Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing Practice > Test #2 > Flashcards

Test #2 Flashcards

1
Q

True or false?

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

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

True or false?

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

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

True or false?

Each ROM exercise should be repeated ten times.

A

2 - 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

True or false?

A flexion contracture of the neck is a serious disability.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is difficulty with chewing or oral phase problems.

A

dysphagia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pharyngeal and esophageal phase problems

A

choking and aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

why should we be concerned about swallowing difficulty?

A

aspiration can lead to pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A

aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

A

penetration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A

silent aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

signs of aspiration

A
  • wet sounding voice
  • spiking temperature
  • chest signs
  • subtle throat-clearing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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

A

choking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

technique required to assist a choking victim

A

heimlich manoevre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

assessment of this can prevent aspiration and promote nutrition

A

swallowing ability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

swallowing assessment can be done 2 ways

A
  1. bedside (oral mechanism evaluation)

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

why are liquids the most easily aspirated?

A
  • flow more quickly
  • harder to control in the mouth
  • often end up in the pharynx before swallow has triggered
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

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

A

upright

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

patient should not ____ ______ directly after swallowing

A

lie down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

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

A

tucking chin down toward chest when swallowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

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

A

swallow twice per mouthful of food/liquid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

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

A

swallow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

True or false?

Using a straw is recommended to prevent choking

A

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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Define dysphasia

A

difficulty swallowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

True or false?

Dysphagia is the most common cause of aspiration in adults during enteral feedings

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

4 signs of dysphagia

A
  1. multiple attempts swallowing
  2. poor tongue & lip control
  3. patient coughs
  4. liquids are most difficult to swallow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

5 items that can effect appetite

A
  1. illness
  2. need to be fed
  3. odors
  4. pain
  5. need to eliminate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

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

A

e

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

true or false

it is important to promptly and efficiently serve meal trays

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

4 important elements/considerations when serving meal trays

A
  1. meal plan
  2. patient preferences
  3. dietary restrictions
  4. assistance needed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

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

A
  1. amount and type of food
  2. record intake/output
  3. difficulty eating
  4. nausea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

true or false

oral hygiene should not be offered after a meal

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

true or false

when feeding a patient, offer all solid foods before liquids

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

true or false

fill the spoon half ful when feeding patients

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

true or false

talking to patient while you are feeding him will interfere with the patients ability to eat

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

true or false

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

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

true or false

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

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

position that is similar to dorsal recumbent

A

supine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

position where patient is on their stomach

A

prone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

position where patient is elevated 90 degrees

A

high fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

position where patient is elevated 45 degrees

A

fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

position where patient is elevated 30 degrees

A

low fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

position where patient is positioned on left or right side

A

lateral recumbent

44
Q

same as left lateral recumbent

A

sims

45
Q

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

A

sims

46
Q

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

A

orthopneic

47
Q

true or false

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

A

false

48
Q

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

A

trendelenburg

49
Q

position used for treating shock

A

reverse trendelenburg

50
Q

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

A

lithotomy

51
Q

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

A

e

52
Q

4 things to observe when providing mouth care

A

condition of lips, teeth, tongue and gums

53
Q

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

A

false

54
Q

true or false?

it is not necessary to explain to an unconscious patient the care being given

A

false

55
Q

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

A

side lying

56
Q

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

A
  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
57
Q

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

A

g

58
Q

true or false

patients confined to to bed cannot have their hair shampooed

A

false

59
Q

how can a mans beard be softened before shaving

A

apply warm face cloth

60
Q

how should safety razors be disposed after use

A

sharps container

61
Q

true or false?

it is not necessary to wear gloves when shaving a patient

A

false

62
Q

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

A

cheeks

jaw and chin

63
Q

4 reasons why nail and foot care is important

A
  1. prevents infection
  2. maintains cleanliness
  3. prevents injury
  4. prevents odor
  5. prevents hangnails
  6. prevents ingrown nails
64
Q

true or false

it is easier to shape nails after soaking

A

true

65
Q

true or false

toenails should be trimmed at an angle on each side

A

false

66
Q

true or false

it is important to soak the feet of a diabetic patient

A

false

67
Q

true or false

patient’s clothing should be changed daily or more often if soiled

A

true

68
Q

3 indications for patient to wear TED hose

A
  1. inactive patients at risk for clot formation
  2. patients with heart disease and circulatory disorders
  3. patients confined to bed
  4. pregnant women
69
Q

name 2 lengths of TED hose

A

thigh high

knee high

70
Q

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

A

g

71
Q

4 benefits of bathing

A
  1. cleansing
  2. relaxation
  3. improved circulation
  4. passive exercise
  5. creates close relationship
72
Q

4 steps to prepare for bathing a patient

A
  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
73
Q

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

A

false

74
Q

true or false

a massage should be offered as part of the bath

A

true

75
Q

describe steps for providing perineal care for female patient

A
  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
76
Q

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

A

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

77
Q

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

A

false

78
Q

a

A

before

79
Q

aa

A

of each

80
Q

AM, am

A

morning

81
Q

cap

A

capsule

82
Q

hs

A

bedtime

83
Q

OD, od

A

right eye

84
Q

PM, pm

A

evening

85
Q

LQ

A

last dose

86
Q

qod

A

every other day

87
Q

q

A

every

88
Q

q4h

A

every 4 hours

89
Q

ss

A

1/2

90
Q

T,P,R,B/P

A

temperature, pulse, respiration, blood pressure

91
Q

stat

A

at once

92
Q

tid

A

three times a day

93
Q

supp

A

supposetory

94
Q

D,B & C

A

deep breathing cough

95
Q

ac

A

before meals

96
Q

bid

A

twice day

97
Q

g

A

gram

98
Q

im

A

intramuscular

99
Q

os

A

left ear

100
Q

po

A

per mouth

101
Q

qod

A

every other day

102
Q

qid

A

4 times a day

103
Q

pc

A

after meal

104
Q

prn

A

as needed

105
Q

qh

A

every hour

106
Q

qs

A

as much as needed

107
Q

qd

A

every day

Nursing Practice (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions