Exam 1 Flashcards
(200 cards)
1
Q
DON
A
Director of Nursing
2
Q
ALR
A
Assisted Living Residence
4
Q
HHS
A
U.S department of Health & Human Services
5
Q
SNF
A
Skilled Nursing Facility
6
Q
APRN
A
Advanced Practice Registered Nurse
6
Q
A resident has the right to refuse…
A
Treatment
7
Q
Acute illness
A
Sudden illness in which a person is expected to recover
8
Q
RN in charge of staff development
A
Provides nursing education
9
Q
Medical or Surgical care w/o admitting
A
Outpatient
10
Q
Jointly funded federal and state insurance that covers children and older, blind, and disabled persons.
A
Medicaid
11
Q
Role of nursing case manager
A
Coordinates care of specific groups of patients from admission through discharge
12
Q
Hospice
A
Care that provides comfort and quality of life for the dying person
13
Q
American Hospital Association
A
responsible for publishing the document that explains a person’s rights and expectations during hospital stay
14
Q
How are resident rights respected by the nursing assistant while performing care?
A
Prevent unnecessary exposure of the body
15
Q
OBRA
A
Omnibus Budget Reconciliation Act - requires nursing centers to provide care that improves quality of life
16
Q
Who provides the legal authority for nurses to perform certain acts or functions?
A
The nurse practice act
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
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
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
20
Q
Which step in the delegation process happens when the nurse decides if the delegation was successful?
A
Follow up
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
22
Q
Touching a person or performing a procedure without his or her consent
A
Battery
23
Q
Deciding what to do and when to perform routine nursing unit tasks
A
Priority setting
24
Q
behavior in the workplace is known as
A
Work ethics
25
Following laws, being ethical, having good work ethics, and having the skills to do your work
Professionalism
26
Basic needs must be met for a person to function according to…
Abraham Maslow
27
Influences a person health beliefs and practices
Culture
28
Providing care based on the whole person
Holism
29
Which basic need focuses on the worth, value, or opinion a person has of oneself?
Self esteem
30
Which basic need is on-going and may never be completely met?
Self actualization
31
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?
Assessment
32
What is the method used by nurses to plan and deliver nursing care?
Nursing process
33
A written guide about the person’s nursing care is known as what?
Nursing care plan
34
Objective data
data or signs are seen, heard, felt, or smelled by an observer.
35
When bathing a patient, which part of the body is closest to the nursing assistant?
Lateral
36
dysphagia
Difficulty swallowing
37
Medial
Midline of the body
38
The circulatory system is also known as
Cardiovascular system
39
Which nervous system controls the heartbeat?
Autonomic nervous system
40
Respiration
the process of supplying cells with oxygen and removing carbon dioxide from them?
41
Which are the hormones secreted by the adrenal cortex?
Glucocorticoids, mineralocorticoids, and male/female sex hormones
42
Homeostasis
The steady state of the human body
43
How many chambers make up the heart?
4
44
Systems
are formed by organs that work together to perform special functions.
45
Dyspnea
Difficult, labored, or painful breathing
46
Decreased red blood cells causes…
Fatigue
47
Paralysis
Loss of muscle function, sensation, or both
48
Suffix -phagia
Swallowing
49
ADL
Activities of daily living
50
Proximal
The part nearest to the center or to the point of origin
51
Prefix - Hemo
Blood
52
Prefix - Angio
Vessel
53
Suffix - emia
Blood condition
54
Prefix - Osteo
Bone
55
Prefix - Cyano
Blue
56
Suffix - Rrhage
Excessive flow
57
Prefix - myo
Muscle
58
Suffix - algia
Pain
59
Suffix - plegia
Paralysis
60
Suffix - stomy
Creating an opening
61
Prefix - stomato
Mouth
62
Pnea
Breathing, respiration
63
Vaso-
Blood vessel
64
Anterior
located at or toward the front of the body or body part
65
-phasia
Speaking
66
Arthro
Joint
67
Asepsis
absence of disease-producing microbes
68
Systemic infection
Involves the whole body
69
Reservoir
Where pathogens grow and multiply
70
Communicable
Disease that is caused by a pathogen that can spread to others
71
Supine
Back lying
72
Prone
Lying on abdomen with head turned to one side
73
Logrolling
Repositioning someone with spinal injury in one solid motion
74
Shearing
when the skin sticks to a surface while muscles slide in the direction the body is moving
75
Trendenlenburg
When the head of the bed is lowered, and the foot is raised
76
Fowler position
45 - 60 degree angle upright
77
Drawsheet
Small sheet placed over the middle of bottom sheet
78
Purpose of draw sheets
Assist with moving the person
79
Closed bed
A bed that is ready for a new patient
80
Sponge swabs
Used for unconscious person
81
Mouth care for unconscious person
Every 2 hours
82
The body’s first line of defense
Skin
83
Perineal care
Cleaning of genital and anal areas
84
Last step of male perineal care
Pat the penis and scrotum dry
85
diaphoresis
profuse or excessive sweating and can affect the hygiene needs of a person
86
Hirsutism
Excessive body hair
87
Pediculosis
Infestation with wingless insects that feed on blood (lice)
88
How long should you soak fingernails?
5-10 minutes
89
How long should you soak toenails?
15-20 minutes
90
What temperature for soaking nails?
105f - 40.5c
91
Affected side
The side of the body with weakness from illness or injury (weak side)
92
Unaffected side
The strong side opposite from weak or injured side
93
Remove clothing from which side first?
Unaffected (strong side)
94
Apply clothing to what side first?
Affected side (weak)
95
Intravenous therapy gown opens…
Along the sleeves and closes with snaps/ties
96
Standard gown does not…
Open along the sleeves
97
Dysuria
Painful or difficult urination
98
Functional incontinence
Has bladder control but cannot use the toilet in time (immobility, restrained, no call light answered)
99
Mixed incontinence
Combination of stress and urge incontinence (mostly older women)
100
Nocturia
Frequent urination
101
Oliguria
Little amount of urine (less than 500ml in 24 hours)
102
Overflow incontinence
Small amounts of urine leak from full bladder
103
Polyuria
Abnormally large amounts urine
104
Reflex incontinence
Urine is lost at predictable intervals - doesn’t feel the need to void (nervous system disorders and injuries)
105
Stress incontinence
When urine leaks during excessive and certain movements that cause pressure on the bladder (exercise,laughing,coughing,sneezing)
106
Transient incontinence
Temporary or occasional incontinence that is reversed when cause is treated (short periods of time)
107
Urge incontinence
The loss of urine in response to a sudden urgent need to void (night time voiding common)
108
Urinary incontinence
The involuntary loss or leakage of urine
109
Urinary retention
Not being able to completely empty the bladder
110
How many mls of urine does a healthy adult produce daily?
1500
111
Condom catheter
A soft sheath that slides over the penis, used to drain urine (changed daily)
112
Indwelling catheter
Cather left in the bladder so urine drains constantly into a drainage bag (retention or Foley catheter)
113
Straight catheter
Drains the bladder then removed
114
CAUTI
Catheter associated urinary tract infection
115
Standard drainage bags usually hold….
2000ml of urine
116
Leg bags attached to the thigh or calf hold less than..
1000ml of urine
117
Drainage bag always lower than the…
Bladder. Hangs on the bed frame
118
Elastic tape only for…
Condom catheters but adhesive tape can be apply in a spiral over catheter
119
Colostomy
A surgically created opening between the colon and the body’s surface
120
Ilestomy
A surgical opening between the ileum (small intestines) and the body’s surface
121
Melena
A black tarry stool
122
-ostomy
surgical opening that connects an internal organ to the body’s surface
123
Oil retention enema
Oil to soften feces and lubricate rectum
124
Saline enema
1-2 tablespoons of salt added to 500-1000ml of water
125
Soapsud enema
3-5ml of Castile soap is added to 500-1000ml of tap water
126
Small volume
Prepackaged ready for use
127
What position do you use to administer an enema
Left semi-prone or left side lying position
128
How far do you insert enema tip
2 inches for adults
129
Calorie
Is the fuel or energy value of food
130
Cholesterol
Soft waxy substance for in cells and bloodstream
131
Dysphagia
Difficulty swallowing
132
Nutrition
Process of ingestion, digestion, absorption, and use of fluid and foods
133
Protein is needed for…
Tissue growth and repair
134
Gavage
Process of giving a feeding tube
135
Aspiration
Breathing fluid, food, vomitus, or objects into the lungs
136
Regurgitation
The backward flow of stomach contents into the mouth
137
Enternal nutrition
Giving nutrients into the GI by a feeding tube
138
Naps-gastric (NG tube)
Feeding tube inserted through nose into the stomach
139
Gastrostomy tube
Inserted through a surgical created opening into the stomach
140
What position should a patient be in during feeding that has a NG tube
Fowler
141
Afrebrile
Without fever
142
Sphygmomanometer
a bp cuff, that’s fuggin it
143
Abduction
Moving a body part away from the mid-line of the body
144
Adduction
Moving a body part toward the midline of the body
145
Atrophy
The decrease in size or wasting of tissue
146
Contracture
Decreased motion and stiffness of a joint cause by shortening of a muscle
147
Deconditioning
The loss of muscle strength from inactivity
148
Dorsiflexion
Bending the toes and foot up at the ankle
149
External rotation
Turning the joint outward
150
Internal rotation
Turning the joint inward
151
Pronation
Turning the joint downward
152
Supination
Turning the joint uoward
153
Walking canes should be how far from the strong foot
6-10 inches
154
Walkers should be how far in front of patient
6-8 inches
155
Phantom pain
Comes from a body part that is no longer there
156
Observe what during back massages….
Breaks in the skin, bruising etc
157
Back massages are how long ?
3-5 minutes
158
Rest means
To be calm at ease, and relaxed with no anxiety
159
Glucosuria
Sugar in urine
160
Hemoptysis
Blood in spit
161
Ketone
Substance in urine front the rapid breakdown of fat
162
Sputum
Mucus from the respiratory system
163
Occult blood
Means hidden or not seen blood in stool
164
Ulcer
Shallow or deep crater like sore
165
Skins tear
A break or rip in the outer layer of the skin
166
Wound
A break in the skin
167
For hot and cold compresses you should observe skin every
5 minutes
168
Bony prominence
Area where the bone sticks out from the flat surface of the body (pressure point)
169
Slough
Is dead tissue that sheds from the skin
170
Erythema
Means redness
171
Blanchable
Skin becomes white or pale after pressure
172
Eschar
Is thick leathery dead tissue that may be loose or stick to the skin
173
What color probe is used for rectal thermometer
Red
174
Apical pulse is measured where
Left side of chest
175
Adult respirations need to be checked right after
Checking pulse
176
Orthostatic hypotension
form of low blood pressure that happens when standing after sitting or lying down.
177
How long should you wait to ambulate a person who just received pain medication
30 minutes
178
The type of pain that is felt suddenly from injury, disease, trauma, or surgery
Acute
179
Which specimen collection requires use of sterile gloves
Midstream specimen
180
What do you need to do prior to collecting a midstream specimen
The perineal area is cleaned before collecting the specimen.
181
Hemoptysis
Blood in the sputum (thick mucus)
182
Best time to collect a sputum specimen
First thing in the morning
183
24 hour specimen is restarted if
A void was not saved
184
No special measures are needed for what type of urine specimen
Random
185
Observations needed for a sputum specimen
Odor, consistency, color
186
A sitz bath is
a type of moist heat where the perineal and rectal areas are immeresed in warm or hot water.
187
aquathermia pad
has heated water from the heating unit.
188
First stage of pressure injury
188
First stage of pressure injury
non-blanchable reddened bony area.
189
Where should you place the pulse oximetry sensor on a person with tremors
The earlobe
190
Where are O2 and CO2 exchanged
Between the alveoli and capillaries
191
Alveoli
where the lungs and the blood exchange oxygen and carbon dioxide during the process of breathing in and breathing out
192
Kussmaul respirations
very deep and rapid
193
Cheyne-Stokes respirations
occur when respirations gradually increase in rate and depth and then become shallow and slow
194
An oxygen source that removes oxygen from the air is
An oxygen concentrator
195
What kind of catheter drains the bladder and then is removed
Straight catheter. Foley, condom, and suprapubic catheters are left in place.
196
Hypoxia
the cells do not have enough oxygen
197
Pulse ox measures oxygen concentration in which substance
Arterial blood
198
orthopneic position
Sitting up and leaning over a table
199
Peristalisis
The alternating contraction and relaxation of intestinal muscles
