Fy 15 Clc Hct/CNA Annual Education Policy/Procedure/Protocol Quiz

The statement is false because a large black tarry stool can indicate the presence of blood in the digestive system, which should be reported to a nurse or healthcare professional. Stool color changes can occur due to various factors, but black tarry stool is not a normal part of aging and may indicate a potential health issue that requires attention.

The correct answer is "Yes" because by pledging to demonstrate the core values of the American Nurses Association code of ethics and upholding the standards of honesty and integrity, the person taking the test is committing to following the ethical guidelines set by the nursing profession.

When using a lift for safe patient handling, a minimum of 2 people are required. This is because one person operates the lift and ensures the patient's safety, while the other person assists in positioning and supporting the patient during the transfer. This ensures that the patient is lifted and moved safely without putting excessive strain on any individual involved in the process.

Pre-thickened liquids are available for residents with a diagnosis of dysphagia. Dysphagia is a medical condition characterized by difficulty in swallowing. Thickened liquids can help individuals with dysphagia by making it easier for them to swallow safely and reduce the risk of choking or aspiration. Hypertension and diabetes are unrelated to the need for pre-thickened liquids.

The correct answer is

HCTs/NAs should participate in the Post Fall Huddle meetings because these meetings are designed to discuss and analyze the circumstances surrounding a patient's fall. By involving the healthcare team and nursing assistants, valuable insights can be gained regarding the event, potential causes, and preventive measures. This collaborative approach allows for a comprehensive review of the fall incident and helps in developing strategies to prevent future falls. Therefore, it is important for HCTs/NAs to actively participate in these meetings to ensure a thorough analysis and effective fall prevention strategies.

The statement implies that all staff members have a responsibility to implement interventions that promote a safe environment and ensure the safety of all patients. This suggests that creating a safe environment and maintaining patient safety is a collective effort that involves everyone on the staff, not just a specific group or department. Therefore, the answer is true.

After notifying the nurse, if a patient is able to eat and swallow and has a blood sugar of 62, the patient may be given orange juice to increase his blood sugar. Orange juice contains natural sugars that can quickly raise blood sugar levels, providing a quick source of energy for the patient.

The correct answer indicates that the CNA did not retract the foreskin before cleansing the male patient. This is important because the foreskin covers the head of the penis and needs to be retracted in order to properly clean the area. Failure to do so can lead to inadequate cleansing and potential hygiene issues for the patient. Therefore, further orientation is needed to ensure that the CNA understands the proper procedure for cleansing a male patient.

The facility's (RHJ VAMC) emergency number is 7911.

The statement is false because ceiling lifts are not the only safe patient handling devices available at the VA. There are other devices such as transfer belts, slide sheets, and mechanical lifts that are also used for safe patient handling.

According to CPM 136-12-02, one can call both the AT & T Relay Service and the TTY Phone to obtain assistance for a hard of hearing patient or a language interpreter.

Nursing NA/HCT are allowed to chart on the Hourly Rounds Flowsheet and the Nursing shift note. This means that nursing NA/HCT have the authority and responsibility to record their observations and interventions on these specific documentation tools. They are permitted to document their activities and findings on the Hourly Rounds Flowsheet, which is used to track patient care throughout the day. Additionally, they can also chart on the Nursing shift note, which is a comprehensive summary of the patient's condition and care provided during a specific shift.

The nurse may ask you to perform several tasks when a patient is experiencing chest pain, including obtaining vital signs, obtaining an EKG, and obtaining oxygen saturation levels. However, giving nitroglycerin is not a task that the nurse would ask you to perform in this situation. Nitroglycerin is a medication that is commonly used to relieve chest pain or angina, but it is typically administered by the nurse or healthcare provider, not by a non-medical personnel.

Asking the patient to state his/her full name and full social security number is the proper procedure to verify a patient's identification. This ensures that the patient provides their complete name and social security number, which are important for accurate identification and record-keeping purposes. Asking for the last name and last four of the social security number may not provide enough information for accurate identification.

The correct answer is "Linen-3 layers only." When caring for the elderly's skin, HCT/NA responsibilities include bathing, applying barrier cream to reddened areas, and informing the nurse of areas of redness. However, the number of layers of linen used is not a responsibility related to skin care.

The statement suggests that if a resident has trouble swallowing his food, it automatically implies that he will also have trouble feeding himself. However, this is not necessarily true. A person can have difficulty swallowing but still be able to feed themselves using alternative methods such as pureed or liquid foods. Therefore, the statement is false.

The statement is false because a patient on contact isolation only requires the healthcare provider to wear a gown and gloves before entering the room. A mask and foot covers are not necessary for contact isolation.

The acceptable range for temperature in an adult is 96.8F - 100.4F. This range is considered normal for most adults and indicates a healthy body temperature.

When providing catheter care for a male or female patient, it is important to clean the catheter down 10cms (4 inches) to maintain proper hygiene and prevent infections. Cleaning the catheter ensures that any bacteria or contaminants are removed, reducing the risk of complications. This practice is necessary to promote the patient's health and well-being. Therefore, the statement is true.

The CNA/HCT responsibilities in regards to caring for a resident with a urinary catheter include performing peri care every shift to ensure cleanliness and prevent infections, checking for signs and symptoms of infection to ensure early detection and treatment, recording the amount and character of urine to monitor the resident's urinary output and identify any abnormalities, and securing the tubing below the level of the bladder at all times to prevent backflow of urine and potential infections.

The CNA/HCT responsibilities in regards to caring for the skin of the elderly include bathing and applying barrier creams to redden areas. Bathing helps to keep the skin clean and prevent infections. Applying barrier creams to redden areas helps to protect the skin and prevent further irritation or damage. The other options mentioned, such as applying 3 layers of linen and using diapers when there is leakage from a foley catheter, are not directly related to caring for the skin.

If a patient cannot feed themselves, it does not necessarily mean that they will have frequent "choking" spells during each feeding. There can be various reasons why a patient is unable to feed themselves, such as physical disabilities or medical conditions, and choking spells may or may not be a part of their feeding difficulties. Therefore, the statement is false.

Feeding problems are common in patients with strokes, Parkinson's disease, Alzheimer's, and multiple sclerosis. These conditions can affect various aspects of swallowing and feeding, leading to difficulties in chewing, swallowing, and controlling food in the mouth. Strokes can damage the areas of the brain responsible for coordinating swallowing, while Parkinson's disease can cause muscle rigidity and impaired coordination of the swallowing muscles. Alzheimer's disease can lead to cognitive decline and forgetfulness, making it difficult for patients to remember how to eat or recognize food. Multiple sclerosis can affect the nerves that control swallowing, resulting in problems with food passage from the mouth to the stomach.

The statement "RHJ is a latex free facility" is false. This means that RHJ is not a latex free facility.

The acceptable range for pulse rate in an adult patient is 60 - 100 beats/min. This range is considered normal for a healthy adult. A pulse rate below 60 beats/min is considered bradycardia, which may indicate a slow heart rate. On the other hand, a pulse rate above 100 beats/min is considered tachycardia, which may indicate a fast heart rate. Therefore, a pulse rate between 60 and 100 beats/min is considered within the acceptable range for an adult patient.

The HCT/NA can provide bathing to protect the patient's skin by keeping it clean and free from irritants. Applying barrier creams can create a protective layer on the skin, preventing moisture loss and reducing the risk of skin breakdown. Limiting linen to only 2 layers can help prevent excessive pressure on the skin, reducing the risk of pressure ulcers. However, placing diapers on the patient and changing them every 6 hours may not directly protect the patient's skin, as it does not address other factors that can contribute to skin damage, such as moisture and friction.

Nursing rounds on the residents will be done every 2 hours. This means that the certified nursing assistant (CNA) or health care technician (HCT) will check on the residents every 2 hours to ensure their well-being and attend to any immediate needs. This frequency allows for regular monitoring and prompt response to any changes in the residents' condition.

The acceptable range for O2 saturation is 95 - 100. This means that a person's blood should ideally be saturated with oxygen at a level between 95% and 100%. O2 saturation is an important measure of how well the lungs are functioning and how efficiently oxygen is being delivered to the body's tissues. A saturation level below 95% may indicate a potential respiratory or circulatory problem.

Pressure ulcers, also known as bedsores, occur when there is prolonged pressure on the skin, leading to tissue damage. Common areas at increased risk for pressure ulcers are those with bony prominences, where the skin is in direct contact with underlying bones. These areas include the elbows, occiput (back of the head), and knees. However, the thighs are not typically considered high-risk areas for pressure ulcers as they have more muscle and adipose tissue, providing better cushioning and reducing the risk of tissue damage.

The tasks that a HCT/NA should perform when caring for a patient with an indwelling foley catheter include peri care with soap and water every shift to maintain cleanliness and prevent infection, securing the tubing below the level of the bladder to prevent urine reflux, emptying the foley bag at the end of each shift and recording the output to monitor urinary output, and checking for signs of infection and reporting them to the nurse for prompt intervention. The use of sterile precautions when performing care is also important to prevent infection.

When cleaning a male patient, it is important to clean the meatus towards the shaft using a circular motion. This is because cleaning in this direction helps to prevent the spread of bacteria from the urethra towards the meatus. By using a circular motion, any debris or bacteria present in the meatus can be effectively removed. Cleaning in the opposite direction could potentially push bacteria towards the urethra, leading to infections or other complications. Therefore, it is crucial to clean the meatus towards the shaft using a circular motion when cleaning a male patient.

The HCT/NA should notify the MD of cloudy or blood urine color as it is an important sign of infection and should be addressed by a medical professional. The other interventions mentioned, such as peri care every shift, checking for signs and symptoms of infection, and maintaining no kinks in tubing or coil on the bed, are all appropriate measures to prevent CAUTI and can be performed by the HCT/NA.

The acceptable range for respirations in the adult patient is 12 - 20. This range indicates the normal breathing rate for adults, with an average of 12 to 20 breaths per minute. Respirations outside of this range may indicate a respiratory problem or other underlying health issue.

The correct answer is False. When measuring the amount of urine from the foley catheter, you should measure the amount while the graduate is seated on a chair or bed, not on the floor. Seating the graduate on the floor would be impractical and uncomfortable for the patient.

If a resident is having feeding problems, it is important to provide assistance and support to ensure they are able to eat comfortably and safely. Cutting the meat can make it easier for the resident to chew and swallow. Buttering the bread can make it softer and more manageable for the resident to eat. Opening packages can help the resident access their food without any difficulties. Reminding the patient to eat slowly can help prevent choking or other issues that may arise from eating too quickly.

Dry skin, incontinence, spasticity, and poor positioning are all factors that can increase the risk of pressure ulcer development in residents. Dry skin can make the skin more prone to damage and breakdown. Incontinence can lead to prolonged exposure to moisture, which can weaken the skin and make it more susceptible to pressure ulcers. Spasticity, which is involuntary muscle contractions, can cause friction and shear forces that can damage the skin. Poor positioning, such as prolonged immobility or being in a position that puts excessive pressure on certain areas, can also increase the risk of pressure ulcers.