Chapter 8 E, G, H

Question 1

An artificial limb or body part; sometimes called a prosthetic

Answer 1

Prosthesis

Question 2

The removal of a breast, usually due to cancer; can be either complete or partial

Answer 2

Mastectomy

Question 3

A birth defect by which the child is born without a limb or body part

Answer 3

Congenital

Question 4

Diabetes or vascular disease causing poor blood flow to a limb, resulting in amputation

Answer 4

Disease

Question 5

Car accident, war time injury, or extreme temperature causing frostbite, resulting in amputation

Answer 5

Trauma

Question 6

The inability to partially or totally empty the bladder

Answer 6

Urinary retention

Question 7

Breast cancer, resulting in mastectomy

Answer 7

Tumor

Question 8

A wax cone that is inserted into the rectum to aid in a bowel movement

Answer 8

Suppository

Question 9

The ureters are detached from the bladder and then attached to a segment of bowel, one end of which extends outside of the abdominal wall, allowing urine to drain to the outside of the body

Answer 9

Urostomy

Question 10

An opening that protrudes from the abdomen connecting an internal organ to the outside of the body

Answer 10

Stoma

Question 11

One end of the large intestine is drawn outside of the abdominal wall for the passage of stool

Answer 11

Colostomy

Question 12

One end of the small intestine is drawn outside of the abdominal wall for the passage of stool

Answer 12

Ileostomy

Question 13

Hidden blood

Answer 13

Occult Blood

Question 14

Red, obvious blood

Answer 14

Frank blood

Question 15

Thomas is a resident you are caring for this morning. It is scheduled shower day, but he has refused. He states that he doesn’t like to take showers. What should you do?

A)Offer an alternative such as a bed bath
B)Do nothing; has the right to refuse
C)Explain to Thomas that he needs to shower to keep his skin healthy
D)Ask the nurse to schedule his showers for a different day

Answer 15

A)Offer an alternative such as a bed bath

Question 15

A resident that you have cared for has a pressure injury. The nurse begins an investigation to determine how and when the pressure injury developed. You have provided skin care as directed in the resident’s care plan. When the nurse questions you, what is the best response?

A) Explain that it was not your fault; other nursing assistants had cared for the resident too
B)Tell the nurse that you have followed the care plan and that your charting reflects this.
C)Update the nurse that the resident has been eating poorly lately and that this may be the reason for the injury
D)Tell the nurse you think the nursing assistants on the night shift are not providing appropriate skin care

Answer 15

B)Tell the nurse that you have followed the care plan and that your charting reflects this.

Question 17

A resident has had a large loos bowel movement in her incontinence garment while sitting in the common dinning room with other residents. What should you do?

A)Allow her to finish eating in the dining room and then take her to her room to provide peri-care
B)Take her and her meal to her room and perform peri-care when she is done eating breakfast
C)Discreetly take her to her room, provide peri-care, and then assist her back to the dinning room.
D)Allow her to finish breakfast and then provide peri-care in the closest bathroom

Answer 17

C)Discreetly take her to her room, provide peri-care, and then assist her back to the dinning room.

Question 18

You need to complete a resident’s partial bed bath but only have two washcloths available. What should you do?

A)Bathe the client using the two washcloths, making sure to wash from cleanest areas first, and providing peri-care last
B)Provide peri-care only
C)Use another resident’s clean washcloths
D)Use paper towels from the dispenser to dry the skin

Answer 18

A)Bathe the client using the two washcloths, making sure to wash from cleanest areas first, and providing peri-care last

Question 19

your male resident has asked you to help him apply his makeup. what should you do?

A) tell him that it is not appropriate
B) help him apply the make up
C) update his family regarding the request
D) suggest that he not put makeup on today

Answer 19

B) help him apply the make up

Question 20

you are assigned to care for two residents who reside in the same room. both residents are named Mary. wear glasses and suffer from dementia. you are unsure whose glasses belong to whom. what should you do?

A) see which pair of glasses fits each resident
B) ask the residents to identify their glasses
C) ask the nurse to identify the glasses
D)call each residents family to describe the glasses

Answer 20

C) ask the nurse to identify the glasses

Question 21

you enter a residents room to find her crying. she tells you she is upset because of hair loss caused by her cancer treatment. what should you do?

A) tell her that you understand and then leave the room to provide privacy
B) suggest that she purchase a wig or scarf to cover her head
C) allow the resident to express her feelings and then report this to the nurse
D) tell her that it is only a temporary hair loss; it will grow back soon

Answer 21

C) allow the resident to express her feelings and then report this to the nurse

Question 22

a male residents family has brought a package of disposable razors to the facility for hi to use. the resident has aske you to help hi with shaving the morning. what should you do?

A) help him shave and keep the package of razors in his room for the next time
B) explain to the resident that disposable razors are not allowed in long-term care facilities
C) suggest the resident call his family for an electric razor instead
D) verify with the care plan that he may use disposable razors

Answer 22

D) verify with the care plan that he may use disposable razors

Question 23

your resident ask you to apply lotion between her toes after foot care. what should you do?

A) apply lotion between her toes as requested
B) explain that it is not within your scope of practice
C) ask the nurse for baby powder to use instead of lotion
D) report the resident request to the nurse and ask for directives

Answer 23

D) report the resident request to the nurse and ask for directives

Question 24

you notice a reddened area on your residents right heel that was not there yesterday. what should you do first

A) report the pressure injury to the nurse
B) ask your coworkers if they noticed the reddened area
C) place the heel on two pillows
D) watch the area to make sure it does not get worse

Answer 24

A) report the pressure injury to the nurse

Question 24

you notice that your coworker is not offering fluids to the residents, and you’re concerned that they may become dehydrated. what should you do?

A) make sure you offer extra fluid to make up for it
B) report her to the supervisor immediately
C) understand that this may take extra time that she doesn’t have
D) remind your coworker of the importance of hydration

Answer 24

B) report her to the supervisor immediately

Question 25

while changing your residents colostomy bag you become nauseated from the smell. what should you do ?

A) tell the resident you are becoming ill
B) refuse to change the ostomy bag next time
C) do your best to finish the task in professional manner
D) ask another nursing assistant to complete the task

Answer 25

C) do your best to finish the task in professional manner

Question 26

a resident has requested her colostomy bag be changed before she leaves her room for the day. her roommate is having breakfast on the other side of the room. what would you do?

A) change the bag in the room as the resident request
B) ask the resident to wait until her roommate is finished with breakfast
C) assist the resident to a bathroom and then change the bag
D) take the breakfast away from the roommate while you change the bag

Answer 26

C) assist the resident to a bathroom and then change the bag

Question 27

your resident who is normally continent has had a loose, incontinent bowel movement while in bed. he is very embarrassed and upset. what should you do?

A) place an incontinent garment on him to prevent more accidents
B) remind him that he should call for assistance quicker next time he needs to use the bathroom
C) clean him up in a caring and professional manner and place clean linens on his bed
D) put him on the commode every 2 hours for the rest of your shift

Answer 27

C) clean him up in a caring and professional manner and place clean linens on his bed

Question 28

you are assisting a resident with toileting and need to change her incontinence garment. she normally wears a small size but your are only able to find garments label as large / what should you do?

A) change the resident into the large incontinence garment, ensure comfort and adequate fit and then update the nurse
B) borrow from another resident who uses similar incontinence products and then update the nurse
C) have the resident remain in bed until small-sized incontinence garment can be purchased
D) ask the nurse to insert a catheter until the facility can purchase more supplies

Answer 28

A) change the resident into the large incontinence garment, ensure comfort and adequate fit and then update the nurse