Introduction to the Nursing Assistant
The Nursing Assistant works under the direction of what health team member?
The licensed nurse
Where do you place the stethoscope when auscultating patient's BP
brachial artery in the antecubital space
Decubiti Ulcer, Bed Sore, Pressure Ulcer
The application of ice packs is kept on the skin how long?
20 minutes on.
PPE stands for__________?
Personal Protective Equipment
This is a disease in which often affects older persons, in which the pancreas does not release enough insulin, resulting in hyperglycemia.
Type 2 Diabetes.
This is when a portion of the large bowel is surgically removed, in which the surgeon creates an opening in the abdominal wall, creates a stoma for emptying the bowel
colostomy
Care that helps a person regain strength and health and independence
Rehabilitation
Which of the following meets a dying person's physical needs?
a. providing frequent skin care
b. Listening if the person wants to talk
c. Preventing Rigor Mortis
d. All of the above
a.
Intellectual Disability
This term is used to describe the practice in which the nursing assistant may perform tasks
Scope of Practice
This number of a blood pressure reading reflects the heart at work/contraction. ( top number of blood pressure reading)
Systolic
The Nursing Assistant is giving a bath to the resident and notices a red area on the sacrum that has not gone away. What is this called?
Stage I pressure ulcer
What safety precaution should be used when applying ice to the skin?
Make sure there is a barrier between the ice pack and the skin
Frequent checks to the skin (every 5-10 mins).
Apply only 20 minutes
The best way to prevent the spread of infection is by __________?
Handwashing
This is a childhood disease in which the pancreas does not secrete insulin, resulting in the dependency of insulin injections to regulate blood sugars
Type 1 Insulin Dependent Diabetes.
This is surgical procedure of rerouting the excretion of urine from the body when the bladder has been removed due to cancer, and ureters rerouted.
Urostomy
The process of restoring the person to his or her optimal level of function
Restorative Nursing
As death approaches, the last sense to be lost is:
a. Sight
b. Hearing
c. Smell
D. Taste
B Hearing
A person with developmental disability that is the result of a genetic disorder, in which they have an extra chromosome. What is this syndrome?
Down's Syndrome
This is how the Nursing Assistant prevents the transmission of disease.
Hand Washing
This number of a blood pressure reading reflects the heart at rest (relaxing)
Diastolic
An injury that separates the epidermis from underlying structures as a result of friction alone or shearing and friction
Skin tear
Mrs. Jones fell, and injured her left pinky finger, causing some swelling. The nursing assistant first aid would include the application of _____ and what does it do?
Ice pack, constricts the vessels to reduce swelling.
What articles of equipment are used for PPE?
Gloves
Gown
Mask
Goggles
Bonnet
Shoe protectors
Mrs. Jones is a diabetic, and taking medication to control her blood sugars. She has been experiencing nausea, and only eating 75% of her meals. What action should the Nursing Assistant take?
Tell the nurse immediately.
Mrs. Jones has been observed to have sudden onset of a headache, slurred speech, numbness on one arm, facial droop. What are could this medical condition indicate>
cerebrovascular accident or Stroke
This type of therapy in Long term memory loss stresses the importance of acknowledging the person's reality
Validation Therapy
Postmortem Care is done:
a. Right before the person dies
b. After the doctor pronounces the person dead
c. After Rigor Mortis sets in
d. if there is time
B. After the doctor pronounces the person dead.
The person with this syndrome has extreme difficulty communicating and relating to other people and surroundings, with the specific cause unknown,
Autism
Inserting NG Tube, IV Lines, and administering medications are all tasks performed by a Nursing Assistant? True or false
False
This is the medical term describing a blood pressure that is below the normal values.
hypotension
This stage of the pressure ulcer is open and shows a small blister, crater forming.
Stage 2
When heat is applied to the skin, the blood vessels will________________
Dilate the blood vessels, and increase the circulation to the area.
This is a microbe which normally lives on the skin, but can cause havoc when obtains access to another part of the body where it normally does not live.
opportunistic organism
This is a condition in which the person is not getting enough oxygen, and is becoming cyanotic, confused. Their pulse oximeter reading is below 90%
Hypoxia
Mrs. Jansen has TIA's, what does that stand for and what does it mean?
Transient Ischemic Attack- temporary decrease blood flow to the brain lasting a few minutes to hours.
Giving fluids/nutrients through the GI tract via feeding tube is called
Enteral Nutrition
The examination of a person's tissues and organs after death would be a (an) ________________.
Autopsy
This is the where information regarding the status of a Nursing Assistant's license, any legal issues, are recorded by the state in which they are employed
Nevada State Board of Nursing Registry
This is the medical term for a blood pressure that is higher than the normal blood pressure values.
hypertension
This is when the wound involves the skin, muscle and bone.
Stage 4 or full thickness wound
How long would the nursing assistant keep the heating pad on the resident?
20 minutes on.
This bloodborne pathogen is often contracted from using IV drug needles
Hepatitis C
Your resident is complaining of feeling dizzy, short of breath, and a funny sensation in the center of his chest, jaw discomfort. What do these signs and symptoms indicate could possibly be happening to this resident?
Myocardial infarction or heart attack
A mental patient has been diagnosed with Schizophrenia. What symptoms would be observed?
The person has a problem with what is real to what is imaginary.
Indigestion, nausea, sternal chest pain, arm pain, and jaw pain are all symptoms of
Myocardial infarction
This is the stiffening of the muscles which occurs 2 to 4 hours after death.
Rigor Mortis
This condition is sometimes called 'water on the brain" in which is a build up of cerebrospinal fluid.
Hydrocephalus
This law was passed to protect one's privacy and confidentiality of medical information?
HIPAA
This is a pulse that is slow, and below 60 beats per minute
bradycardia
This is a superfical burn, causes redness
First Degre Burn
This is when the body temperature is below normal
Hypothermia
This blood borne pathogen is found in blood, body fluids, needle sticks. There is a 3- step vaccine for this pathogen.
Hepatitis B
Mrs. Jones had a c-section, and post operatively is complaining of shortness of breath. She could possibly be experiencing symptoms of _________.
Pulmonary emboli
Mrs. Jones had a stroke and was admitted to the long term care rehab unit. She is having a difficult time understanding speech. What is she experiencing?
Receptive Aphasia
The loss of muscle strength and function due to inactivity
Muscle Atrophy
A breathing pattern of rapid-low respirations with periods of apnea is know as _______________.
Cheyne-Stokes Respirations
This person has a congenital defect of the spinal column, where the vertebrae do not close properly during development leaving the spinal cord exposed.
Spina Bifada
This law was passed in 1987 which impacted the Nursing Assistant Occupation; instituted training requirements, certification of C.N.A.
OBRA
This is a medical term for a pulse that is above 100 beats per minute
Tachycardia
This is when the burned tissue forms a blister of fluid.
2nd degree burn
This is when the body temperature is above normal
Hyperthermia
This is not a blood borne pathogen, but is transmitted through the oral-fecal route. The virus lives in the digestive tract of an infected person, and leaves the body through the feces, fails to wash hands, contaminates food.
Hepatitis A
A person may be tired, fatigue, SOB with this cardiovascular disorder. They may also have edema and need to be weighed everyday
Congestive Heart Failure
This is a device used to prevent foot drop
Foot Board
This is a condition caused by damage to the Cerebrum, the part of the brain involved with motor control. It affects the person's ability to voluntarily move parts of their body, in which movements are spasms, as well as involuntary movements of the extremities, face, and tongue.
Cerebral Palsy
The Nursing Assistant has completed making the resident's bed. To ensure the resident will be able to communicate with the staff, she will make sure what indirect care measure is carried out?
Safety: Call light is attached to the bed, or within reach of the resident
Arrythmia
This is the most serious burn, involves the deep layer of the muscle and bone.
3rd degree burn
This device provides a dry heat application, water is heated in the unit. The heated water passes through tubes into the network of tubes in the heating pad.
Aquamatic pad
This is a condition in which the person has complaints of liver pain, swollen abdomen, nausea, vomiting, and jaundice of the eyes.
Hepatitis
Mr. Jones is has been experiencing episodes of falling, dizzy, and nausea, ringing in his ears. What medical condition could he possibly be experiencing?
Meniere's Disease
What is a common disease of dementia
A traveling blood clot through the vascular system- blood clot breaks in vessel breaks off and moves from one place to another.
Embolus
This is mental anguish associated with loss.
Grief
This syndrome is a combination of physical and intellectual problems that affect a child whose mother consumed alcohol during pregnancy .
Fetal Alcohol Syndrome
This is given to patients during the time of hospital admission and summarizes what the person should expect during the hospital stay.
"Patient Care Partnership" formally known as "Patient's Bill of Rights"
In this scenario, the Nursing Assistant is taking vital signs, and discovers the blood pressure to be 80/60. What action should you take?
Notify the nurse immediately.
This is the action the nursing assistant should take when the resident burns their hand when grabbing for their coffee, and gets scalded by the water. The skin is only red.
Place their hand under cool water.
This is an example of a dry cold application
ice bag
This condition is the yellowing of the sclera ( white area) of the eyes and skin
Jaundice
This is a condition in which ear wax builds up in the external ear canal
Cerumen Impaction
What are the s/sx of sundowning?
confusion, restlessness and wandering during the late afternoon, evening, or night.
Ringing in the ears, hearing loss, vertigo, and tinnitus are all symptoms describing what disorder of the ear?
Meniere's Disease
In this stage of grief, the person wants to "make a deal' with someone he feels has control over his fate, such as God, or a health care provider. What is this stage of grief?
Bargaining
Cerebral Palsy can be caused by:
a. Infection during pregnancy
b. Lack of oxygen to the brain
c. An extra chromosome
d. Alcohol intake during pregnancy
B. Lack of Oxygen to the brain
This is an indirect care measure in which prevents the resident from becoming injured from a fall.
Bed in low position when Nursing Assistant has completed patient care, and before leaving the patient. Safety alarm placed on the patient, toileting, etc
Your are going to get your patient out of bed this morning and he states that he is dizzy when you stand him up. What diagnosis would this be considered?
Orthostatic Hypotension
This is the usual nursing intervention used to prevent the development of pressure ulcers
Turn and reposition every 2 hours
Good Skin Care
Good Nutrition
Wrinkle Free bed linens
These factors increase the risk of injury from the application of heat or cold
Fair SKin
Impaired sensation
Impaired consciousness
Your patient is on special contact precautions. With this information, you know that he has what medical diagnosis?
This is an age related hearing loss, usually sensorineural.
Presbycusis
Mrs. Thomas has been prescribed Thyroxine for her hypothyroidism. What symptoms would she have with this condition?
Dry Skin
intolerance to cold
fatigue, weakness,
depression
anorexia/weight gain
constipation
When a person imagines what is would be like in another person's situation
Empathy
This stage of grief is when the person refuses to accept the diagnosis or feels that a mistake has been made. What is this stage of grief?
Denial
What is common in a person with Spina Bifida?
a. Autism
b. Bowel and Bladder Incontinence
c. Drooling
d. Seizures
B. Bowel and Bladder Incontinence