Exam 1 Flashcards

1
Q

DON

A

Director of Nursing

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2
Q

ALR

A

Assisted Living Residence

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4
Q

HHS

A

U.S department of Health & Human Services

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5
Q

SNF

A

Skilled Nursing Facility

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6
Q

APRN

A

Advanced Practice Registered Nurse

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6
Q

A resident has the right to refuse…

A

Treatment

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7
Q

Acute illness

A

Sudden illness in which a person is expected to recover

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8
Q

RN in charge of staff development

A

Provides nursing education

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9
Q

Medical or Surgical care w/o admitting

A

Outpatient

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10
Q

Jointly funded federal and state insurance that covers children and older, blind, and disabled persons.

A

Medicaid

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11
Q

Role of nursing case manager

A

Coordinates care of specific groups of patients from admission through discharge

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12
Q

Hospice

A

Care that provides comfort and quality of life for the dying person

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13
Q

American Hospital Association

A

responsible for publishing the document that explains a person’s rights and expectations during hospital stay

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14
Q

How are resident rights respected by the nursing assistant while performing care?

A

Prevent unnecessary exposure of the body

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15
Q

OBRA

A

Omnibus Budget Reconciliation Act - requires nursing centers to provide care that improves quality of life

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16
Q

Who provides the legal authority for nurses to perform certain acts or functions?

A

The nurse practice act

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17
Q

The nursing care, function, or procedure that can be delegated to a nursing assistant is known as which of the following?

A

Nursing Task

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18
Q

How much instruction is required by OBRA for the nursing assistant training program?

A

At least 75 hours of instruction in the classroom and at least 16 hours of practical training

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19
Q

Understanding what you can do, what you cannot do, and the legal limits of your role is known as what?

A

Scope of practice

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20
Q

Which step in the delegation process happens when the nurse decides if the delegation was successful?

A

Follow up

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21
Q

When the nurse ENSURES that you complete the task correctly, which step in the delegation process is he or she demonstrating?

A

Guidance

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22
Q

Touching a person or performing a procedure without his or her consent

A

Battery

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23
Q

Deciding what to do and when to perform routine nursing unit tasks

A

Priority setting

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24
Q

behavior in the workplace is known as

A

Work ethics

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25
Q

Following laws, being ethical, having good work ethics, and having the skills to do your work

A

Professionalism

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26
Q

Basic needs must be met for a person to function according to…

A

Abraham Maslow

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27
Q

Influences a person health beliefs and practices

A

Culture

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28
Q

Providing care based on the whole person

A

Holism

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29
Q

Which basic need focuses on the worth, value, or opinion a person has of oneself?

A

Self esteem

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30
Q

Which basic need is on-going and may never be completely met?

A

Self actualization

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31
Q

When you GIVE care, talk to the person, and report information to the registered nurse, you are participating in which of the following steps in the nursing process?

A

Assessment

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32
Q

What is the method used by nurses to plan and deliver nursing care?

A

Nursing process

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33
Q

A written guide about the person’s nursing care is known as what?

A

Nursing care plan

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34
Q

Objective data

A

data or signs are seen, heard, felt, or smelled by an observer.

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35
Q

When bathing a patient, which part of the body is closest to the nursing assistant?

A

Lateral

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36
Q

dysphagia

A

Difficulty swallowing

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37
Q

Medial

A

Midline of the body

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38
Q

The circulatory system is also known as

A

Cardiovascular system

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39
Q

Which nervous system controls the heartbeat?

A

Autonomic nervous system

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40
Q

Respiration

A

the process of supplying cells with oxygen and removing carbon dioxide from them?

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41
Q

Which are the hormones secreted by the adrenal cortex?

A

Glucocorticoids, mineralocorticoids, and male/female sex hormones

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42
Q

Homeostasis

A

The steady state of the human body

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43
Q

How many chambers make up the heart?

A

4

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44
Q

Systems

A

are formed by organs that work together to perform special functions.

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45
Q

Dyspnea

A

Difficult, labored, or painful breathing

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46
Q

Decreased red blood cells causes…

A

Fatigue

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47
Q

Paralysis

A

Loss of muscle function, sensation, or both

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48
Q

Suffix -phagia

A

Swallowing

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49
Q

ADL

A

Activities of daily living

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50
Q

Proximal

A

The part nearest to the center or to the point of origin

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51
Q

Prefix - Hemo

A

Blood

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52
Q

Prefix - Angio

A

Vessel

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53
Q

Suffix - emia

A

Blood condition

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54
Q

Prefix - Osteo

A

Bone

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55
Q

Prefix - Cyano

A

Blue

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56
Q

Suffix - Rrhage

A

Excessive flow

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57
Q

Prefix - myo

A

Muscle

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58
Q

Suffix - algia

A

Pain

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59
Q

Suffix - plegia

A

Paralysis

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60
Q

Suffix - stomy

A

Creating an opening

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61
Q

Prefix - stomato

A

Mouth

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62
Q

Pnea

A

Breathing, respiration

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63
Q

Vaso-

A

Blood vessel

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64
Q

Anterior

A

located at or toward the front of the body or body part

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65
Q

-phasia

A

Speaking

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66
Q

Arthro

A

Joint

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67
Q

Asepsis

A

absence of disease-producing microbes

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68
Q

Systemic infection

A

Involves the whole body

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69
Q

Reservoir

A

Where pathogens grow and multiply

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70
Q

Communicable

A

Disease that is caused by a pathogen that can spread to others

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71
Q

Supine

A

Back lying

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72
Q

Prone

A

Lying on abdomen with head turned to one side

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73
Q

Logrolling

A

Repositioning someone with spinal injury in one solid motion

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74
Q

Shearing

A

when the skin sticks to a surface while muscles slide in the direction the body is moving

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75
Q

Trendenlenburg

A

When the head of the bed is lowered, and the foot is raised

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76
Q

Fowler position

A

45 - 60 degree angle upright

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77
Q

Drawsheet

A

Small sheet placed over the middle of bottom sheet

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78
Q

Purpose of draw sheets

A

Assist with moving the person

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79
Q

Closed bed

A

A bed that is ready for a new patient

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80
Q

Sponge swabs

A

Used for unconscious person

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81
Q

Mouth care for unconscious person

A

Every 2 hours

82
Q

The body’s first line of defense

A

Skin

83
Q

Perineal care

A

Cleaning of genital and anal areas

84
Q

Last step of male perineal care

A

Pat the penis and scrotum dry

85
Q

diaphoresis

A

profuse or excessive sweating and can affect the hygiene needs of a person

86
Q

Hirsutism

A

Excessive body hair

87
Q

Pediculosis

A

Infestation with wingless insects that feed on blood (lice)

88
Q

How long should you soak fingernails?

A

5-10 minutes

89
Q

How long should you soak toenails?

A

15-20 minutes

90
Q

What temperature for soaking nails?

A

105f - 40.5c

91
Q

Affected side

A

The side of the body with weakness from illness or injury (weak side)

92
Q

Unaffected side

A

The strong side opposite from weak or injured side

93
Q

Remove clothing from which side first?

A

Unaffected (strong side)

94
Q

Apply clothing to what side first?

A

Affected side (weak)

95
Q

Intravenous therapy gown opens…

A

Along the sleeves and closes with snaps/ties

96
Q

Standard gown does not…

A

Open along the sleeves

97
Q

Dysuria

A

Painful or difficult urination

98
Q

Functional incontinence

A

Has bladder control but cannot use the toilet in time (immobility, restrained, no call light answered)

99
Q

Mixed incontinence

A

Combination of stress and urge incontinence (mostly older women)

100
Q

Nocturia

A

Frequent urination

101
Q

Oliguria

A

Little amount of urine (less than 500ml in 24 hours)

102
Q

Overflow incontinence

A

Small amounts of urine leak from full bladder

103
Q

Polyuria

A

Abnormally large amounts urine

104
Q

Reflex incontinence

A

Urine is lost at predictable intervals - doesn’t feel the need to void (nervous system disorders and injuries)

105
Q

Stress incontinence

A

When urine leaks during excessive and certain movements that cause pressure on the bladder (exercise,laughing,coughing,sneezing)

106
Q

Transient incontinence

A

Temporary or occasional incontinence that is reversed when cause is treated (short periods of time)

107
Q

Urge incontinence

A

The loss of urine in response to a sudden urgent need to void (night time voiding common)

108
Q

Urinary incontinence

A

The involuntary loss or leakage of urine

109
Q

Urinary retention

A

Not being able to completely empty the bladder

110
Q

How many mls of urine does a healthy adult produce daily?

A

1500

111
Q

Condom catheter

A

A soft sheath that slides over the penis, used to drain urine (changed daily)

112
Q

Indwelling catheter

A

Cather left in the bladder so urine drains constantly into a drainage bag (retention or Foley catheter)

113
Q

Straight catheter

A

Drains the bladder then removed

114
Q

CAUTI

A

Catheter associated urinary tract infection

115
Q

Standard drainage bags usually hold….

A

2000ml of urine

116
Q

Leg bags attached to the thigh or calf hold less than..

A

1000ml of urine

117
Q

Drainage bag always lower than the…

A

Bladder. Hangs on the bed frame

118
Q

Elastic tape only for…

A

Condom catheters but adhesive tape can be apply in a spiral over catheter

119
Q

Colostomy

A

A surgically created opening between the colon and the body’s surface

120
Q

Ilestomy

A

A surgical opening between the ileum (small intestines) and the body’s surface

121
Q

Melena

A

A black tarry stool

122
Q

-ostomy

A

surgical opening that connects an internal organ to the body’s surface

123
Q

Oil retention enema

A

Oil to soften feces and lubricate rectum

124
Q

Saline enema

A

1-2 tablespoons of salt added to 500-1000ml of water

125
Q

Soapsud enema

A

3-5ml of Castile soap is added to 500-1000ml of tap water

126
Q

Small volume

A

Prepackaged ready for use

127
Q

What position do you use to administer an enema

A

Left semi-prone or left side lying position

128
Q

How far do you insert enema tip

A

2 inches for adults

129
Q

Calorie

A

Is the fuel or energy value of food

130
Q

Cholesterol

A

Soft waxy substance for in cells and bloodstream

131
Q

Dysphagia

A

Difficulty swallowing

132
Q

Nutrition

A

Process of ingestion, digestion, absorption, and use of fluid and foods

133
Q

Protein is needed for…

A

Tissue growth and repair

134
Q

Gavage

A

Process of giving a feeding tube

135
Q

Aspiration

A

Breathing fluid, food, vomitus, or objects into the lungs

136
Q

Regurgitation

A

The backward flow of stomach contents into the mouth

137
Q

Enternal nutrition

A

Giving nutrients into the GI by a feeding tube

138
Q

Naps-gastric (NG tube)

A

Feeding tube inserted through nose into the stomach

139
Q

Gastrostomy tube

A

Inserted through a surgical created opening into the stomach

140
Q

What position should a patient be in during feeding that has a NG tube

A

Fowler

141
Q

Afrebrile

A

Without fever

142
Q

Sphygmomanometer

A

a bp cuff, that’s fuggin it

143
Q

Abduction

A

Moving a body part away from the mid-line of the body

144
Q

Adduction

A

Moving a body part toward the midline of the body

145
Q

Atrophy

A

The decrease in size or wasting of tissue

146
Q

Contracture

A

Decreased motion and stiffness of a joint cause by shortening of a muscle

147
Q

Deconditioning

A

The loss of muscle strength from inactivity

148
Q

Dorsiflexion

A

Bending the toes and foot up at the ankle

149
Q

External rotation

A

Turning the joint outward

150
Q

Internal rotation

A

Turning the joint inward

151
Q

Pronation

A

Turning the joint downward

152
Q

Supination

A

Turning the joint uoward

153
Q

Walking canes should be how far from the strong foot

A

6-10 inches

154
Q

Walkers should be how far in front of patient

A

6-8 inches

155
Q

Phantom pain

A

Comes from a body part that is no longer there

156
Q

Observe what during back massages….

A

Breaks in the skin, bruising etc

157
Q

Back massages are how long ?

A

3-5 minutes

158
Q

Rest means

A

To be calm at ease, and relaxed with no anxiety

159
Q

Glucosuria

A

Sugar in urine

160
Q

Hemoptysis

A

Blood in spit

161
Q

Ketone

A

Substance in urine front the rapid breakdown of fat

162
Q

Sputum

A

Mucus from the respiratory system

163
Q

Occult blood

A

Means hidden or not seen blood in stool

164
Q

Ulcer

A

Shallow or deep crater like sore

165
Q

Skins tear

A

A break or rip in the outer layer of the skin

166
Q

Wound

A

A break in the skin

167
Q

For hot and cold compresses you should observe skin every

A

5 minutes

168
Q

Bony prominence

A

Area where the bone sticks out from the flat surface of the body (pressure point)

169
Q

Slough

A

Is dead tissue that sheds from the skin

170
Q

Erythema

A

Means redness

171
Q

Blanchable

A

Skin becomes white or pale after pressure

172
Q

Eschar

A

Is thick leathery dead tissue that may be loose or stick to the skin

173
Q

What color probe is used for rectal thermometer

A

Red

174
Q

Apical pulse is measured where

A

Left side of chest

175
Q

Adult respirations need to be checked right after

A

Checking pulse

176
Q

Orthostatic hypotension

A

form of low blood pressure that happens when standing after sitting or lying down.

177
Q

How long should you wait to ambulate a person who just received pain medication

A

30 minutes

178
Q

The type of pain that is felt suddenly from injury, disease, trauma, or surgery

A

Acute

179
Q

Which specimen collection requires use of sterile gloves

A

Midstream specimen

180
Q

What do you need to do prior to collecting a midstream specimen

A

The perineal area is cleaned before collecting the specimen.

181
Q

Hemoptysis

A

Blood in the sputum (thick mucus)

182
Q

Best time to collect a sputum specimen

A

First thing in the morning

183
Q

24 hour specimen is restarted if

A

A void was not saved

184
Q

No special measures are needed for what type of urine specimen

A

Random

185
Q

Observations needed for a sputum specimen

A

Odor, consistency, color

186
Q

A sitz bath is

A

a type of moist heat where the perineal and rectal areas are immeresed in warm or hot water.

187
Q

aquathermia pad

A

has heated water from the heating unit.

188
Q

First stage of pressure injury

A
188
Q

First stage of pressure injury

A

non-blanchable reddened bony area.

189
Q

Where should you place the pulse oximetry sensor on a person with tremors

A

The earlobe

190
Q

Where are O2 and CO2 exchanged

A

Between the alveoli and capillaries

191
Q

Alveoli

A

where the lungs and the blood exchange oxygen and carbon dioxide during the process of breathing in and breathing out

192
Q

Kussmaul respirations

A

very deep and rapid

193
Q

Cheyne-Stokes respirations

A

occur when respirations gradually increase in rate and depth and then become shallow and slow

194
Q

An oxygen source that removes oxygen from the air is

A

An oxygen concentrator

195
Q

What kind of catheter drains the bladder and then is removed

A

Straight catheter. Foley, condom, and suprapubic catheters are left in place.

196
Q

Hypoxia

A

the cells do not have enough oxygen

197
Q

Pulse ox measures oxygen concentration in which substance

A

Arterial blood

198
Q

orthopneic position

A

Sitting up and leaning over a table

199
Q

Peristalisis

A

The alternating contraction and relaxation of intestinal muscles