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Question:

A patient who is currently in comatose has not been mobile for the last several works. Because of this, the patient is at risk for possible muscle atrophy and contractures. In order to provide the best care for the patient, what should a nursing assistant do during their AM rounds?

A Perform passive range of motion exercises

explanation

resident's muscles are becoming weaker and shortening while they is suffering from muscle atrophy and contracture, which reduces their range of motion. Both of these conditions often cause immobility, so it is important to carry out passive range of motion exercises (unless they have different medical guidelines from the doctor). For answer B, active range of motion exercises should be performed by residents who are independent. A comatose resident likely will not be able to perform these actions. For choice C, a resident can still take a full bath, and answer D should not be performed as if oral care is administered while laying down the resident’s face should be turned to avoid aspiration.

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Comments

ur fellow student

2 years ago

There are definitely a few mistakes in this app, some of the answers are just plain wrong so make sure this is not your only source of study material. Other than that this app is very helpful.

j3j3lov

2 years ago

It’s a good app for practice

Lisa_Ehlers2012

2 years ago

I would love to give this app 5 stars but in the Nursing Skills section it does not allow you to go on to part 7. After you get to part 6 it either just never loads or it tells you to go to part 7 and does absolutely nothing.

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To assist a patient, where should the nursing assistant stand when a gait belt is used?

To the side and slightly behind the patient

The nursing assistant needs to stand to the side and slightly behind the patient while holding onto the belt (using both hands) when using a gait belt. In all of the other options, the nursing assistant doesn’t have enough direct control over both the belt and the patient while still being able to walk themselves.

Which of the following symptoms does a systemic infection include?

Chills

B, C, and D are all considered symptoms of a localized infection. However, chills may indicate that of a systemic infection.

When managing a bath to a resident, which of the following is a key part of care?

Allow participation in care to promote a sense of independence.

Patients' esteem and autonomy will be raised when allowing them to participate in care. It is not appropriate to clean the perineal area before the face, or to utilize cool water rather than comfortably warm water.

Which of the following does the signs of hypoglycemia include?

Sweating

The signs of hypoglycemia include sweating, confusion and tremors.

In order for a nursing assistant to hold onto their certification for the position, what the nursing assistant is required to carry out by most states in the US?

Showing proof of at least 12 hours of continuing education (CE) credits

Showing proof of at least 12 hours of CE credits is a must for all nursing assitant. Retaking the exam and performing community service is not required. In addition, there is no waiver or special document created by an employer to exempt a nursing assistant from the continued education.

Which of the following symptoms does fecal impaction probably present with?

Small, watery leakage of stool.

The most particular sign of fecal impaction is the watery leakage of stool around a blockage, also called a bowel obstruction.

A patient complains of pain in their right calf when you carry out hourly rounds post-surgery. As a nursing assistant, what should you do?

D. Tell the nurse on staff

It is probably a sign of DVT post surgery when there is calf pain (especially when in just one leg). Because of this, it must be reported right away. Performing active range of motion might be appropriate, but it’s important to check the cause of the problem first. Selection B should not happen because massaging the leg might put the patient at a greater risk of pulmonary embolism. Selection C of having the patient walk around might be helpful, but again it’s important for the nurse to assist in detecting the situation first.

Of the following techniques, which one should be utilized when a nursing assistant is offering perineal cleaning and care for a female patient that currently has an indwelling urinary catheter?

The nursing assistant needs to begin by cleaning the perineum. From there, they need to clean from the front to the back (in order to avoid possible UTIs). The nursing aid then needs to take a clean washcloth and clean all exposed tubing from the catheter, beginning with the material nearest the patient and wipe away from them.

It is important for the nursing assistant to always begin by cleaning the perineum from the front to the back. They should never clean from the back to the front because this may increase the chance of a urinary tract infection. Prior to cleaning the tubing of the catheter, the nursing assistant needs to check and make sure the catheter is suitably secured to the patient’s leg. This will prevent the catheter from dislodging during cleaning. Because it is necessary to clean everything, including the catheter, option B is not correct. Not cleaning the area opens the patient up to possible infections. Even though the patient has an indwelling catheter, it is still necessary to clean off all the equipment and the perineum as well, so choice B is not accurate. Failure to clean the perineum may open up the possibility of infection. Although option D has the correct order, the correct technique is not used. A nursing assistant should never clean the patient (especially female patients) from the back to the front as it can push bacteria into the vaginal area and cause infections. The cleaning of the catheter material is correct though, as it is important to wash from the area nearest the patient away. This also helps prevent the spread of bacteria into the vaginal area.

The proper way to abbreviate weight is:

WT

WT is the most regularly used abbreviation for “weight.” KG and LB are measurements of weight.

What is a patient’s right to make his or her own healthcare decisions referred to?

Self-Determination

It is the patients' right to make their own, informed, healthcare decisions. This is called self-determination. The others all refer to other rights the patient has.