep safety factors in mind and be on the lookout for possible hazards e. Participate in care conferences with the other team members 5. What are four types of activities that should be included in the client care record? nursing107 study guide with complete answers ( solutions by expert) 1545 1630 45 minutes Clinical Situations 1. Time spent: 2 hours & 15 minutes; Total mileage: 5 miles 2. Accompany and comfort Mr. Alleandra; since he likes to play cards and dominoes, play those games for they are exercise for the brain and arms 3. Politely inform the family that those responsibilities are not in my job description; I will also inform the family that instead, I will prioritize assisting Mrs. Parks with her daily living activities. Relating to the Nursing Process (I hope these are correct, I’m never too sure on these) 1. Diagnosis 2. Planning 3. Assessment Chapter 35: Definitions: 1.) Core Values- Are deeply held principals and beliefs that guide an organization’s conduct. 2.) Home Health Assistant- home health nursing assistant, home health care nursing assistant, or home health aide, whose primary role is to provide assistance with nursing care. 3.) Homemaker Aide- Primary role is to housekeeping. 4.) Homemaker assistant- Carries out general household tasks, prepares meals, and runs errands such as food shopping. 5.) Respite care- Medicare- approved for a hospice is short-term, time-limited, temporary care that enables an unpaid family member to take a break. Fill- In- The- Blank 1.) The nursing assistant contributes to the planning step of the nursing process by actively participating in implementation of the nursing care plan. 2.) The client should, if able, make decisions about food restrictions 3.) The client’s bathroom should be cleaned Daily or whenever needed nursing107 study guide with complete answers ( solutions by expert) 4.) Before Operating The client appliances, seek instructions from a family member. 5.) before stores close that have been laundered, check for needed Repairs and notify the responsible party of items needing mending 6.) Drip dry fabric should be washed Separately So they can be hung and folded. 7.) The primary role of the home health assistant is to do housekeeping chores 8.) The major responsibility of the homemaker assistant used to provide meals and run errands such as food shopping 9.) In some cases, the nursing assistant who provides healthcare may be asked to carry out Homemaker assistant chores. 10.) Because home health assistance handle money, they must be Trustworthy people. 11.) The home healthcare assistance activities are planned around the Family routine 12.) 13.) Statements by the client to reflect neglect or abuse should be Reported to your supervisor 14.) Chemicals such as household cleaning supplies in insecticides should be kept locked up when the client is Disoriented 15.) Dust, dirty dishes, and improper care foods contribute to the spread of Infection Short Answer: 1.) What are three areas to report that support the assessment process? A.) vital signs at each visit B.) The client's response to your care C.)Elimination, such as bowel activity and fluid intake and output 2.) What are two ways to support the implementation portion of the nursing process? A.) Report any difficulties in carrying out the plan B.) Develop ways of organizing your work to make the plan more efficient. 3.) What are two ways to promote The evaluation part of the nursing process? A.) Be accurate and concise in your reporting B.) Be honest in your appraisal of the clients progress and point out with your services or no longer need it 4.) What are three household duties the nursing assistant frequently performs? A.) Light housekeeping B.) Shopping for meals C.) Preparing meals 5.) What are three household duties not included in the Nursing assistant's responsibilities? nursing107 study guide with complete answers ( solutions by expert) A.) Doing heavy housework such as washing windows, Waxing floors, moving heavy furniture B.) making decisions about food purchases, unless the client is unable to do so C.) Becoming involved in a family dispute by offering opinions are taking sides 6.) What are four kinds of telephone numbers to be kept close to the phone during home care? A.) The supervising Nurse B.) 911 C.) Your agency D.) Family 7.) What action should the nursing assistant take when cleaning laundry soiled by blood? - Wear gloves 8.) What are 10 ways of maintaining your personal safety when working in home care? A.) never give your personal phone number to your client. B.) map of your travel route in advance so you know where you are going. C.) keep your car windows up and doors locked at all times. D.) Carry a cellular telephone and keep it fully charged. E.) inform the client what time you will be arriving. F.) in potentially dangerous areas, ask your agency if you can make joint visits With a co-worker or use an escort. G.) Wear scrubs or clothing that identify you as a nursing caregiver. Wear your name badge H.) attend classes on personal safety and self-defense. I.) if a client suggests that a family member escorts you, never get into someone’s car. J.) keep your gas tank full. True/False: 1.) True 2.) True 3.) False 4.) True 5.) True 6.) False 7.) True 8.) False nursing107 study guide with complete answers ( solutions by expert) Chapter 36: Matching 1.) D 2.) C 3.) E 4.) F 5.) B 6.) A Chapter Review 1.) Transitional 2.) Skilled Nursing 3.) Areas 4.) Participate 5.) Emotional 6.) Goals 7.) Consistency 8.) Peripheral 9.) Hyperalignment Complete Answer: 1.) Support to regain their ability to carry out their daily life activities after an episode of illness. Also to help them manage new or changing health conditions. 2.) a.) Acute care hospital b.) Chronic care setting c.) Patients home 3.) a.) Work closely with registered nurses who are specialists in clinical care or in a specific area of nursing. b.) Have extensive knowledge of the types of patients in the unit. c.) Care of patients having complicated treatments. nursing107 study guide with complete answers ( solutions by expert) d.) Have excellent observational and technical skills e.) Be a member of an interdisciplinary team that includes professionals in physical therapy. 4.) a.) A stroke that affected their mobility, their ability to carry out activities of daily living, or their speech. b.) Orthopedic surgery or amputation c.) An accident that resulted in neurological or orthopedic problems. 5.) a.) administer medication b.) Provide total parenteral nutrition 6.) Peripheral intravenous central catheter 7.) a.) Pulling on the tubing b.) Obstructing the tubing c.) Kinking the tubing d.) Positioning the patient with the tubing under the body 8.) A sterile technique must be used when caring for a wound drain because it is a portal of entry through which the patient can contract an infection. Additionally, standard precautions are necessary. 9.) a.) a catheter becomes dislodged in the insertion site b.) Changes in respiration rate and itching c.) Patient complains of itching d.) Vomiting or complaints of nausea nursing107 study guide with complete answers ( solutions by expert) Fill- In- The- Blank 1.) KVO (Keep vein open) 2.) Slows or stops 3.) Tubing 4.) Sit 5.) Swelling 6.) Junctions 7.) The tubing is leaking 8.) Swelling, burning True/False 1.) False 2.) True 3.) False 4.) True 5.) True 6.) False 7.) True 8.) False 9.) True 10.) False 11.) True Certification Review 1.) D- Touch 2.) A- Use the patient’s thigh 3.) B- One inch 4.) A- Leave the room 5.) C- The Fingers 6.) A- Right atrium 7.) C- Kelly Clamp 8.) C- Constipation 9.) D- Leg weakness for 24 hours 10.) D- Supports digestion Clinical situations 1.) Question the patient if they feel any discomfort then report observations and patient information to the nurse in charge/ supervisor. nursing107 study guide with complete answers ( solutions by expert) True/False 1.) False 2.) True 3.) False 4.) True 5.) False 6.) True 7.) True 8.) False 9.) True 10.) False 11.) True 12.) True 13.) True Certification Review 1.) D 2.) A 3.) D 4.) B 5.) B 6.) A 7.) B 8.) A 9.) A 10.) B Matching 1.) B 2.) A 3.) D 4.) G 5.) I 6.) F 7.) E 8.) H 9.) C nursing107 study guide with complete answers ( solutions by expert) Relating to the nursing process 1.) Planning Care 2.) Problem Identification and making a nursing diagnosis 3.) Implementation 4.) Evaluation 5.) Evaluation 6.) Implementation 7.) Evaluation Chapter 38 Definitions 1.) Cyanotic - relating to the condition of cyanosis; dusky, bluish discoloration of skin, lips, and nails caused by inadequate oxygen. 2.) Crust - areas of dried body secretions, such as scabs. 3.) Debride - to remove foreign material and necrotic tissue 4.) Obese - overweight 5.) Rubra - usual redness or flushing of the skin. 6.) Allergy- abnormal and individual hypersensitivity. 7.) Lesions - abnormal changes and tissue formation 8.) Pallor - less color than normal for the skin 9.) Necrosis - tissue death nursing107 study guide with complete answers ( solutions by expert) Fill in the blank 1.) sensitivity 2.) Anaphylactic 3.) Cartilage 4.) Very gentle; accidental injury 5.) Prevented/treated 6.) Breast, buttocks 7.) First 8.) Covered 9.) Draining odor 10.) Blue-gray 11.) Pressure 12.) Necrosis 13.) Hematoma 14.) Sensitivity 15.) Remain fixed or move in the opposite direction 16.) Fluid loss 17.) Positioning 18.) Pad and lift 19.) Hip 20.) Purple or maroon 21.) Abrasions 22.) Contusion 23.) Ecchymosis 24.) Hematoma nursing107 study guide with complete answers ( solutions by expert) 8.) a. Skin tears increase the risk for infection. b. Skin tears can result in pressure injuries c. Medicare and Medicaid do not pay for the care of pressure injuries that develop during a hospitalization; the hospital is expected to absorb the cost of all care and treatment. 9.) Without education and proper care to his injury, Mr French is that high risk of pressure injury development. A walking aid such as a walker or cane may help and nutritional education as well. Identification 1. Epidermis 2. Dermis 3. Sweat gland 4. Hair shaft 5. Sweat gland 6. Artery nursing107 study guide with complete answers ( solutions by expert) 8.) a. Anywhere the leg touches the bed, but especially the heels. b. Medial knee ( between the knees.) c.) Hip bones d.) Toes e.) Buttocks nursing107 study guide with complete answers ( solutions by expert) Clinical situations: 1.) Assess the burn damage and use analgesia for pain. Prevent infection by covering with gauze after applying antibiotic ointment. 2.) Report to the nurse and wait for further instructions Relating to nursing process: 1.) Assessment 2.) Implementation 3.) Assessment 4.) Implementation 5.) Implementation 6.) Problem identification Chapter 39 Matching 1.) I 2.) H 3.) A 4.) B 5.) E 6.) C 7.) D 8.) F 9.) G Definitions: 1.) biopsy – removal and examination of a piece off tissue from a lining body 2.) Sputum- matter that is brought up (expectorated) from the lungs 3.) URI- upper respiratory cave 4.) COPD-chronic obstructive pulmonary disease 5.) Cannula- An indwelling tube inserted through a storm (or into the skin) to maintain 6.) Stoma- artificial mouth-like opening nursing107 study guide with complete answers ( solutions by expert) f.) Patient becomes short of breath or cyanotic g.) the tube comes out of the chest wall h.) patient develops new swelling on the torso, neck, or face that crackles when you touch it. 7.) a.) sits upright with arms and feet supported b.) Push against the wall or heavy furniture c.) Lean against the wall for support 8.) Pursed lip breathing 9.) suction 10.) a.) avoid opening, touching, or spilling the container b.) Never steal the cap or vent part on the liquid oxygen c.) Follow all safety precautions for preventing sparks and fires d.) never try to fill the small, portable liquid oxygen cylinder. CERTIFICATION REVIEW 1.) B 2.) C 3.) B 4.) A 5.) B 6.) C 7.) A 8.) B 9.) B 10.) B nursing107 study guide with complete answers ( solutions by expert) Chapter application 1.) Nose 2.) Pharynx (throat) 3.) Larynx (voice box) 4.) Trachea (windpipe) 5.) Bronchi 6.) Lungs Hidden picture 1.) smoking is not permitted in the same room 2.) Be sure the unit is plugged in and grounded 3.) Tube should be free of tangles 4.) Electronic appliances should be stored away 5.) Tank must be labeled when in use 6.) Avoid using anything flammable near the tank 7.) Tanks should be away from the wall Clinical situations 1.) immediately informed the nurse 2.) A nursing assistant should give liquids to drink by assisting a patient by holding the cup, if necessary 3.) Nursing assistance should inform the patient that electronic appliances are not allowed while on oxygen therapy. 4.) Rinse their mouth with water and have them spit into the emesis basin. 5.) Name: James Brown Date: 06/14/2022 Doctor: Dr.Smith Specimen: Sputum Room: 604 Hospital Number : 689473 Examination: Culture and sensitivity nursing107 study guide with complete answers ( solutions by expert) Matching: 1.) D 2.) H 3.) C 4.) K 5.) N 6.) A 7.) J 8.) M 9.) G 10.) L 11.) B 12.) F 13.) I 14.) E Relating to the nursing process 1.) implementation 2.) Implementation 3.) Assessment 4.) Implementation 5.) Implementation 6.) Implementation 7.) Assessment Chapter 40: Define the following terms. 1. Anemia: condition that results from a decrease in the quantity or quality of red blood cells that carry oxygen to nourish the body 2. Embolus: a moving clot or insoluble particle 3. Ischemia: deficient blood supply to body tissues 4. Thrombus: stationary blood clot 5. Hypertrophy: heart enlarges/increases in size 6. Angina: “pain of effort”; vessels are unable to carry enough blood to meet the heart’s demand for oxygen nursing107 study guide with complete answers ( solutions by expert) a. Hemoptysis (spitting up blood) b. Cough c. Dyspnea (difficulty breathing) d. Orthopnea (difficulty breathing unless sitting upright) 10. What seven nursing care procedures would the nursing assistant carry out for a patient with CHF? a. Restriction of fluids, if ordered b. Weighing the patient daily to monitor level of fluid retention c. Positioning the patient in orthopneic position or high Fowler's position supported by pillows, or supported in a chair d. Applying elasticized stockings or TED hose e. Assisting with daily activities of living as needed f. Attending to general hygiene g. Assisting with oxygen therapy True/False 1. True 2. True 3. True 4. True 5. False 6. True 7. False 8. True 9. True 10. False 11. True 12. True 13. False 14. False 15. True 16. True 17. True 18. False Certification Review 1. A. plasma 2. A. heart rate slows 3. C. inflammatory response 4. D. right heart nursing107 study guide with complete answers ( solutions by expert) 5. A. weak leg veins 6. A. elevate the feet 7. A. stroke 8. A. turn on a light 9. D. have patient stop all activity 10. A. diuresis Chapter Application: Identification 1. Tricuspid valve 2. Bicuspid (mitral) valve 3. Pulmonary semilunar valves 4. Aortic semilunar valve 5. Using colored pencils or crayons, color the venous blood blue and the arterial blood red in the following figure. 6. Explain the action that occurs at the four numbered areas on the diagram below. 1.) Blood enters the right atrium from vena cava (oxygen-poor blood returning from body) 2.) Blood goes from right ventricle to lungs (picks up oxygen) 3.) Blood returns to the left atrium 4.) Blood goes out of left ventricle to aorta (oxygen-rich blood to body) Clinical Situations 1. Your patient who has angina pectoris is having an argument with a visitor. - Do not get in the middle of the argument, wait until the visitor leaves and help the patient with stress-coping activities that will avoid unnecessary emotional and physical stress. 2. You are passing out meal trays and find a salt packet on the tray of a patient who has congestive heart failure. nursing107 study guide with complete answers ( solutions by expert) - Carefully monitor the patient’s intake. If a salt packet was consumed by the patient, advise them to avoid salt as this can help minimize the amount of extra fluid around the heart and lungs. 3. A patient with congestive heart failure has an erratic radical pulse of 72 beats per minute. - Report any irregularities or changes to the nurse immediately. Continue to check vital signs. 4. A patient with congestive heart failure has a fluid intake far in excess of output. - Inform the nurse promptly. Position the patient in orthopneic or high Fowler’s position supported by pillows. 5. Your patient who has hypertension suddenly complains of blurred vision and speech is slurred. - Report to the nurse immediately. Relating to the Nursing Process 1. Assessment 2. Planning 3. Implementation 4. Implementation 5. Nursing Diagnosis Chapter 41: Chapter 41 Spelling 1. Bursitis 2. Cartilage 3. Comminuted 4. Supination 5. Vertebrae 6. Extension 7. Adduction 8. Dorsiflexion Matching 1. O. 5. H. 9. B. 13. J 2. I. 6. C. 10. D. 14. L 3. K. 7. F. 11. G. 15. M nursing107 study guide with complete answers ( solutions by expert) to press down on the foot of the affected leg when using the trapeze. b. Apply anti-embolism stockings. Follow the care plan for circulation checks. c. A fracture bed pan is used initially for elimination. When the patient is able to use the toilet, an elevated toilet seat is used. d. Do not elevate the head of the bed more than 45° without a specific order. e. Avoid acute flexion of the hips and legs. The physician will give directions for positioning and the degree of flexion permitted. f. These patients will usually use a special pillow, called an abduction pillow, to keep the legs apart. 11. List four general orders following joint replacement surgery a. Administering anticoagulant medication to thin the blood. b. Apply anti embolism hosiery. c. Do exercises to increase blood flow in the leg muscles, if not contraindicated. d. Use sequential compression therapy and continuous passive motion. 12. Six benefits of continuous passive motion therapy a. Enhances circulation which lowers the risk of blood clots. b. Reduces edema. c. Promotes collagen formation within the joint, which enhances healing. d. Reduces scarring. e. Decreases stiffness. f. Improves range of motion. 13. List four contraindications to CPM therapy a. Untreated infections. b. Unstable fractures. c. Known or suspected blood clots. d. Hemorrhage. 14. Four observations that would cause you to stop a CPM device and promptly report to the nurse a. Fever. b. Increasing redness or irritation. c. Increasing warmth. d. Edema, bleeding, or increased or persistent pain. 15. 10 signs or symptoms of compartment syndrome a. Severe pain when the muscle is gently stretched. b. Tenderness when the area is touched gently. c. Pain during deep breathing. d. Tingling. e. Burning. f. Numbness. g. Feeling tight or full in the affected muscle. nursing107 study guide with complete answers ( solutions by expert) h. Abnormal sensations in the affected area. i. Weakness or inability to use the muscle. j. The color of the extremity appears pale, cyanotic, or red. The skin of an extremity with no cast may feel warm to the touch. The fingers or toes of a casted extremity may feel cool to the touch. Edema develops. Certification review 1. C. 3. B. 5. A. 7. D. 9. B 2. D. 4. A. 6. A. 8. D. 10. C Identification 1. Identify the fractures a. Greenstick b. Closed (simple, complete) c. Open (compound) d. Comminuted Differentiation Identification A. The patient with a new hip prosthesis should never cross the affected leg over the midline of the body. B. The patient with a new hip prosthesis should never internally rotate the hip on the affected side. Clinical Situations 1. Report to nurse probable sign of decreased circulation immediately. 2. Patient complaints of pain with crying should always be reported to the nurse immediately. Once the nurse has made an assessment, follow the care plan. Some complementary ways you can help treat this condition are massage, helping the patient relax, and planning care to allow the patient to sleep for prolonged periods without interruption. 3. Press the call button right away, report possible fractured hip. Avoid moving the patient until you are instructed to do so by a nurse. You will use a sheet, backboard, or other Form Affected Tissue Possible Cause Age Affected Rheumatoid arthritis Joint tissues, joint lining, any body system Autoimmun e response Any age Osteoarthritis Cartilage covering the ends of bones that form joints Aging Trauma Obesity Elderly, sometimes younger w/underlying causes nursing107 study guide with complete answers ( solutions by expert) device to move the patient. Avoid excessive movement, which can worsen the injury. Moving a patient with a hip fracture requires four or five individuals. The patient is log rolled onto the lifting device. The device is lifted to the bed or stretcher. You may be assigned to monitor the patient's vital signs and check for signs of shock. 4. To keep the cast dry, cover with plastic during bathing. Use plastic to protect cast edges to help prevent soiling during toileting. 5. Inform the nurse promptly. Do not proceed with treatment until the nurse informs you that the physician has approved continued use of the device. Check the patient periodically when using the CPM machine. Report problems and abnormalities to the nurse. 6. Inform the nurse immediately. The patient may have an edema or other complication. 7. Stop the exercise and report to the nurse if the patient complains of pain. Watch the patient's body language and facial expression for signs of pain. Before beginning range of motion exercises, make sure the patient is comfortable, and explain the procedure to the patient. 8. Avoid placing pillows under the amputated extremity. Position the leg flat on the bed. Keep the legs in a position of adduction. A trochanter roll is helpful. Avoid positioning the patient with pillows between the legs. Relating To The Nursing Process 1. Implementation. 5. Assessment, Problem Identification 2. Implementation. 6. Planning Care 3. Problem Identification. 7. Planning Care 4. Implementation. 8. Assessment Chapter 42: Matching: 1. (d) glucose - blood sugar 2. (h) glycosuria - sugar in the urine 3. (f) hormone - endocrine secretion 4. (a) sperm - male reproductive cell 5. (g) thyroxine - produced by thyroid gland 6. (b) glands - organs that secrete body fluids 7. (c) iodine - needed for production of thyroxine 8. (e) adrenals - glands located on top of the kidneys nursing107 study guide with complete answers ( solutions by expert) - A person with hyperthyroidism has a rapid pulse. They are easily irritated and restless. 2. Your patient has just returned from surgery following a partial thyroidectomy. What six things should you check for and report? - Any signs of bleeding (this may drain toward the back of the neck). Check the pillows behind the patient, as well as the dressings. - Signs of respiratory distress - Inability of the patient to speak. Initial hoarseness is common. - Greatly elevated temperatures and pulse, pronounced apprehension or irritability. - Numbness, tingling or muscular spasm (tetany) of the extremities. 3. What five factors seem to play a role in the incidence of diabetes mellitus? - Burning in urination - Vision changes - Obesity - Weight loss - itching 4. What seven complications are common to patients who suffer from uncontrolled diabetes mellitus for many years? - Renal disease - Circulatory impairments that often result in gangrene and amputation - Poor healing - Hypertension - Cardiovascular problems - Diabetic coma - Vision problems and blindness 5. What role does diet play in care of the diabetic patient? - Helps control patient’s blood sugar, manages their weight and controls heart disease risk factors. 6. What six factors can contribute to a hyperglycemic state? - Not using enough insulin or oral diabetes medication - Not injecting insulin properly or using expired insulin - Not following your diabetes plan - Being inactive - Having an illness or infection - Using certain medications such as steroids 7. What six factors can contribute to hypoglycemic state? - Skipping meals - Unusual activity - Stress nursing107 study guide with complete answers ( solutions by expert) - Vomiting - Diarrhea - Too much insulin or antidiabetic medication 8. What are the nine nursing assistant responsibilities in caring for a patient with insulin-dependent diabetes mellitus? - Nurse assistant should be familiar with what medications the patient is taking - What their diet needs are as well as their exercise regimen - Nursing assistant should recognize and respond to the dangerous situations - Make sure patient eats and exercises at the same time each day - Check their blood sugar regularly throughout the day - Observe for signs of illness, infection or stress - Review the patients food intake and medication - Keeping record of all food consumed along with glucose levels - Report to the nurse any abnormalities in food intake such as skipping meals or sudden changes in appetite 9. What are four typical signs and symptoms associated with IDDM? - Excessive urination (polyuria) - Excessive thirst (polydipsia) - Excessive hunger (polyphagia) - Sugar in the urine (glycosuria) 10. What does each abbreviation stand for? a. IDDM - insulin dependent diabetes mellitus b. NIDDM - non-insulin dependent diabetes mellitus 11.What daily care should be given to the feet of a patient with diabetes? - Wash daily, carefully drying between toes - Inspect feet closely for any breaks or signs of irritation - Report any abnormalities to the nurse immediately - Toe nails should be cut only by a nurse or a podiatrist - Do now allow moisture to collect between toes - Do not allow the patient to go barefoot or to wear shoes without socks Certification Review 1. A 2. B 3. A nursing107 study guide with complete answers ( solutions by expert) 4. C 5. C 6. C 7. C 8. A 9. A 10. C Clinical Situations 1. 2. Nursing assistant should inform patients that they clearly have NIDDM. And let them know they must try to maintain a normal blood glucose level so that complications may be prevented. Eat healthier and exercise regularly. 3. Position the patient in a semi-fowler’s position with neck and shoulders well supported. 4. Inform patients that hyperextension should be avoided. Relating to the Nursing process 1. Evaluation 2. Implementation 3. Evaluation 4. Evaluation 5. Assessment 6. Assessment Chapter 43 Vocabular y 1.) J 2.) L 3.) A 4.) E 5.) H 6.) B 7.) K 8.) G 9.) N 10.) F nursing107 study guide with complete answers ( solutions by expert) C.) New weakness in muscles affected by polio; formally unaffected muscles are also now affected. D.) Can you dyspnea and other respiratory problems E.) severe cold tolerance, which causes muscle weakness to worsen, the arms or legs to become pale or cyanotic, and extremities to feel cold to the touch. F.) muscle spasms and cramps that are sometimes severe and painful. G.) difficulty swallowing H.) difficulty falling asleep and waking frequently during the night. 5.) List 10 things the nursing assistant must do in caring for a patient with ALS. A.) They must pay attention to positioning. Placing the patient in an upright position (such as-folders) may be ordered to ease respiration. B.) Provide Range of motion and light exercises to prevent deformities and maintain the strength of muscles that are not yet affected. C.) assist the patient to use the incentive spirometer. D.) have the patient rest before you used to conserve muscle strength and reduce the race of choking. E.) take swallowing precautions when feeding the patient F.) have the patient drink liquids in order to aid in swallowing solid foods to prevent choking and aspiration. G.) Provide small, frequent feedings. H.) Check the mouth after meals to make sure there’s no food particles remaining. Provide mouth care properly after each meal. I.) Schedule rest and activities to preserve the patient's strength and energy. J.) using good infection control measures, hand washing, and standard precautions to reduce the risk of infection. 6.) List six observations that should be reported to the nurse when a patient has had a seizure. A.) A description of the way the seizure looked, including the body parts involved. B.) Lots of bowel or bladder control, eyes rolling awkward, rapid blinking, or biting tongue. C.) The time the seizure started and stopped, if known. D.) The condition of the patient after the seizure. E.) vital signs F.) any change in the patient before the seizure, such as an aura, confusion or change in behavior. 7.) List at least 10 conditions that cause autonomic dysreflexia. A.) Spinal cord injury nursing107 study guide with complete answers ( solutions by expert) B.) Labor and delivery C.) Ingrown toenails D.) Fractured Bones E.) Overstimulation during sexual activity F.) infection or irritation in the abdomen G.) Minor injury such as cut, bruise, or abrasion H.) Overfull bladder (common cause) I.) Urinary retention J.) Blocked catheter 8.) List 10 and symptoms of autonomic dysreflexia. A.) Goosebumps below the level of injury B.) Severe headaches C.) Red, flushed face D.) stuffy nose E.) Nausea F.) Red blotches on the skin above the level of spinal injury G.) Cold, clammy skin below the level of Injury H.) Bradycardia I.) Sweating above the level of spinal injury J.) Extremely high blood pressure, greater than 200/100 mm Hg 9.) What are two important goals of nursing care for a patient during a seizure? A.) Maintaining an Airway B.) Protect the person from self-inflicted injury 10.) What are three ways to prevent contractors in a patient who has a spinal cord injury? A.) Carry out range-of-motion excercises B.)Change the patients postition regularly C.) Provide reality orientation as needed 11. What are two techniques that can be learned to help communicate with someone who is deaf? a. Learning ASL b. Using facial expression, gestures, and body language / nursing107 study guide with complete answers ( solutions by expert) lipreading Complete the Chart 1. Absence: begins with no warning; consists of a period of unconsciousness, in which the patient blinks rapidly, stares blankly, breathes rapidly, or makes chewing movements nursing107 study guide with complete answers ( solutions by expert) 2. Pertaining to the stomach - J. gastric 3. Removal of stomach - B. gastrectomy 4. Removal of the gallbladder - A. cholecystectomy 5. Another name for the large bowel - E. colon 6. Eliminating feces through the anus - D. defecation 7. A strong feeling of the need to eliminate - I. urgency 8. Collection of hardened feces in the rectum - G. impaction 9. Artificial opening made in the large bowel for fecal eliminations - C. colostomy 10. Protrusion of the intestines through a weakened area in the abdominal wall - F. hernia Definitions 1. HCI - Hydrochloric acid 2. Cholelithiasis - The formation of stones in the gallbladder. 3. Peristalsis - The involuntary constriction and relaxation of the muscles of the intestine or another canal, creating wave-like movements that push the contents of the canal forward. 4. Herniorrhaphy - Is a fluoroscopic procedure designed to identify difficult-to-detect hernias. 5. Impaction - The most serious form of constipation 6. Bolus - A food that has been chewed and mixed in the mouth with saliva. 7. Umami - Is a Japanese word for a savory, meaty, or protein taste. 8. Inguinal - Groin area 9. Papillae - Tiny bumps on the tongue that are commonly called taste buds. nursing107 study guide with complete answers ( solutions by expert) 10. TWE - Tap water Chapter Review (Fill-in-the blank) 1. A(n) _maligancy of the gastrointestinal tract is often the first major sign of a tumor. 2. If a patient has a nasogastric tube in place, to prevent _dislodging or pulling on the tube , you must be careful when moving the patient. 3. Following a bowel resection, it may be necessary to create an artificial opening called a(n) _colostomy . 4. A patient with ulcerative colitis becomes dehydrated because of frequent loss of fluids . 5. A patient with ulcerative colitis should be eating a high-protein, high-calorie, low residue diet. 6. A patient with a duodenal ulcer is given medication to neutralize the_hydrochloric acid (HCI)_ of the stomach, which causes additional trauma to the stomach area. 7. If a patient has an NPO order, special should be given. 8. A patient with cholecystitis or cholelithiasis is usually placed on a low- fat diet. 9. Following a cholecystectomy, _drains_ are often placed in the operative area. 10. In addition to routine postoperative care, a cholecystectomy patient should be placed in the semi- Fowler’s_ position. 11. Your patient is scheduled for a GB series, so you should check for orders regarding _cleansing enemas_ or a special _diet_. 12. The solution used for a soap-solution enema is _cleansing_. 13. The best patient position for administration of an enema is the _left Sim’s position_ . 14. When possible, an enema should be given before_ giving the bath. 15. A gloves_ is required before giving an enema. 16. An oil-retention enema is retained and followed with a _cleansing_ enema. 17. The lubricated enema tube should be inserted _two to four inches _ into the anus. 18. The enema solution container should be raised right above the level of the anus while allowing the fluid to flow into the patient. 19. The rectal tube is used to relieve abdominal pain. 20. Commercially prepared chemical enema solutions drain fluid from the body to stimulate peristalis . 21. The chemical enema solution should be retained as . 22. Rectal tubes should be used no more than _20 minutes inn 24 hours. 23. Standard precautions require the use of to protect the from contamination during procedures involving the anus or rectum. 24. Antibiotics are given to control _infection that is involved in the development of gastric ulcers. nursing107 study guide with complete answers ( solutions by expert) Short Answer 1. What are three important observations regarding your patient who has had a cholecystectomy that should immediately be reported to the nurse? a. Fresh blood on the dressing b. Increased jaundice c. Dark urine 2. List 10 factors that affect bowel function and increase the risk of constipation. a. Bedrest b. Inactivity c. Inadequate exercise d. Inability to chew foods properly e. Loose or missing teeth f. Inadequate fluid intake g. Stress h. Change in environment i. Change in diet j. Diet that does not contain enough fiber, fruits, or vegetables 3. List at least 10 signs and symptoms of fecal impaction. a. Abdominal or rectal pain b. Nausea c. Loss of appetite d. Feeling the need to have a bowel movement, but being unable e. Passing excessive flatus f. Bloating and abdominal distention g. Frequent urination h. Inability to empty the bladder i. Leaking around the catheter j. Mental confusion 4. What are five reasons that enemas are commonly given? a. To avoid illumination during X-rays b. Before surgery c. Before testing d. During bowel retraining programs e. To relieve constipation and impact 5. What information should be included when documenting an enema? a. Date and time b. Amount c. Color d. Tolerance and response nursing107 study guide with complete answers ( solutions by expert) 8.) End-stage renal disease 9.) Renal failure 10.) Urinary incontinence 11.) Cystic 12.) Graft 13.) Dialysate 14.) Nephritis 15.) Lithotripsy 16.) Hemodialysis 17.) Peritoneal Dialysis 18.) CAPD 19.) Hematuria Fill in the blanks 1.) Women 2.) Sitz 3.) Increased 4.) Low 5.) Reduced urine 6.) Obstruction 7.) Colic 8.) Hematuria 9.) Strained 10.) Increased 11.) Crush 12.) Hydronephrosis 13.) Ballon 14.) Last resort, nurse, physician 15.)Male 16.) Drainage set up 17.) Sensitive 18.) 15 19.) Refrigerated Short answer 1.) a.) Frequent Urination b.) Hematuria c.) Dysuria d.) Bladder spasm nursing107 study guide with complete answers ( solutions by expert) 2.) a.) Absolute bed rest b.) low sodium diet c.) restricted fluid intakes, at times d.) frequent checks on vital signs 3.) understand each patients orders for positioning, drainage, and activity. 4.) a.) Edema b.) Hematuria c.) Cloudy urine d.) Pyuria e.) Proteinuria f.) Hypertension 5.) a.) Intermittent catheter b.) Suprapubic catheter 6.) a.) apply for principles of standard precautions b.) use aseptic technique when caring for the catheter/ drainage system. c.) wash the area around the meatus daily with no solution approved by your facility. d.) check regularly for signs of irritation/ urinary discomfort and report them to the nurse. e.) Secure the tubing so that there is no strain on the catheter or tubing. Apply a catheter strap adhesive holder to secure the tubing. f.) maintain the drainage bag below the level of the bladder. Never elevate the bag, as this allows the urine to flow back into the bladder. Instruct the patient to carry the bag below The level of the bag when ambulating. 7.) a.) Sterile cap b.) plug Multiple choice assessments: 1.) A 2.) C 3.) B 4.) A 5.) B 6.) C 7.) B 8.) B nursing107 study guide with complete answers ( solutions by expert) 9.) D nursing107 study guide with complete answers ( solutions by expert) 5. D 6. G 7. H 8. I 9. L 10. C 11. K 12. B Fill in the blank 1. Prostatic hypertrophy 2. Vas deferens 3. Retention 4. Suprapubic 5. Foley catheter 6. Month 7. Warm shower 8. Vaginal walls 9. Incontinence 10. Fungal 11. Pap smear 12. Dilation and curettage (D&C) 13. Salpingectomy 14. Back 15. Leukorrhea 16. Unaware 17. Pelvic inflammatory disease (PID) 18. Orchiectomy 19. Brachytherapy 20. Replication 21. Immune system 22. Cure 23. Prolapsed Uterus 24. Mycoplasma genitalium Short Answer 1. A. Production of reproductive cells B. Production of hormones responsible for sex characteristics C. Urethra carries urine during voiding 2. A. Wear PPE and apply the principles of standard precautions nursing107 study guide with complete answers ( solutions by expert) B. Be careful that the tubes don't become Twisted stressed or dislodged when patient is being positioned C. Carefully note the amount and color of drainage from all areas D. Report at once any sudden increase in bright redness or the appearance of clots that seem to block the tube E. Inform the nurse if dressings become wet F. Be patient and understanding of the patient's emotional stress G. Refer questions about possible sexual limitations and urinary incontinence to the nurse H. Monitor patients for signs of excess bleeding, cold or clammy skin, pallor, restlessness, falling blood pressure, or rapid pulse. if noted report to nurse promptly I. Inform the nurse if the catheter irrigation bottle is slow J. Ask patient if they are having pain when checking vitals report complaints to nurse. 3. To continue hormone production whenever possible 4. A. Each month on the last day of the menstrual flow, after menopause on one selected day of the month B. Faithfully in a routine manner 5. once a month 6. A. Constipation B. Hemorrhoids 7. Because slowing of the blood supply to the pelvis may result in clot formation 8. a. Painless lump or mass B. Nipple discharge C. Retraction of nipple D. Scaly skin around nipple e. Dimpling of the skin f. Enlarged lymph nodes Certification Review 1. A 2. A 3. C 4. B nursing107 study guide with complete answers ( solutions by expert) 5. B 6. D 7. D 8. D 9. D 10. A nursing107 study guide with complete answers ( solutions by expert) 12. Radiology: precautions sign safety warning signs posted where active radiology is being used. 13. Radiation therapy: the use of high-energy ionizing bears at the site of the cancer Fill-in-the-Blank 1. Cancer is a disease in which the normal mechanisms of cell growth are disturbed. 2. Cancer cells use the oxygen and nutrition targeted for normal cells. 3. 3. Cancers that stay in one location and do not spread are benign. 4. Some types of cancer cells metastasize or spread through other parts of the body through the blood or lymphatic systems 5. Cancers that spread to other parts of the body are malignant. 6. A(n). carcinogen such as tobacco is a cancer-causing substance. 7. People with one or more of these warning signs of cancer should see a doctor right away. 8. Women should perform breast self-examination monthly. 9. Men should perform testicular self-examination monthly. 10.A(n) biopsy is a minor surgery that is sometimes done to remove tissue to diagnose cancer. 11.Chemotherapy involves the use of medications or drugs to destroy the cancer. 12.The nursing assistant should never eat, drink, or chew gum in an area where chemotherapy is being prepared 13.Waste products from some patients who are receiving chemotherapy require special handling and disposal . 14.Radiation therapy involves the use of high-energy, ionizing beams aimed at the site of the cancer. 15.Immunotherapy is a cancer treatment that alters the patient's immune response to eliminate the cancer. 16.Cancer patients' pain should be treated before it becomes severe and out of control . Short Answer 1. List eight risk factors for cancer. a. Age b. Alcohol consumption c. Smoking d. Diet e. Secondhand smoke f. Prolonged sun exposure g. Family history h. Exposure to asbestos 2. List four dietary guidelines that will help prevent cancer a. No more than 30% of total calories should come from fat b. Total cholesterol should not exceed 300 mg a day c. At least 55% of total calories should come from complex carbohydrates d. Salt from all food sources should not exceed 1 teaspoon a dav nursing107 study guide with complete answers ( solutions by expert) 3. List seven lifestyle changes that will help prevent cancer. a. Not smoking b. Limiting the intake of alcoholic beverages c. Eating a healthy diet d. Regular exercise e. Maintaining a healthy weight f. Avoid sun exposure. particularly between 10 a.m. and 3 o.m. g. Getting genetic testing and counseling if at risk for familial cancers h. Complete the following chart listing signs and symptoms of cancer. 4. Complete the following chart listing signs and symptoms of cancer a. Change in bowel or bladder habits b. A sore that does not heal c. Unusual bleeding or discharge d. Thickening or lump in breast, testicles, or any part of the body e. Indigestion or difficulty swallowing f. Obvious change in wart, mole, or skin condition g. Nagging cough or hoarseness 5. List eight side effects of the drugs used to treat cancer. a. Alopecia b. Nausea and vomiting c. Anorexia d. Anemia e. Fatigue f. Low white blood cell count g. Reduction in the number of platelets in the blood h. Destruction of the mucous membranes of the mouth 6. List at least seven observations that should be reported to the nurse about patients who are receiving chemotherapy. a. Nausea or vomiting b. Not eating or drinking c. Complains or changes In taste buds d. Constipation or diarrhea e. White patches or unusual areas inside the mouth f. Complains or signs of vaginal infection g. Develops bruising or bleeding 7. List nine side effects of radiation therapy that should be reported promptly to the nurse. a. Fatigue b. Nausea or vomiting c. Loss of appetite d. Diarrhea e. Skin redness, irritation. or peeling f. Change in ability to taste g. Irritation of mucous membranes nursing107 study guide with complete answers ( solutions by expert) h. Cough i. Shortness of breath 8. List five measures to take to protect yourself from exposure to radiation. a. Work behind mobile shields whenever possible b. Work no closer to the patient than necessary c. Follow all special instructions on the patient's care plan d. Apply gloves and shoe covers when entering the patient's room e. Minimize time spent with the patient 9. List seven observations of the patient who is receiving immunotherapy to report to the nurse. a. Fever or Chills b. Has a rapid pulse c. Becomes cyanotic d. Short of breath e. Restless or apprehensive f. Diarrhea. nausea. or vomittina g. Complains of itching 10. List eight ways in which the nursing assistant can help meet patients emotional needs a. Allow patient to talk about feelings and fears b. Being proficient at providing physical care and assistance with ADLS c. Anticipating the patient's needs before they ask d. Respecting the patient's beliefs and wishes e. Providing emotional support f. Respecting the patient's privacy if they want to be alone g. Making the patient feel valued and respected as a person h. Spending as much time as possible with patient if they want to talk True/False 1. True 2. False 3. False 4. False 5. True 6. True 7. True 8. True 9. False 10.True 11.False 12.True 13.True 14.False 15.True nursing107 study guide with complete answers ( solutions by expert) 8. Damage to the brain usually occurs because of disease or injury 9. Restorative programs are sometimes referred to as retraining programs 10. It is important that everyone working with a patient in restorative care use the same approach Short Answer 1. State activities that are included in the activities of daily living (ADLs) a. Bathing b. Personal hygiene c. Dressing d. Bed mobility e. Transfers f. Feeding/eating g. Toilet use 2. List three interdisciplinary rehabilitation goals for a person with a disability. a. Learn new ways of doing routine tasks, such as dressing or bathing b. Adapt to prevent circumstances c. Use adaptive devices to increase independence 3. Name five professionals, other than nurses and physicians, who are involved in the rehabilitative process a. Speech therapist b. Dietitian c. Occupational therapist d. Physical therapist e. Social services 4. List six rehabilitation activities in which the nursing assistant will assist a. Maintaining the patient’s nutritional status b. Bowel and personal care procedures c. Bathing and personal care procedures d. Modifying circumstances to make it easier for the patient to master a particular skill e. Mobility skills: transfers and ambulation f. Procedures to prevent complications 5. Write the four principles that form the foundation for successful rehabilitation or restorative care a. Treatment begins as soon as possible b. Stress the person’s ability, not the disability c. Activity strengthens and inactivity weakens d. Treat the whole person 6. State three examples of conditions that limit a person’s ability to do self-care a. Paralysis nursing107 study guide with complete answers ( solutions by expert) b. Stroke c. Arthritis 7. List six examples of perceptual deficits a. Inability to organize a task b. Inability to sequence a task c. Lack of judgment d. Inability to identify common objects, such as eating utensils and grooming items e. Inability to use common items f. Inability to initiate a task 8. Name four approaches used in restorative programs a. Setup b. Verbal cues c. Hand-over-hand technique d. Demonstration 9. Describe the type of environment that benefits patients and promotes success in a restorative program a. All patients benefit from living in an environment that promotes quality of life. The interdisciplinary team helps promote this environment by: i. Giving the patient a sense of control and opportunities to make decisions ii. Remembering that mental and physical activities are essential to well-being iii. Encouraging and assisting the patient to be well dressed and well groomed iv. Using touch freely in appropriate ways with the patient v. Providing cue for orientation vi. Respecting the patient’s identity, individuality, and privacy at all times vii. Respecting and understanding the patient’s sexuality and need for intimacy viii. Giving the patient opportunities to help others ix. Encouraging and assisting the patient to remain a part of the community x. Creating an environment that is safe, serene, and colorful Complete the chart a. OBRA rules require all skilled care facilities to provide this service (Restorative) b. Goal is to increase the patient’s quality of life (Restorative) c. May be provided in a general acute care hospital (Restorative) d. Usually more aggressive and intense (Rehabilitation) e. Slower therapies over weeks, months, or indefinitely (Restorative) f. Requires the skill of many different therapists (Rehabilitation) g. Primarily a nursing responsibility, with consultation (Restorative) h. Patient must take rapid, substantial improvement to qualify for ongoing participation (Rehabilitation) nursing107 study guide with complete answers ( solutions by expert) i. Maintenance and prevention of decline are acceptable goals (Restorative) Certification Review 1. Which health professional works with a patient to relearn activities of daily living? a. D, Occupational therapist 2. Which is a characteristic of restorative nursing care? a. A, Not paid for by private insurance 3. What is a skeletal complication of immobility? a. D, Loss of calcium from the bones 4. What is a mental change associated with immobility? a. A, Lethargy 5. Which activity of daily living will be lost first? a. B, Bathing 6. What is the inability to use a common item called? a. A, Apraxia 7. Which is true about goals when supporting a patient relearn activities of daily living? a. C, Goals are very small 8. Which should be done first when assisting a patient relearn an activity? a. A, Setup 9. Which adaptive device helps with putting on shoes? a. D, Long-handled shoehorn 10. What should be done if a patient resists participating in a restorative care activity? a. D, Sit and talk with the patient Clinical Situations 1. Mr. Fronzoni is very frustrated as the nursing assistant explains how to put his socks on before his shoes. a. Encourage the patient to take his time. Remind Mr. Fronzoni that learning takes time. Rather than explaining, implement one of the approaches used in restorative programs- Demonstration (act out what you want the patient to do). 2. Mr. Tracy has a roommate who repeatedly interrupts as the nursing assistant tries to help Mr. Tracy hold his glass a. Calmly ask the roommate to give some space for Mr. Tracy to grasp and learn on his own or Avoid distractions and proceed with the ADL in a private area. 3. Mrs. Davis is frustrated this morning and says that her progress is “just too slow.” a. Compliment the patient for making progress even if the gains are small. 4. The nursing assistant is assigned for the first time this morning to care for Mrs. Washington, who needs help with her self-feeding program. a. Become familiar with the patient’s condition. Introduce yourself and let Mrs. Washington you are the assigned CNA. Set up the tray for the patient 5. Mr. Smythe is left-handed and has an adaptive device for his left hand. The device is on his bedside table as he attempts to brush his teeth. nursing107 study guide with complete answers ( solutions by expert) communication between the mother and medical professionals. Short Answer 1. What is the primary value of colostrum to the baby? - It carries protective antibodies to the baby. 2. What is the purpose of Apgar scoring? - Indicates infants condition 3. List five ways of caring for the breast of the nursing mother. a. Instruct the mother to wash her hands and nipples prior to feeding the baby b. Teach the mother to clean her breasts in a circular motion from the nipples outward c. Creams can be used d. Breast pads for leakage e. The mothers breasts should be supported by a brassiere 4. How should the baby be lifted from the crib? a. Cradle hold b. Football hold CERTIFICATION REVIEW 1. For which reason would a baby be delivered through a cesarean section? a. Fetal distress 2. What should be done if a postpartum patient has a heavy flow of lochia after lying in bed for a long time? b. Report it to the nurse. 3. What should be done to reduce edema and discomfort of the perineum after giving birth? a. Provide an ice pack. 4. Which technique should be used to measure the newborn's temperature? d. Temporal artery 5. Which position should be avoided when placing a newborn in the crib after a feeding? a. Prone 6. What is the color of the newborn's first stool? a. Dark 7. What needs to be done when measuring the length of an infant? d. Have another person assist. 8. Which body area is cleansed first when bathing an infant? b. Eyes 9. Which announcement indicates that an infant has been abducted? b. Code Pink 10. What should be done first after feeding a newborn? a. Burp the infant. CHAPTER APPLICATION 1. The new mother is very uncomfortable when she tries to sit - Instruct the mother to squeeze her buttocks together and hold them in this position until she is seated upright. 2. The new mother has returned to your care in the postpartum area. nursing107 study guide with complete answers ( solutions by expert) - With other team members you will assist the mother from the stretcher into bed, apply the principles of standard precautions, and apply a bed protector to the bed under the patient’s buttocks Identification RELATING TO THE NURSING PROCESS 1. Implementation 2. Implementation 3. Implementation 4.Planning care Chapter 50: Matching 1.) B 2.) A 3.) D 4.) C 5.) I 6.) F 7.) E 8.) G 9.) H 10.) I 11.) K Chapter review short answer nursing107 study guide with complete answers ( solutions by expert) 1.) a.) specific age group of children b.) Types of patient, surgical, orthopedic or cardiac 2.) The parents 3.) a.) the birth weight b.) show progress in mastery overgrass motor 4.) Achievement of skills within weeks or months Such as falling over, sitting up, crawling, walking 5.) Learning to trust 6.) Talking to them while you’re giving them a bath, feeding them come out or holding them 7.) a.) Bathe b.) Diaper c.) Dress d.) Change the crib linens e.) weigh f.) feed 8.) a.) crying b.) Fever c.) infection 9.) A pacifier 10.) The words they use for bowel movements 11.) Their body parts will be injured or changed 12.) You simple and honest explanations 13.) Explaining a procedure to a child gives them A sense of independence and encourages their feelings 14.) They may view them as someone they dependently need to meet your needs, or someone who has authority over them 15.) Friends 16.) For an infant, pull their ears Straight back and downward. For a child pull the ear up and back. Gently tug the ear and fit the probe into the canal, aiming the tympanic membrane. nursing107 study guide with complete answers ( solutions by expert) Complete the statements in the spaces provided. 1.Your actions should never place a victim in additional danger. 2. First aid techniques are taught as a specific course by the American Red Cross. 3. Certification in CPR is provided in courses by the American Heart Association and the American Red Cross. 4. When you provide first aid, you must deal with the victim's emotional state as well as the victim's physical injuries 5.The first step when arriving at the scene of an accident is to evaluate the situation. 6. If you are in a medical facility when an accident occurs, you should signal for help and keep the patient calm. 7.The national number for emergency help is 9-1-1. 8.The most common cause of airway obstruction is the tongue falling back into the throat so pulling the tongue forward often opens the airway. 9. If oxygen is denied to the body, the most sensitive organ, the brain, may suffer permanent damage. 10. Care that must be given immediately to prevent loss of life is called emergency care. 11. A disturbance of the oxygen supply to the tissues and return of blood to the heart is defined as shock. 12.A victim who is in shock should be kept lying down. 13. The loss of heart function is called a heart attack. 14.Seizures do not always follow the same pattern. nursing107 study guide with complete answers ( solutions by expert) 15.In a generalized tonic-clonic (grand mal) seizure, the patient must be protected against injury. 16.Following a generalized tonic-clonic (grand mal) seizure, the patient may be confused and disoriented for a time and feel very tired 17.A good way to move a victim of electric shock away from the source of electricity is to use something made of nonconductive material. Complete the assessment in the space provided. 1.) What four basic actions should be taken in all emergency situations a. Evaluate the situation. b. Find out the extent of injuries. c. Identify the number of victims and their potential injuries. d.Determine whether there are any dangerous factors at the scene. 2.) What five facts should be included when calling the emergency number? a.) Give the address b.Described what happened c. Give the person’s name d.Give the telephone number where the call is being made from e. Report the number of person’s needing help 3.) What two types of care are included in first aid? a.) Immediate care for victims of injuries or sudden illness. b. Care needed if medical help is delayed or is not available 4.) What are three ways to summon help for an accident victim in a healthcare facility? a. Get the nurse to the scene as soon as possible b.Stay with the victim and call out for help. Use a cellphone, if available. c. Tell the closest person to call emergency medical services. 5.) How should you check for breathing activity? a. Feel for breath movement on your cheek and ear. b. Look at the patient’s chest for equal expansions with each inspiration. nursing107 study guide with complete answers ( solutions by expert) 6.) What order of victim's responses should be checked when providing urgent care? a. Degree of responsiveness b.Airway/Breathing ability c. Presence and rate of heartbeat 7.) How would you describe the distress signals of choking? If the person’s throat is occluded and air cannot get into the airway, that means they are choking. 8.) What six steps should you follow to prevent additional blood loss in a bleeding victim? a. Identify the area that is bleeding. b. Have yourself or the victim apply continuous pressure over the bleeding area. c. Call for help. d. If seepage occurs, increase the padding and pressure. e. If there are no broken bones and there is no pain, raise the wounded area above the level of the heart. f. Use binding of some kind to hold the padded pressure if there is bleeding from more than one area. 9.) What are five early signs of shock? a.) Pale, cold skin that is moist to the touch b.) Complaints of weakness c.) Weak, rapid pulse d.) Rapid and irregular breathing e.) Restlessness and anxiety. 10.) What five signs and symptoms might indicate that a victim is having a heart attack? a.) Perspiration; skin cold and clammy b.) Nausea and vomiting c.) Pale to greyish color of the face d.) Loss of consciousness e.) Irregular pulse or loss of pulse Complete the following multiple-choice assessments. 1.Which action should be taken first when a patient is found in an emergency situation? a. Assess airway. nursing107 study guide with complete answers ( solutions by expert) 4. Reference in a résumé, statements about abilities and characteristics; or persons who give such statements Fill in the blank 1. Assets and limitations 2. Solutions 3. Employment 4. Responsibilities 5. Networking 6. Résumé 7. Permission 8. Related to you 9. Neat and clean 10. Time 11. Knowledgeable 12. Pleasant and proper Short answer 1. A. Look for facilities in your area B. Consider the type of work you are willing to do C. Consider the shifts that have openings D. Note the person to contact for an interview or additional information 2. A. Age b.Marital status c.Religion d.Sex e.Height and weight True/False 1. True 2. True 3. True 4. False 5. true 6. true 7. true 8. True 9. true 10. True nursing107 study guide with complete answers ( solutions by expert) Certification review 1 B 2 b 3 a 4 a 5 c 6 c 7 D 8 B 9 b 10d Clinical situations 1. Possible sources for the search process are agencies or facilities that employ nursing assistants, which can be found in the telephone directory or online search engines. You can also use classified ads found in the newspaper, online, and in social media. 2. Friends and classmates are valuable sources of information about potential jobs. 3. A. Prepare several copies b. Always keep a copy for yourself C. Type the resume for a neat appearance or prepare it on a computer and good printer d.Carry a copy whenever you seek employment e. Use the resume as a ready reference when you fill out forms f. Update the resume regularly 4. A. plan what you will wear b. Make sure you are well groomed c. Prepare a list of questions you want to ask. Make sure to have your résumé in hhand. 5. A. Arrive on time prepared to work b. Follow the policies and procedures outlined in your orientation c. Follow the rules of ethical and legal conduct d.Recognize your limitations and seek help e. Have an open and positive attitude 6. A. enroll in general education courses offered at a high school or college in your area b.Taking courses and communication listening English and psychology c. Participating in in-service education programs at your facility or at nearby hospitals nursing107 study guide with complete answers ( solutions by expert) d. Enrolling in mini courses offered by hospitals on subjects of general public interest e. Selecting books at the library that pertain to health issues f. Researching programs that can prepare you for professional advancements 1