Test #2

Question 1

True or false?

When performing PROM exercises, push the joint a bit further than its capacity.

Answer 1

False

Question 2

True or false?

Support the joint holding the proximal and distal areas adjacent to the joint.

Answer 2

True

Question 3

True or false?

Each ROM exercise should be repeated ten times.

Answer 3

2 - 5

Question 4

True or false?

A flexion contracture of the neck is a serious disability.

Answer 4

True

Question 5

what is difficulty with chewing or oral phase problems.

Answer 5

dysphagia

Question 6

Pharyngeal and esophageal phase problems

Answer 6

choking and aspiration

Question 7

why should we be concerned about swallowing difficulty?

Answer 7

aspiration can lead to pneumonia

Question 8

occurs when food, liquid or secretions enter the airway and descend below the level of the vocal cords

Answer 8

aspiration

Question 9

material entering the airway and remaining above the vocal cords is called this:

Answer 9

penetration

Question 10

frequent aspiration can lead to this potentially fatal health risk, especially in older and/or non-ambulatory patients

Answer 10

pneumonia

Question 11

this type of aspiration is difficult to detect without a chest x-ray

Answer 11

silent aspiration

Question 12

signs of aspiration

Answer 12

• wet sounding voice
• spiking temperature
• chest signs
• subtle throat-clearing

Question 13

this occurs when food or an object blocks the entrance to the airway and the patient is unable to expel the food by coughing

Answer 13

choking

Question 14

technique required to assist a choking victim

Answer 14

heimlich manoevre

Question 15

assessment of this can prevent aspiration and promote nutrition

Answer 15

swallowing ability

Question 16

swallowing assessment can be done 2 ways

Answer 16

1. bedside (oral mechanism evaluation)

2. x-ray test (videofluoroscopic swallowing study or barium swallow test)

Question 17

why are liquids the most easily aspirated?

Answer 17

• flow more quickly
• harder to control in the mouth
• often end up in the pharynx before swallow has triggered

Question 18

all patients should be seated ________ for meals, either in chair or with head of bed raised to highest position

Answer 18

upright

Question 19

patient should not ____ ______ directly after swallowing

Answer 19

lie down

Question 20

this safety tip increases airway protection and hels open upper esophageal sphincter

Answer 20

tucking chin down toward chest when swallowing

Question 21

this safety tip helps clear any residue left in pharynx after first swallow

Answer 21

swallow twice per mouthful of food/liquid

Question 22

placing an empty spoon in patients mouth and pressing down on tongue slightly usually triggers this

Answer 22

swallow

Question 23

True or false?

Using a straw is recommended to prevent choking

Answer 23

False. When drinking with a straw, the patient usually takes a breath much sooner after swallowing and liquid flows more quickly and is harder to control the rate.

Question 24

Define dysphasia

Answer 24

difficulty swallowing

Question 25

True or false? | Dysphagia is the most common cause of aspiration in adults during enteral feedings

Answer 25

false

Question 26

4 signs of dysphagia

Answer 26

1. multiple attempts swallowing 2. poor tongue & lip control 3. patient coughs 4. liquids are most difficult to swallow

Question 27

5 items that can effect appetite

Answer 27

1. illness 2. need to be fed 3. odors 4. pain 5. need to eliminate

Question 28

when preparing a patient for his/her meal, you should consider which of the following: a) type of assistance needed b) risk of swallowing difficulty c) risk for aspiration d) special needs or restrictions e) all of the above f) b and c only

Answer 28

e

Question 29

true or false | it is important to promptly and efficiently serve meal trays

Answer 29

true

Question 30

4 important elements/considerations when serving meal trays

Answer 30

1. meal plan 2. patient preferences 3. dietary restrictions 4. assistance needed

Question 31

4 observations about the patient that should be documented when the patient is finished with the meal

Answer 31

1. amount and type of food 2. record intake/output 3. difficulty eating 4. nausea

Question 32

true or false | oral hygiene should not be offered after a meal

Answer 32

false

Question 33

true or false | when feeding a patient, offer all solid foods before liquids

Answer 33

false

Question 34

true or false | fill the spoon half ful when feeding patients

Answer 34

false

Question 35

true or false | talking to patient while you are feeding him will interfere with the patients ability to eat

Answer 35

false

Question 36

true or false | when feeding a patient, stand next to the chair or bed

Answer 36

false

Question 37

true or false | do not embarrass patients by allowing them to help feed themselves if they have poor vision or hand movement

Answer 37

false

Question 38

position that is similar to dorsal recumbent

Answer 38

supine

Question 39

position where patient is on their stomach

Answer 39

prone

Question 40

position where patient is elevated 90 degrees

Answer 40

high fowlers

Question 41

position where patient is elevated 45 degrees

Answer 41

fowlers

Question 42

position where patient is elevated 30 degrees

Answer 42

low fowlers

Question 43

position where patient is positioned on left or right side

Answer 43

lateral recumbent

Question 44

same as left lateral recumbent

Answer 44

sims

Question 45

this positions is used for enemas, rectal, and gynecological examinations and procedures

Answer 45

sims

Question 46

this positions is used for patients who are having a difficult time breathing

Answer 46

orthopneic

Question 47

true or false | when patients are sitting in a chair or bed, their feet should be left dangling

Answer 47

false

Question 48

position where patient's head is low and the body and legs are elevated

Answer 48

trendelenburg

Question 49

position used for treating shock

Answer 49

reverse trendelenburg

Question 50

position where patient is lying on back with both feet in stirrups

Answer 50

lithotomy

Question 51

the purpose of oral hygiene is to: a) clean the teeth and mouth b) prevent mouth odor and infection c) administer medications by mouth d) all of the above e) a and be only f) c only

Answer 51

e

Question 52

4 things to observe when providing mouth care

Answer 52

condition of lips, teeth, tongue and gums

Question 53

true or false? when providing oral hygiene for an unconscious patient, avoid using a padded tongue blad to separate the upper and lower teeth

Answer 53

false

Question 54

true or false? | it is not necessary to explain to an unconscious patient the care being given

Answer 54

false

Question 55

what position is best for an unconscious patient receiving oral hygiene care?

Answer 55

side lying

Question 56

describe what steps (7) you would follow to clean dentures for a patient

Answer 56

1. wear gloves 2. handle dentures carefully to avoid dropping and breaking 3. line bottom of sink with towel 4. use denture cleaner or paste and clean outer surfaces of teeth first, then the inside 5. take note of cracks, loose teeth, rough edges 6. store dentures in cup of cool water 7. label denture cup with patient's name and room number

Question 57

when caring for a patient's hair, you should do which of the following: a) only comb hair when damp b) comb small sections of hair, beginning at the ends c) work toward scalp d) comb from scalp to hair ends once ends are detangled e) all of the above f) b and d only g) b, c, and d

Answer 57

g

Question 58

true or false | patients confined to to bed cannot have their hair shampooed

Answer 58

false

Question 59

how can a mans beard be softened before shaving

Answer 59

apply warm face cloth

Question 60

how should safety razors be disposed after use

Answer 60

sharps container

Question 61

true or false? | it is not necessary to wear gloves when shaving a patient

Answer 61

false

Question 62

when shaving a male patient, long strokes should be used when shaving the _______. short strokes should be used when shaving the ______ and _______

Answer 62

cheeks | jaw and chin

Question 63

4 reasons why nail and foot care is important

Answer 63

1. prevents infection 2. maintains cleanliness 3. prevents injury 4. prevents odor 5. prevents hangnails 6. prevents ingrown nails

Question 64

true or false | it is easier to shape nails after soaking

Answer 64

true

Question 65

true or false | toenails should be trimmed at an angle on each side

Answer 65

false

Question 66

true or false | it is important to soak the feet of a diabetic patient

Answer 66

false

Question 67

true or false | patient's clothing should be changed daily or more often if soiled

Answer 67

true

Question 68

3 indications for patient to wear TED hose

Answer 68

1. inactive patients at risk for clot formation 2. patients with heart disease and circulatory disorders 3. patients confined to bed 4. pregnant women

Question 69

name 2 lengths of TED hose

Answer 69

thigh high | knee high

Question 70

TED hose worn properly should be: a) rolled over 2 inches at the top of the thigh b) free of wrinkles or creases c) fitted snugly d) fitted loosely to allow for ease of circulation e) all of the above f) a,b,c g) b and c h) b and d

Answer 70

g

Question 71

4 benefits of bathing

Answer 71

1. cleansing 2. relaxation 3. improved circulation 4. passive exercise 5. creates close relationship

Question 72

4 steps to prepare for bathing a patient

Answer 72

1. ask patient to void 2. adjust bed height 3. arrange supplies 4. cover patient with bath blanket 5. fill basin 2/3 with warm water

Question 73

true or false when giving a bath, the supplies should be on the side of the bed opposite to where you are working to avoid spilling the bath water

Answer 73

false

Question 74

true or false | a massage should be offered as part of the bath

Answer 74

true

Question 75

describe steps for providing perineal care for female patient

Answer 75

1. ask patient to void first 2. position patient on her back and drape blanket in diamond 3. wear gloves 4. use warm water 5. separate labia, expose urethra and vagina 6. cleanse from centre outward

Question 76

making a thorough skinn assessment while giving a patient a bath is important. what would your assessment include when providing perineal care for a female patient

Answer 76

observing for skin irritations or breakdown. assessing for pain, redness, swelling or discharge

Question 77

true or false. it is not necessary to wear gloves while bathing a patient because bathing is a normal activity of daily living

Answer 77

false

Question 78

a

Answer 78

before

Question 79

aa

Answer 79

of each

Question 80

AM, am

Answer 80

morning

Question 81

cap

Answer 81

capsule

Question 82

hs

Answer 82

bedtime

Question 83

OD, od

Answer 83

right eye

Question 84

PM, pm

Answer 84

evening

Question 85

LQ

Answer 85

last dose

Question 86

qod

Answer 86

every other day

Question 87

q

Answer 87

every

Question 88

q4h

Answer 88

every 4 hours

Question 89

ss

Answer 89

1/2

Question 90

T,P,R,B/P

Answer 90

temperature, pulse, respiration, blood pressure

Question 91

stat

Answer 91

at once

Question 92

tid

Answer 92

three times a day

Question 93

supp

Answer 93

supposetory

Question 94

D,B & C

Answer 94

deep breathing cough

Question 95

ac

Answer 95

before meals

Question 96

bid

Answer 96

twice day

Question 97

g

Answer 97

gram

Question 98

im

Answer 98

intramuscular

Question 99

os

Answer 99

left ear

Question 100

po

Answer 100

per mouth

Question 101

qod

Answer 101

every other day

Question 102

qid

Answer 102

4 times a day

Question 103

pc

Answer 103

after meal

Question 104

prn

Answer 104

as needed

Question 105

qh

Answer 105

every hour

Question 106

qs

Answer 106

as much as needed

Question 107

qd

Answer 107

every day