Questions Part 2 Flashcards
Which of these describes stage 4 of a decubitus ulcer?
Open area with damage reaching to the bone, joint, or tendons.
As dementia progresses, incontinence can become an issue. How can the nurse aide assist?
Watch for signs of discomfort so you can take the resident to the bathroom
When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?
Ask the family to get several identical outfits
A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to:
ask the resident about his job and if he is hungry
A resident who has not been discharged insists she is going home. What should the nurse aide do?
Notify the charge nurse immediately
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is :
between 95F and 110F
The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:
30 mins before meals and at bedtime
The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. which of the following statements is best when pertaining to this situation?
in changing a dressing, always note the colors, order, amount, and consistency of the drainage on the old dressing.
What is correct about ostomy care?
Able clients can perform this procedure by themselves once they have been taught by the nurse
A client has deep vein thrombosis (DVT) and has been ordered by the doctor to apply elastic stocking. The nurse assistant is correct in performing this when she:
applies the stocking while the client is on bed
The nursing assistant is aware that the purpose of the elastic stoking is to:
prevent blood clots
A COPD client recently admitted to the floor needs constant oxygen therapy. when assisting this pateint, the nurisng assisant can:
After applying an elastic bandage to the client’s right leg, you need to check the color and temperature of the leg:
every hour
Which of the following statements is correct pertaining to binders application?
The double T-binder is specifically used for male clients
Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following device is least likely used for this particular purpose?
Rubber sheet
clients requiring oxygen therapy should be monitored for hypoxia. early signs for hypoxia included
Restlessness, dizziness, and disorientation
An asthmatic client can be relieved from dyspnea when he is placed in an orthopneic position. This can be done by:
sitting up and leaning over a table with a pillow
Which action is incorrect when flossing the client’s teeth?
use a new piece of floss for each tooth.
To obtain a 24-hour urine specimen, the nurse assistant should:
Discard the first voided specimen and then collect the total volume of each voiding in 24 hours
A client was fitted with a hearing aid. She understands the proper use and wears of this device correctly when she says that the device is turned on and adjusted to a:
audible level
One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:
Are not able to express themselves meaningfully through speech.
The nursing assistant is aware that the responsibility for keeping accurate I&O records is part of her duties. If the client is incontinent, how should she document the output?
Record on the output side of the I&O sheet each time the bed is wet.
Which of the following are examples of fluid output that need to be recorded on the I&O sheet?
Urine, emesis, blood loss, and excessive perpiration
A client is receiving oxygen therapy via a face mask. Which of the following is contraindicated for this client?
Shaving using an electric razor