Chapter 7 Nd 8

Question 1

What should an NA do if a resident pockets food in their cheeks?

Answer 1

Encourage chewing and swallowing by gently touching the cheek to move food toward the teeth.

Question 2

What are signs of fluid overload?

Answer 2

Swelling (edema) in extremities such as ankles, feet, fingers, or hands.

Question 3

ambulate

Answer 3

means to walk or move around, either independently or with assistance

Question 4

Dysphagia means ?

Answer 4

difficulty swallowing

“Dys-“ means difficulty or trouble (like in dysfunction or dyslexia).
• “-phagia” relates to eating or swallowing (similar to “phagocytosis,” which refers to cell eating).

Question 5

What can decrease the sense of thirst in residents?

Answer 5

Aging, infection, fever, diarrhea, and some medications.

Question 6

What are common types of specimens that NAs may collect?

Answer 6

Urine (routine, clean-catch/midstream, first void,
24-hour), stool (feces), and sputum (mucus coughed up from the lungs).

Question 7

How often must a restrained resident be checked?

Answer 7

At least every 15 minutes.

Question 8

What are possible effects of chronic pain?

Answer 8

Withdrawal, depression, and isolation.

Question 9

What conditions can cause swallowing problems?

Answer 9

Stroke (CVA), Parkinson’s disease, multiple sclerosis, Alzheimer’s, and head/neck cancer.

Question 10

Fat-Soluble Vitamins

Answer 10

Stored in fat (Vitamins A, D, E, K).

Question 11

What is the NA’s role regarding catheter care?

Answer 11

To give daily catheter care (cleaning the area around the urethral opening and emptying the drainage bag) but not to insert, remove, or irrigate catheters.

Question 12

What are examples of healthier fats that may be included in a low-fat diet?

Answer 12

Olive oil, nuts, avocado, and fatty fish like salmon.

Question 13

What are elastic bandages used for?

Answer 13

To hold dressings in place, secure splints, support and protect body parts, and reduce swelling from injuries.

Question 14

What is the normal armpit (axillary) temperature range?

Answer 14

96.6°-98.6°F (35.9°-37.0°C).

Question 15

What is the normal rectal temperature range?

Answer 15

98.6° -100.6°F (37.0°-38.1°C).

Question 16

Water-Soluble
Vitamins

Answer 16

Not stored; excreted in urine (Vitamins B & C).

Question 17

Is pain a vital sign?

Answer 17

No, but it is important to monitor and manage.

Question 18

When is a liquid diet ordered?

Answer 18

Before or after medical tests or surgery to keep the intestinal tract free of food.

Question 19

Why is a low-fat diet prescribed and what does it typically restrict?

Answer 19

It is prescribed to lower the risk of heart disease by reducing saturated fats and trans fats, while sometimes favoring unsaturated fats.

Question 20

What is the normal forehead (temporal artery) temperature range?

Answer 20

97.2°-100.1°F (36.2° -37.8°C).

Question 21

How many milliliters are in 1 ounce?

Answer 21

30 ML

Question 22

How does socializing at mealtime benefit residents?

Answer 22

It can prevent weight loss, dehydration, malnutrition, loneliness, and boredom.

Question 23

What are the two types of liquid diets?

Answer 23

Clear liquid diet (e.g., broth, gelatin, popsicles) and full liquid diet (e.g., milk, cream soups, ice cream).

Question 24

What are common abbreviations for a diabetic diet?

Answer 24

NCS (No Concentrated Sweets) and ICS (Low Concentrated Sweets).

Question 25

Simple Carbohydrates

Answer 25

Found in sugars, sweets, syrups, and jellies with less nutritional value.

Question 26

How much does each long and short line represent on a thermometer?

Answer 26

Long line = 1°F, Short line = 0.2°F (two-tenths of a degree).

Question 27

What is Texas catheter?

Answer 27

Texas catheter is the same thing as a condom catheter

Question 28

Water

Answer 28

Maintains body temperature, supports digestion, and prevents dehydration.

Question 29

What is the normal ear (tympanic) temperature range?

Answer 29

96.6°-99.7°F (35.9°-37.6°C).

Question 30

What unit is fluid measured in?

Answer 30

Milliliters (mL)

Question 31

How long should a resident remain upright after a tube feeding?

Answer 31

At least 30 minutes or as ordered.

Question 32

Where is the brachial pulse located?

Answer 32

Inside the elbow, about 1 to 1½ inches above the elbow.

Question 33

What does systolic pressure represent?

Answer 33

The pressure when the heart contracts and pushes blood (top number).

Question 34

What is a low-sodium diet and who might need it?

Answer 34

A diet that restricts salt (often labeled as Low Na or NAS) for residents with high blood pressure, heart disease, or kidney disease.

Question 35

Why is oxygen considered a fire hazard?

Answer 35

Because oxygen supports combustion, making flammable materials like alcohol and nail polish remover dangerous around it.

Question 36

What must you do before using a digital thermometer?

Answer 36

Put on a disposable sheath and turn it on.

Question 37

Fluid Intake Conversions Q: Convert 2 oz to mL. Q: Convert 4 oz to mL. Q: Convert 8 oz to mL. Q: Convert ¼ cup to mL. Q: Convert ½ cup to mL. Q: Convert 1 cup to mL.

Answer 37

To convert ounces (oz) and cups to milliliters (mL), use the following conversions: • 1 oz = 30 mL • 1 cup = 8 oz = 240 mL Now, applying these conversions: • 2 oz → 2 x 30 = 60 mL • 4 oz → 4 × 30 = 120 mL • 8 oz → 8 × 30 = 240 mL • ¼ cup → ¼ × 240 = 60 mL • ½ cup → ½ × 240 = 120 mL • 1 cup → 240 mL

Question 38

What position should the resident be in for a rectal temperature?

Answer 38

Left-lying (Sims') position.

Question 39

What care should an NA provide for a resident with a feeding tube?

Answer 39

Regular oral care and proper skin care to prevent pressure injuries.

Question 40

What are the four main vital signs?

Answer 40

Body temperature, pulse rate, respiration rate, and blood pressure.

Question 41

What is the most severe consequence of improper restraint use?

Answer 41

Death

Question 42

What care should be given when restraints are released?

Answer 42

Fluids, repositioning, and range of motion exercises.

Question 43

Name three situations where you should NOT take an oral temperature.

Answer 43

If the person is unconscious, has had facial/oral surgery, or is younger than 5 years old.

Question 44

Why is a low-fat diet prescribed and what does it typically restrict?

Answer 44

It's is prescribed to lower the risk of heart disease by reducing saturated fats and trans fats, while sometimes favoring unsaturated fats.

Question 45

When should linens be changed?

Answer 45

After personal care (e.g., after a bed bath) or whenever bedding is damp, soiled, or needs straightening.

Question 46

What must you do before using an electronic thermometer?

Answer 46

Remove the probe from the base unit and put on a probe cover.

Question 47

What is considered Normal Blood Pressure?

Answer 47

Systolic: 90-119 mm Hg, Diastolic: 60-79 mm Hg. Considered a healthy range.

Question 48

What defines Low Blood Pressure (Hypotension)?

Answer 48

Systolic: Below 90 mm Hg or Diastolic: Below 60 mm Hg. Can cause dizziness or fainting.

Question 49

What is Elevated Blood Pressure?

Answer 49

Systolic: 120-129 mm Hg and Diastolic: Less than 80 mm Hg. Warning stage before hypertension.

Question 50

What are the criteria for Stage 1 Hypertension?

Answer 50

Systolic: 130-139 mm Hg or Diastolic: 80-89 mm Hg. Early signs of high blood pressure.

Question 51

What defines Stage 2 Hypertension?

Answer 51

Systolic: At or over 140 mm Hg or Diastolic: At or over 90 mm Hg. More severe high blood pressure.

Question 52

What constitutes a Hypertensive Crisis?

Answer 52

Systolic: Over 180 mm Hg and/or Diastolic: Over 120 mm Hg. Requires immediate medical attention.

Question 53

When a resident cannot get out of bed, (A) The bed cannot be changed (B) The resident will be moved to a stretcher for bed changing (C) The nurse will change the bed (D) The bed should be raised to a safe height before making it

Answer 53

The bed should be raised to a safe height before making it

Question 54

What is the normal temperature range for Armpit (Axillary)?

Answer 54

96.6° - 98.6° F

Question 55

What is the normal temperature range for Ear (Tympanic)?

Answer 55

96.6° - 99.7° F

Question 56

What is the normal temperature range for Mouth (Oral)?

Answer 56

97.6° - 99.6° F

Question 57

What is the normal temperature range for Temporal Artery (Forehead)?

Answer 57

97.2° - 100.1° F

Question 58

What is the normal temperature range for Rectum (Rectal)?

Answer 58

98.6° - 100.6° F

Question 59

What mnemonic can help remember temperature ranges?

Answer 59

Auntie Emma Made Freddy Rumor

Question 60

What does 'Auntie' represent in the mnemonic?

Answer 60

Armpit (Axillary): 96.6° - 98.6° F

Question 61

What does 'Emma' represent in the mnemonic?

Answer 61

Ear (Tympanic): 96.6° - 99.7° F

Question 62

What does 'Mouth' represent in the mnemonic?

Answer 62

Mouth (Oral): 97.6° - 99.6° F

Question 63

What does 'Freddy' represent in the mnemonic?

Answer 63

Temporal (Forehead): 97.2° - 100.1° F

Question 64

What does 'Rumor' represent in the mnemonic?

Answer 64

Rectum (Rectal): 98.6° - 100.6° F

Question 65

What is the normal temperature range for Armpit (Axillary)?

Answer 65

35.9° - 37.0° C

Question 66

What is the normal temperature range for Ear (Tympanic)?

Answer 66

35.9° - 37.6° C

Question 67

What is the normal temperature range for Mouth (Oral)?

Answer 67

36.4° - 37.6° C

Question 68

What is the normal temperature range for Temporal Artery (Forehead)?

Answer 68

36.2° - 37.8° C

Question 69

What is the normal temperature range for Rectum (Rectal)?

Answer 69

37.0° - 38.7° C

Question 70

What is cholesterol?

Answer 70

A type of fat in the blood that the body needs to build cells and make vitamins, but too much can lead to heart problems.

Question 71

What is nutrition?

Answer 71

The process by which the body uses food to maintain health.

Question 72

What are vitamins?

Answer 72

Essential for body function but must be obtained from food.

Question 73

What are minerals?

Answer 73

Help build bones, form blood, and regulate body functions. ## Footnote Examples: Zinc, Iron, Calcium, Magnesium.

Question 74

What are fats?

Answer 74

Provide energy and support cell function.

Question 75

What are monounsaturated and polyunsaturated fats?

Answer 75

Help lower disease risk.

Question 76

How soon should an NA check on a resident after applying a bandage?

Answer 76

10 minutes ## Footnote This is the recommended time frame for checking on a resident after bandaging.

Question 77

A bed made with the bedspread and blankets in place is called a(n) (A) Open bed (B) Stretcher bed (C) Closed bed (D) Completed bed

Answer 77

Closed bed

Question 78

Soiled linen should be bagged (A) In the hallway (B) In another resident's room (Cy At the point of origin (D) At the nurses' station

Answer 78

At the point of origin

Question 79

If an NA is asked to use a piece of equipment he does not know how to use, he should (A) Figure it out as he goes along (B) Try to perform the task without using the equipment (C) Ask for help (D) Refuse to use the equipment

Answer 79

Ask for help

Question 80

What should be ensured when collecting a stool or other specimen?

Answer 80

It should be free from urine and toilet paper to avoid contamination and ensure accurate results.

Question 81

What are swollen hands also known as?

Answer 81

Swollen hands are also known as edema.

Question 82

What can swollen hands indicate?

Answer 82

Swollen hands can be a sign of fluid retention or an underlying medical condition.

Question 83

True or false The IDDSI created a framework to standardize food textures and drink thicknesses to ensure safety and consistency for individuals with dysphagia

Answer 83

True it reducing risks like choking and aspiration.

Question 84

A resident with Parkinson's disease may need help if ___________ or shaking make it difficult for him to eat.

Answer 84

Tumor

Question 85

True or false If a resident has poor sitting balance, seat them in a regular dining room chair with armrests, rather than in a wheelchair.

Answer 85

True

Question 86

Out of the following choices, which vegetable color has the best nutritional content? A) Dark green (B) Pale yellow (C) Dark purple (D) Light brown

Answer 86

Dark green

Question 87

Most of a person's fruit choices should be (A) Fruit bars (B) Smoothies (C) Cut-up fruit D) Fruit juice

Answer 87

Cut-up fruit

Question 88

What kinds of grains are best to consume? (A) Refined grains (B) White grains (C) Whole grains (D) Corn grains

Answer 88

Whole grains

Question 89

Which of the following is considered a plant- based protein? (A) Salmon (B) Eggs (C) Sausage (D) Beans

Answer 89

Beans

Question 90

Oatmeal and pasta are examples of food made from which food group? (A) Vegetables (B) Fruits (C) Grains (D) Protein

Answer 90

Grains

Question 91

Most dairy group choices should be (A) Whole fat (B) 2% fat (C) Half-and-half (D) 1% fat

Answer 91

1% fat

Question 92

Which of the following foods is considered high in sodium: (A) Apple (B) Pickle (C) Avocado (D) Corn

Answer 92

Pickle

Question 93

True or false One symptom of dehydration is dark urine.

Answer 93

True