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PCA TEST
What agencies issue the standards regarding the use of restraints A) CMS B) joint commission C) mo department of health D) senior services - ANSWERS-CMS, joint commission, mo department of health, senior services Grey armband - ANSWERS-Isolation I.S - ANSWERS-Incentive spirometer Ted's - ANSWERS-Anti-embolism stockings SCD's A) social chronic disorder B) sequential or pneumatic compression devices stimulates walking - ANSWERS-Sequential or pneumatic compression devices stimulates walking What should a PCA be aware of when assessing bowel elimination A) color, shape B) amount, consistency
C) Oder, pain D) frequency - ANSWERS-Color, shape, amount, consistency, Oder, pain, frequency Hematuria A) pain when urinating B) blood in the urine - ANSWERS-Blood in the urine Disuria A) pain when urinating B) blood in the urine - ANSWERS-Pain when urinating Medical asepsis A) the practice used to remove or destroy pathogens and to prevent spreading B) sterile technique - ANSWERS-The practice used to remove or destroy pathogens and to prevent spreading Surgical asepsis A) the practice used to remove or destroy pathogens and to prevent spreading B) sterile technique - ANSWERS-Sterile technique What are signs of infection? A) fever, rash
a patient should be encourage by the PCA to TCDB every hours postoperatively A) one B) two C) four - ANSWERS-two dirty linens are placed in what color bags A) black B) green C) red - ANSWERS-green urine collected from patient in the middle of urination. A) collection B) midstream C) urinating - ANSWERS-midstream a low sodium diet is a restriction in intake A) salt B) water C) food - ANSWERS-salt abuse involving hitting, slapping, or kicking another person A) personal B) physical
C) fight - ANSWERS-physical sudden drop in blood pressure when patient stands from lying or sitting position A) orthostatic B) fainting C) stoke - ANSWERS-orthostatic blood vessels when heat application is applied to the skin A) expand B) contract C) bind - ANSWERS-Contract when a patient is restrained, the PCA's role is making sure the patient's are being met - ANSWERS-basic needs the PCA should be aware of the rate, rhythm, and when taking a radial pulse A) strength B) beat C) quality - ANSWERS-quality what does a red arm band stand for A) allergy
B) falls C) infection - ANSWERS-complications what color of arm band that means do not take blood pressure in a specific arm? A) red B) yellow C) pink - ANSWERS-pink always use protective equipment, such as gown, gloves and mask, when in an room A) patient B) hospital C) isolation - ANSWERS-isolation a term meaning toward the front of the body A) posterior B) front C) anterior - ANSWERS-anterior always use two identifiers which are the patient's and to properly identify a patient A) name and DOB B) word and picture C) number and name - ANSWERS-name, DOB
one of the 5 rights of delegation. the right - ANSWERS-Task characteristics of a group of people based on their language, beliefs, and values passed on from one generation to the next - ANSWERS- culture a concept that considers the whole person with physical, social, psychological and spiritual parts that is woven together and can not be separated A) respect B) normal C) holism - ANSWERS-holism type of communication that does not use words and more accurately reflects how a person feels - ANSWERS-nonverbal difficulty breathing A) asthma B) dyspnea C) amnesia - ANSWERS-dyspnea who is primary focus of the healthcare team in the healthcare setting A) nurses
which side is a patient turned toward before administering an enema A) sitting up B) left C) right - ANSWERS-left state of being unaware and unresponsive to one's surroundings A) quadra B) coma C) dead - ANSWERS-coma another meaning for "as needed" A) PRN B) whenever C) AN - ANSWERS-PRN a pressure is prevented by turning patients at least q 2hrs throughout the shift A) point B) ulcer C) wound - ANSWERS-ulcer heart rate less than 60 beats per minutes A) hypercardia B) bradycardia
C) hypocardia - ANSWERS-bradycardia when a patients fluid intake is limited during a 24hr period this is called a restriction A) water B) fluid C) restroom - ANSWERS-fluid when should the PCA report a change in the patient's condition to the RN A) the next day B) just write it in chart C) immediately - ANSWERS-immediately a systolic blood pressure greater that 140 mmHg and/or a diastolic blood pressure greater than 90 mmHG A) hypercardiac B) hypertension C) hypotension - ANSWERS-hypertension patients are placed in as a last resort to prevent harm to the patient or others A) ICU B) restraints C) coma - ANSWERS-restraints
B) melts C) cools - ANSWERS-melts output is body that can be measured A) fluid B) sweat - ANSWERS-fluid when calculating nutrition %, soda counts as nutrition True or False - ANSWERS-False for I & O use a graduated cylinder to measure fluid output. This is critical especially for patients with & disease A) bad, brain B) cardiac, renal C) mental, infectious - ANSWERS-cardiac, renal what situations should you report to the nurse A) Mr. jones, a siabetic will not eat because he doesn't like the food. B) willee coyote complains of pain when eating his supper C) Mr. ray barrrone was choking frequently when he ate. D) all of the above - ANSWERS-all of the above report to the nurse
A) urine output less than 30ml per hour B) urine that is cloudy, bloody, or dark tea colored C) person states they are unable to void D) all of the above - ANSWERS-all of the above Mr. Bee has a chest tube, you should empty the collection container to measure the output True or False - ANSWERS-False vomiting A) fluid B) emesis C) gross - ANSWERS-emesis too much fluid in the tissues of the body A) fatty B) edema C) absorption - ANSWERS-edema every four hours A) 4hr B) Q 4H C) 4 hours - ANSWERS-Q 4H
any accident/incident that occurs at Mercy (patient, visitor, co- worker) needs to be reported to your Nurse manger, supervisor or RN in charge and a SAFE report filed - ANSWERS-true only an RN can enter information about an error into the Mercy SAFE report found on baggot street - ANSWERS-False bedrails can be hazardous to a patient - ANSWERS-True the healthcare team needs to follow strict guidelines about the use of restraints - ANSWERS-true two acceptable patient identifiers are their name and social security number - ANSWERS-false if a patient is on high fall risk precautions, they should have either a bed or chair alarm on - ANSWERS-True beds must be locked and in low position except when transporting a patient or providing care - ANSWERS-true which are correct reasons why a patient may be at risk to fall A) medications that effect mental ability B) confusion, disorientation C) poor mobility, weakness, male gender D) all of the above - ANSWERS-all of the above
what is the number one reason a patient falls A) exercising B) having to go to the bathroom C) slipping when out walking - ANSWERS-having to go to the bathroom if you identify a patient by their armband, but they say their name is something different, what would be the next step you, as the PCA should follow A) change their armband to the right name B) contact RN C) both - ANSWERS-contact RN yellow/white armbands A) isolation alert B) type and cross-blood C) name and identification - ANSWERS-type and cross-blood grey armband A) isolation alert B) type and cross-blood C) name and identification - ANSWERS-isolation alert white armband
approach the patient from the front and call him by name - ANSWERS-true tell the patient who you are and why you're in his room - ANSWERS- True explain to the patient when you're going to do before initiating physical contact - ANSWERS-True assist the patient with hygiene, eating, drinking, toiling, ambulation and positioning every 2 hours or as needed - ANSWERS-true notify the nurse if a patient develops new-onset confusion or has periods of clarity mixed with confused episodes - ANSWERS-true it is alright to leave a one on one patient alone if he is sleeping - ANSWERS-false which are correct various ways one can assist with orientating the patient to his or her surroundings A) personal items, clocks and calendars B) glasses and hearing aids C) visiters and talking D) all of the above - ANSWERS-all of the above
understanding what is "real" for the person with dementia and respond accordingly A) respect B) validation therapy C) talking - ANSWERS-validation therapy sit facing patient, exit room easy, stay alert, no cell phone usage are all ways co-workers practice A) safety tips regarding a one to one B) respect C) rules - ANSWERS-safety tips regarding a one to one document food, water, elimination, and positioning were offered two hours. - ANSWERS-true when the patient is at high risk for aspiration, restrain him prone - ANSWERS-false always secure restraints to the side rails - ANSWERS-false when loosening restraints, have a coworker nearby to assist in restraining the patient if necessary - ANSWERS-true skin breakdown can occur under restraints - ANSWERS-true
