Test Five

Question 1

Signs and Symptoms of Pain

Answer 1

Grimacing, restlessness, increased heart rate, increased blood pressure, crying, guarding of painful area, decreased activity.

Example sentence: The patient was grimacing and crying, indicating signs of pain.

Question 2

Nursing Measures for Comfort and Pain Relief

Answer 2

Administering medications, positioning for comfort, applying heat/cold, therapeutic touch, distraction techniques.

Additional information: These measures aim to provide comfort and alleviate pain for the patient.

Question 3

Define Pain

Answer 3

Unpleasant sensory and emotional experience linked to actual or potential tissue damage.

Example sentence: The patient described the pain as sharp and located in the lower back.

Question 4

Define Comfort

Answer 4

State of physical ease, psychological well-being, feeling safe, meeting personal needs.

Additional information: Comfort is essential for promoting healing and overall well-being.

Question 5

Safety Rules for Oxygen Therapy

Answer 5

Correct flow rate, no open flames/smoking, monitor for oxygen toxicity, secure tanks, educate patients.

Example sentence: Always ensure that oxygen tanks are securely stored to prevent accidents.

Question 6

Define Apnea

Answer 6

Temporary cessation of breathing, especially during sleep.

Example sentence: The patient experienced episodes of apnea during the night.

Question 7

Define Cyanosis

Answer 7

Bluish discoloration due to deoxygenated hemoglobin in blood.

Example sentence: The nurse noticed cyanosis in the patient’s lips, indicating a lack of oxygen.

Question 8

Define Dyspnea

Answer 8

Difficulty or discomfort in breathing, often described as shortness of breath.

Additional information: Dyspnea can be a symptom of various respiratory conditions.

Question 9

Define Sputum

Answer 9

Mucous coughed up from the respiratory system.

Example sentence: The nurse collected a sputum sample for analysis.

Question 10

What can a nurse aide assist with? (Oxygen Therapy through Nasal Cannula)

Answer 10

Ensuring cannula comfort and placement.

Additional information: Nurse aides play a crucial role in ensuring patient comfort and safety.

Question 11

What a nurse aide should NOT assist with? (Oxygen Therapy through Nasal Cannula)

Answer 11

Adjusting oxygen flow or equipment.

Additional information: Only qualified healthcare professionals should adjust oxygen settings.

Question 12

Areas a nasal cannula may irritate and comfort promotion

Answer 12

Ears and nostrils; ensure proper fit, use padding, and keep nasal passages moist.

Example sentence: The nurse applied padding to prevent irritation from the nasal cannula.

Question 13

Temperature Sites and Normal Body Temperatures

Answer 13

Oral (95.9-99.5), rectal (97.9-100.2), axillary (97.8-99.5).

Additional information: Different temperature sites may yield slightly different readings.

Question 14

Taking a Radial Pulse

Answer 14

Feel wrist (thumb side), count beats for 60 secs or 30 secs x 2, normal rate 60-100 beats/min.

Example sentence: The nurse found the patient’s radial pulse to be within the normal range.

Question 15

Counting Respirations

Answer 15

Watch chest rise, count breaths for 60 secs, normal rate 12-20 breaths/min.

Example sentence: The patient’s respiratory rate was slightly elevated at 22 breaths per minute.

Question 16

Factors affecting Blood Pressure

Answer 16

Age, gender, stress, exercise, medications, obesity, smoking, medical conditions.

Additional information: These factors can influence blood pressure readings.

Question 17

Guidelines for Measuring Blood Pressure

Answer 17

Patient seated, feet flat, arm supported at heart level, quiet environment, wait 5 mins before measurement.

Example sentence: The nurse followed the guidelines for measuring the patient’s blood pressure accurately.

Question 18

Measuring Blood Pressure

Answer 18

Inflate cuff, note systolic (first sound) and diastolic (last sound) pressures in mmHg.

Example sentence: The nurse recorded the patient’s blood pressure as 120/80 mmHg.

Question 19

Bradycardia

Answer 19

Slow heart rate (<60 beats/min).

Example sentence: The patient’s bradycardia required further monitoring by the medical team.

Question 20

Tachycardia

Answer 20

Fast heart rate (>100 beats/min).

Example sentence: The nurse identified tachycardia during the patient’s examination.

Question 21

Hypertension

Answer 21

High blood pressure (>130/80 mmHg).

Example sentence: The patient was diagnosed with hypertension and prescribed medication.

Question 22

Hypotension

Answer 22

Low blood pressure (<90/60 mmHg).

Example sentence: The nurse monitored the patient for signs of hypotension after the procedure.

Question 23

Vital Signs

Answer 23

Essential measurements like temperature, pulse, respiratory rate, and blood pressure.

Additional information: Vital signs provide valuable information about a patient’s health status.

Question 24

Systolic

Answer 24

Higher number in blood pressure reading (when heart beats).

Additional information: Systolic pressure reflects the force of blood against arterial walls during heart contractions.

Question 25

Diastolic

Answer 25

Lower number in blood pressure reading (when heart rests). ## Footnote Additional information: Diastolic pressure indicates the pressure in the arteries when the heart is at rest.

Question 26

Promoting Safety and Comfort

Answer 26

Ensuring safe environment and comfort. ## Footnote Additional information: Safety and comfort are essential aspects of providing quality care to patients.

Question 27

Admitting the Person

Answer 27

Initiating paperwork and orientation to facility. ## Footnote Example sentence: The nurse admitted the new patient and provided an orientation to the facility.

Question 28

Moving the Person to a New Room

Answer 28

Ensuring safe transfer and continuity of care. ## Footnote Example sentence: The nurse carefully moved the patient to a new room while ensuring their comfort and safety.

Question 29

Transferring or Discharging the Person

Answer 29

Moving between facilities or releasing from care. ## Footnote Additional information: Transferring or discharging a patient requires coordination and proper documentation.

Question 30

Define Admission

Answer 30

Accepting into healthcare facility. ## Footnote Example sentence: The patient completed the admission process and was assigned a room.

Question 31

Define Discharge

Answer 31

Releasing from healthcare facility. ## Footnote Example sentence: The nurse prepared the discharge paperwork for the patient.

Question 32

Define Transfer

Answer 32

Moving between healthcare facilities or units. ## Footnote Additional information: Transfers may occur for specialized care or resource availability.

Question 33

Types of Wounds

Answer 33

Surgical, pressure ulcers, diabetic ulcers, venous ulcers, traumatic wounds. ## Footnote Additional information: Different types of wounds require specific care and treatment approaches.

Question 34

Measures to Prevent Skin Tears

Answer 34

Use moisturizers, avoid direct tape on skin, use protective padding. ## Footnote Example sentence: The nurse implemented measures to prevent skin tears in the elderly patient.

Question 35

Measures to Prevent Vascular Ulcers

Answer 35

Leg elevation, compression therapy, exercise, manage diabetes and blood pressure. ## Footnote Additional information: Preventing vascular ulcers involves a multifaceted approach.

Question 36

Applying Compression Stockings

Answer 36

Roll on gradually, ensure even compression, check fit and comfort. ## Footnote Example sentence: The nurse assisted the patient in applying compression stockings correctly.

Question 37

Foot Problems in Diabetes

Answer 37

Neuropathy, peripheral vascular disease, foot ulcers, Charcot foot. ## Footnote Additional information: Diabetes can lead to various foot complications that require specialized care.

Question 38

Rules for Warm and Cold Applications

Answer 38

Use barrier, monitor skin, limit time (15-20 mins cold, 20-30 mins warm), check circulation. ## Footnote Example sentence: The nurse applied a cold pack to the injury following the prescribed time limit.

Question 39

Applying Warm and Cold Applications

Answer 39

Use barriers, monitor skin, limit application times. ## Footnote Additional information: Proper application of warm and cold treatments helps in managing pain and inflammation.

Question 40

Define Vascular Ulcer

Answer 40

Ulcer caused by poor blood circulation, often due to arterial or venous insufficiency. ## Footnote Example sentence: The nurse assessed the patient's vascular ulcer for signs of infection.

Question 41

Define Venous Ulcer (Stasis Ulcer)

Answer 41

Ulcer on lower leg or ankle due to chronic venous insufficiency and pooling of blood. ## Footnote Example sentence: The patient's venous ulcer required regular monitoring and wound care.

Question 42

Common Health Problems requiring Rehabilitation

Answer 42

Stroke, fractures, joint replacements, spinal cord injuries, and cardiac events. ## Footnote Additional information: Rehabilitation plays a crucial role in restoring function and independence after these health issues.

Question 43

Assisting with Rehabilitation and Restorative Care

Answer 43

Support activities to regain strength, mobility, and independence in daily life. ## Footnote Example sentence: The therapist assisted the patient with rehabilitation exercises to improve mobility.

Question 44

Define Activities of Daily Living (ADL)

Answer 44

Basic self-care tasks like bathing, dressing, eating, and using the toilet. ## Footnote Additional information: ADLs are essential for maintaining independence and quality of life.

Question 45

Define Prosthesis

Answer 45

Artificial device used to replace a missing body part, such as a limb. ## Footnote Example sentence: The patient was fitted with a prosthesis after the amputation.

Question 46

Define Rehabilitation

Answer 46

Process of restoring health and function after illness or injury, often involving therapy and exercise. ## Footnote Additional information: Rehabilitation aims to improve the patient's physical and mental well-being.

Question 47

Define Restorative Nursing Care

Answer 47

Nursing interventions aimed at maintaining or improving a patient's functional abilities and independence. ## Footnote Example sentence: The nurse provided restorative care to help the patient regain strength and mobility.

Question 48

Nursing Measures for Sleep Promotion

Answer 48

Bedtime routine, comfortable environment, noise reduction, relaxation techniques, pain management.

Question 49

Define Phantom Pain

Answer 49

Pain felt in a body part that's no longer there, often after amputation.