Nursing Assisting Mid-term Exam

The Nursing Assistant spreads a towel across the patient's chest to protect the gown and top sheets when assisting with oral hygiene. This is done to prevent any water or debris from the oral hygiene procedure from staining or wetting the patient's gown or top sheets. By placing a towel across the patient's chest, the Nursing Assistant ensures that the patient remains clean and comfortable during the procedure.

Closing the curtain whenever a procedure is performed promotes privacy for the patient. This ensures that the patient's dignity is maintained and that they are not exposed to unnecessary scrutiny. Closing the curtain also helps to create a comfortable and private environment for the patient, allowing them to feel more at ease during their procedure.

The Nursing Assistant needs to raise the bed at a comfortable working level when bedmaking the patient's bed. This is true because raising the bed to a comfortable working level can help prevent strain or injury to the Nursing Assistant's back and ensure that they can perform their tasks effectively. It also allows for better access to the bed and promotes proper body mechanics while performing bedmaking tasks.

The nursing assistant needs to place the call signal near the patient's reach when completing bedmaking to ensure that the patient can easily access it in case they need assistance. This is important for the patient's safety and well-being, as it allows them to alert the nursing staff if they require any help or have an emergency. Placing the call signal within the patient's reach promotes their autonomy and ensures that they can receive prompt assistance when needed.

Perineal care refers to the process of washing and cleaning a patient's genital and anal area. This is an important aspect of personal hygiene and helps prevent infections and discomfort. It involves using gentle techniques and appropriate cleansing agents to ensure proper cleanliness and hygiene in this sensitive area of the body. Providing perineal care is especially crucial for patients who are bedridden or have limited mobility, as they may be unable to perform this task themselves.

A toe pleat is a fold made at the end of the bedsheet to create extra space and comfort for the patient's feet. It allows for better movement and prevents any discomfort or pressure on the toes. By providing this additional room, the patient can have a more comfortable and relaxing sleep experience. Therefore, the statement that a toe pleat is provided in bedmaking to provide comfort and adequate room for the patient's feet is true.

A bath blanket needs to be on the patient when providing baths to ensure their privacy and maintain their body temperature. It also helps to prevent any water or soap from splashing onto the patient's bed or surroundings. A bath blanket is specifically designed for this purpose and provides a protective covering during the bathing process.

The question asks for a device that is not used for elimination. A wheelchair is not used for elimination, as it is a mobility aid for individuals who have difficulty walking or cannot walk at all. On the other hand, a urinal, bedpan, and bedside commode are all devices used for elimination purposes. A urinal is used by individuals who have difficulty accessing a toilet, a bedpan is used by individuals who are unable to get out of bed, and a bedside commode is a portable chair with a hole in the seat and a container beneath it for individuals who cannot make it to the bathroom.

Incontinence briefs are specifically designed to be worn by patients who experience bladder and/or bowel movements incontinence. These briefs provide a protective barrier and absorbent material to prevent leaks and keep the patient dry. They are an effective solution for managing incontinence and maintaining the patient's comfort and dignity. Therefore, the statement "Incontinence briefs are worn for patients with bladder and/or bowel movements incontinence" is true.

The nursing assistant is responsible for documenting particles found inside the Foley catheter. This is important for maintaining accurate patient records and monitoring the condition of the catheter. It allows healthcare professionals to identify any potential issues or infections that may arise from the presence of particles. By documenting this information, the nursing assistant ensures proper care and treatment for the patient.

Before bathing the patient, the Nursing Assistant is to offer the patient a bedpan, urinal, or assist them to the bathroom. This is important because the patient may need to use the bathroom before or during the bathing process. Providing them with these options ensures their comfort and helps maintain their dignity. Additionally, offering the patient something to drink is not directly related to the bathing process and may be done at a different time. A warm washcloth is typically used during the bathing process, but it is not the only thing that should be offered to the patient before bathing.

Brushing and combining the hair are part of the morning routine. This suggests that these activities are typically done in the morning as part of one's daily routine. It is common for people to brush and comb their hair to keep it neat and manageable before starting their day. This answer implies that these actions are not only important but also expected to be done regularly in the morning.

For an uncircumcised male patient, the Nursing Assistant needs to first pull back the foreskin. This is because the foreskin covers the head of the penis in uncircumcised males, and it is important to retract it in order to properly clean the area.

Electric beds are not examples of basic bedmaking methods because they are specialized beds that are powered by electricity and have adjustable features such as height, head, and foot positioning. Basic bedmaking methods typically refer to the process of making a bed with basic linens and arranging it for a patient's comfort and hygiene. Electric beds are not part of this traditional bedmaking process.

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Wearing gloves when handling a urinal or bedpan is not solely dependent on whether the patient has a disease or not. Gloves should be worn to protect both the patient and the healthcare provider from potential contamination and the spread of infections. It is a standard precautionary measure to ensure proper hygiene and safety during patient care. Therefore, the statement that gloves are only required if the patient has a disease is incorrect.

The correct answer is False because giving a patient a cup of hot water to rinse out their mouth and using an emesis basin for disposal of water is not the appropriate method for assisting with oral hygiene. It is important to use proper oral hygiene techniques such as brushing the teeth, using mouthwash, and providing appropriate dental care to maintain oral health.

The given statement is "The temperature of the patient's room needs to be 63 degrees Fahrenheit." The correct answer is False because the statement does not provide any information or context to determine whether 63 degrees Fahrenheit is the appropriate temperature for the patient's room. The ideal temperature for a patient's room can vary depending on factors such as the patient's condition, comfort level, and medical recommendations.

Skin breakdown can be caused by wrinkled linen, soiled linen, and dragging the patient across linens. Wrinkled linen can create pressure points on the skin, leading to irritation and breakdown. Soiled linen can harbor bacteria and moisture, increasing the risk of infection and skin breakdown. Dragging the patient across linens can cause friction and shear forces, damaging the skin. Therefore, all of these factors can contribute to skin breakdown.

It is important to recheck the temperature of the water often when giving a shampoo to ensure that it is comfortable and safe for the patient. Water temperature can fluctuate, and what may initially feel comfortable can become too hot or too cold over time. By regularly checking the temperature, the caregiver can make any necessary adjustments to ensure a pleasant experience for the patient.

The perineum refers to the area between the external genitals and the anus. It is not related to the cleaning and care of a patient's genital and anal areas, or to a tube inserted through the urethra and into the bladder (Foley catheter). The correct answer accurately describes the location of the perineum.

The Foley catheter is a closed drainage system that helps prevent urinary leakage by allowing for the continuous drainage of urine from the bladder. It is designed to keep the bladder empty and prevent urine from leaking out, which can be uncomfortable and embarrassing for the patient. The closed system also helps reduce the risk of urinary tract infections by minimizing the entry of bacteria into the urinary tract. Therefore, the correct answer is "Urinary leakage and allows for drainage of the bladder."

A commode is a type of portable chair or bedside toilet that has a hole in the seat and a container beneath it to collect waste. It is designed for individuals who have difficulty using a regular toilet or cannot easily access a bathroom. This makes it a suitable option for people with limited mobility or those who are bedridden. The other options listed - fracture pan, bedpan, and urinal - are also used for toileting purposes, but they have different designs and functions compared to a commode.

Encouraging the patient to avoid exercise does not promote normal elimination because exercise can actually help stimulate bowel movements and promote regularity. Physical activity helps to increase muscle contractions in the intestines, which aids in moving stool through the digestive system. Therefore, encouraging exercise would be beneficial for promoting normal elimination.

A bath mitt is typically made with a washcloth. A washcloth is a small square or rectangular piece of cloth that is used for bathing or cleaning the body. It is soft, absorbent, and gentle on the skin. It is designed to be used with soap or shower gel to lather and cleanse the body. A washcloth is a common and practical material for making bath mitts as it provides a good grip and allows for effective cleaning and exfoliation of the skin.

The correct answer is False. The Nursing Assistant should not leave the bed in the working level position before the patient arrives. The bed should be left in the lowest position to ensure the patient's safety and prevent any potential falls or injuries. Leaving the bed in a raised position can increase the risk of accidents and is not recommended.

When making a closed bed, the Nursing Assistant needs to fanfold the top sheet back over the blanket at the top of the bed to make an 8 inch cuff. This is done to create a neat and tidy appearance for the bed, as well as to provide a clean and comfortable surface for the patient. The 8 inch cuff helps to secure the top sheet in place and prevent it from becoming untucked or wrinkled during use. It also allows for easy access and adjustment of the sheet as needed for the patient's comfort.

The correct answer is to clean the urinary meatus first. This is because the urinary meatus is the opening of the urethra, and it is important to keep this area clean to prevent infection. By cleaning the urinary meatus first, any bacteria or debris that may have accumulated in this area can be removed before proceeding with the rest of the catheter care.

The Nursing Assistant should not leave the Foley Catheter up above bladder level. This is because leaving the catheter above bladder level can cause urine to flow back into the bladder, leading to potential infections and complications. It is important to ensure that the catheter is properly positioned and secured at the appropriate level to prevent any issues.

The Foley catheter should be attached to the bed frame to prevent accidental dislodgement or pulling of the catheter. Attaching it to the bed frame ensures that it stays in place and reduces the risk of complications such as urinary tract infections or tissue damage. This also allows for easy monitoring and management of the catheter, ensuring that it functions properly and the patient remains comfortable.

The water temperature for giving Perineal care should be 105 degrees Fahrenheit. This temperature is ideal for maintaining cleanliness and hygiene while ensuring comfort for the person receiving the care. It helps in preventing any potential harm or discomfort that may arise from using water that is too hot or too cold.

The correct answer is "Hospital bed" because it is the only item listed that is specifically associated with a hospital setting. The other options, such as overbed table, bedside stand, and privacy curtain, can be found in various settings, not just hospitals. Therefore, number #6 is the hospital bed.

This answer is correct because the statement "All electric shavers operate the same way" is not a general guideline for shaving patients. The guidelines provided in the other options are valid and important, such as obtaining permission from a supervisor before shaving a patient, considering special cautions for certain patients, and softening the beard and skin before using a safety razor. However, the statement about electric shavers is incorrect because different electric shavers may have different features, settings, and techniques for shaving.

The given options for removing dentures from the mouth of a patient who cannot do this alone are incorrect. Grasping both dentures at the same time and pulling can cause damage or injury to the patient's mouth. Covering the patient's eyes is not necessary for removing dentures. Wearing gloves is important to maintain hygiene and prevent slipping. Therefore, none of the above options are correct.

The Foley Catheter should not be attached to the patient's bed railing. This is because attaching the catheter to the bed railing can cause tension on the catheter, leading to discomfort and potential complications for the patient. It is important to ensure that the catheter is secured properly using the designated catheter holder or clip, which is specifically designed for this purpose. This helps to prevent any unnecessary pulling or tugging on the catheter, ensuring the patient's comfort and safety.

The correct answer is "Bedpan" because it is the only option that is specifically designed for a person to use while lying in bed. A bedpan is a shallow, flat-bottomed container that is placed under a person's buttocks when they are unable to get out of bed to use the toilet. Commodes, urinals, and fracture pans are all used for toileting purposes, but they are not suitable for use while lying down in bed.

Nursing assistants play a crucial role in healthcare by providing direct patient care and assisting with activities of daily living, such as bathing, dressing, and feeding patients. They do not have the authority to diagnose medical conditions, administer medications (unless under the supervision of a nurse), or perform surgical procedures, as those tasks are typically reserved for licensed healthcare professionals.

Among the given options, the privacy curtain is the only item that is not directly related to the patient's comfort or medical care. While the patient's bed, bedside stand, and hospital bed are all essential for the patient's well-being and treatment, the privacy curtain serves the purpose of providing privacy to the patient during examinations or procedures. It is used to create a barrier between the patient and the surrounding environment, ensuring their privacy and dignity.

The correct answer is 110 because a complete bed bath typically requires warm water to ensure comfort and cleanliness. A temperature of 110 degrees Fahrenheit is warm enough to provide a soothing and relaxing experience while also effectively cleansing the body. Higher temperatures may be too hot and uncomfortable, while lower temperatures may not provide the desired level of cleanliness.

When giving a complete bed bath, the nursing assistant needs to complete one side of the patient's body before moving on to the other side. This ensures that each side is thoroughly cleaned and dried before the nursing assistant moves on to the next side. It is important to maintain proper hygiene and prevent the spread of infection. Changing from one side to the other while giving the bed bath would not allow for thorough cleaning and drying of each side.

The correct answer is Bedside stand. This is because a bedside stand is a small table or cabinet that is placed next to a bed, providing a surface for items such as lamps, alarm clocks, books, or drinks. It is commonly used in bedrooms or hospital rooms for convenience and organization purposes. The other options, such as an overbed table, hospital bed, and chair, do not accurately describe a bedside stand.

The explanation for the answer being False is that the nursing assistant does not need to miter the bedding back on itself and toward the head of the bed to make the edge of the cuff meet the fold. Mitering is a technique used to create a neat and secure corner when folding and tucking in the bedding, but it is not necessary for the edge of the cuff to meet the fold. The cuff can simply be tucked in or folded over without mitering.

The correct answer is Overbed table. This is because an overbed table is a type of furniture that is commonly found in hospital rooms. It is a table that is designed to be placed over the patient's bed, allowing them to eat, read, or work while lying down. It is adjustable in height and can be moved easily to accommodate the patient's needs.

The correct name for the device that number #1 represents is a urinal. A urinal is a specialized toilet fixture designed for urination only, typically used by males. It is often found in public restrooms and hospitals to provide a convenient and hygienic way for men to relieve themselves.

A fracture pan is a device used in medical settings to assist patients with limited mobility or those who have fractures or injuries that prevent them from using a regular bedpan or commode. It is designed with a low profile and a flat surface to make it easier for patients to slide onto it without causing further discomfort or pain. The fracture pan is typically used in situations where a patient cannot sit up or bend their hips, such as after hip surgery or with certain types of fractures.