Chapters 10, 11, 12

Question 1

Baseline vital signs

Answer 1

initial values that can be compared to future measurements

Question 2

Circadian rhythm

Answer 2

the 24-hour day/night cycle

Question 3

Closed bed

Answer 3

a bed completely made with the bedspread and blankets in place

Question 4

Dangle

Answer 4

to sit up with feet over the side of the bed in order to regain balance

Question 5

Disposable equipment

Answer 5

equipment that is to be used only once then disposed of in the appropriate container. Example: Gloves, incontinent pads, non-electric razors

Question 6

Ergonomics

Answer 6

the science of designing equipment and work tasks to suit the worker’s abilities.

Question 7

Indisposable equipment

Answer 7

equipment that can be reused. Clean and sterilize reusable equipment according to facility policy. Example: bedpans/urinals, autoclave, electric razor

Question 8

Know the facts about positioning

Answer 8

Residents who spend a lot of time in bed often need help getting into comfortable positions. they may need positioning to avoid muscle stiffness and skin breakdowns

Question 9

Fowler’s

Answer 9

a semi-sitting position (45 to 60 degrees)

Question 10

Lateral

Answer 10

the resident is lying on either side

Question 11

Prone

Answer 11

the resident is lying on the stomach, or front side of the body

Question 12

Semi-Fowler’s

Answer 12

a semi-sitting position where head is elevated (30 to 45 degrees)

Question 13

Sim’s

Answer 13

left side-lying position

Question 14

Supine

Answer 14

the resident lies flat on his/her back

Question 15

Know how to spell:
The instrument used to measure temperature

Answer 15

thermometer

Question 16

Know how to spell:
Position used to examine the vagina

Answer 16

Lithotomy

Question 17

Know how to spell:
Position for medical examination or operation in which the patient is placed head down on a table inclined at about 45 degrees from the floor, with the knees uppermost and the legs hanging over the end of the table

Answer 17

trendelenburg

Question 18

Know how to spell: instrument used to measure blood pressure

Answer 18

sphygmomanometer

Question 19

Know how to spell:
instrument used to visually examine the ear

Answer 19

otoscope

Question 20

Know proper body mechanics

Answer 20

1) When lifting use the strong, large muscles in your legs, upper arms, and shoulders.
2) When lifting a heavy object from the floor, spread your feet shoulder-width apart. Bend your knees. Don’t twist when you are moving an object.
3) Push, slide, or pull objects rather than lifting them. Hold objects close to you when you are lifting them.

Question 21

Know the facts about privacy

Answer 21

providing for a resident’s privacy is not simply a courtesy, it is a legal right.

Question 22

Know the reason for a draw sheet

Answer 22

The draw sheet is an extra sheet placed on top of the bottom sheet. It allows you to reposition the resident without causing shearing (rubbing or friction that results from the skin moving one way and the bone underneath remaining fixed or moving in the opposite direction.)

Question 23

Know how to move a resident up in bed using only one person

Answer 23

stand at the head of the bed. Roll and grasp the top edge of the draw sheet. Keep knees bent and back straight. Rock your weight from the front foot to the back foot in one smooth motion.

Question 24

Know the facts about using a transfer belt

Answer 24

Assist the resident in a sitting position. Place the belt over the resident clothing and around the waist. Do not put it over bare skin. Tighten the buckle until it is snug. Leave enough room to insert two fingers comfortably into the belt. Check to make sure that a female’s breasts are not caught under the belt. For comfort, place the buckle off-center in the front or back

Question 25

Know the facts about transferring without a transfer belt

Answer 25

1) Stand in front of resident. Stand with feet about 12 inches apart. Place your arms around resident’s torso under the arms.
2) Ask the resident to use the bed to push up (or your shoulders). With your legs, brace resident’s lower legs to prevent slipping.
3) Count to 3 to alert the resident. Tell the resident to take small steps in the direction of the chair while turning his/her back toward the chair. Ask the resident to put hands on wheelchair arm rest if available.

Question 26

Know the facts about what to do if a resident begins to fall

Answer 26

1) Widen your stance. Bring the resident’s body close to you to break the fall. Bend your knees and support the resident as you lower him/her to the ground.
2) You may need to drop to the floor with the resident to avoid injury due to you or the resident.
3) Don’t try to reserve or stop the fall. Call for help. Do not try to get the resident up after the fall/.

Question 27

Know the facts about mechanical lifts

Answer 27

1) Facilities may have mechanical, or hydraulic lifts available to transfer residents. This equipment avoids wear and tear on your body. Lifts help prevent injury to you and the resident. Don’t use equipment you have not been trained to use.

Question 28

Know the facts about assisting the resident with toileting needs

Answer 28

The bladder empties more efficiently when a person is able to use the toilet. In order to use the toilet, residents must be able to bear some weight on their legs.

Question 29

Know the facts about cane usage to aid ambulation

Answer 29

Resident places cane about 12 inches in front of his/her stronger leg. He/she brings weaker leg even with cane. He/she then brings stronger leg forward slightly ahead of cane. Repeat. If a walker/cane seems too short or too tall inform the nurse.

Question 30

Know the NA’s role in transition to a long term facility

Answer 30

Giving emotional support is a big part in successful transition. Listening and being kind, compassionate, and helpful may make new residents feel better about their new homes.

Question 31

Know the NA’s role during a residents admission

Answer 31

1) Prepare the room before the resident arrives. This helps him/her to feel expected and welcome. Make sure there is an admission kit available, if used.
2) Observe his/her condition. Note any tubes he/she has, such as IV’s or catheters. Introduce yourself and state your position. Smile and be friendly.
3) Never rush the process or the new resident. Explain day-to-day life in the facility. Introduce the resident to other residents and staff members you see. Handle personal items with care and respect.

Question 32

Know the NA’s role during a resident’s transfer

Answer 32

Try to lessen the stress. Inform the resident of the transfer as soon as possible so that she/he can then begin to adjust to the idea. Explain how, where, when, and why the transfer will occur. Involve them with packing process of appropriate, collect the items to be moved onto the cart. Take them to the new location. Help the resdietn into the wheelchair (stretcher for some). Take him/her to proper area.

Question 33

Know the Na’s roles during a resident’s discharge

Answer 33

1) When resident are discharged they may experience doubts or fear about not being cared for at a facility anymore. Be positive; assure him/her that they are ready for this important change.
2) Remind him/her that their doctor believes they are ready. Gather items to be taken with resident. help the resident dress and then into the wheelchair or stretcher.
3) Help the resident say his/her goodbyes to the staff and residents, take the resident to the pick-up area. Help him/her into the vehicle. You are responsible for the resident until he/she is safely in the car and the door is closed.

Question 34

Know the facts about roommate changes

Answer 34

residents have the right to receive notice of any room or roommate change.

Question 35

Know the NA’s role during a physical exam

Answer 35

NA’s may help by bringing the resident to the proper area, gathering equipment, and providing emotional support. Be comforting and answer questions they have that are within your scope of practice. You may be asked to position or drape residents in the correct position for the exam. Before exams, offer residents drapes and other comfort measures, such as closing the privacy screen or curtain and closing the door to the room. Tell them that they will not be exposed more than necessary during the exam.

Question 36

Know the proper way to measure the height of a resident who cannot get out of bed.

Answer 36

Position the resident lying straight in bed, flat on his/her back with arms and legs at sides. Be sure the bed sheet is smooth underneath the resident. Make a pencil mark on the sheet at the top of the head. Make another mark at the resident’s heel. With a tape measure, measure the distance between marks.

Question 37

What position would you place a resident who is going to be having their breasts, chest, abdomen examined?

Answer 37

dorsal recumbent