Fy 15 Med-surg: CNA/Hct Annual Education Policy/Procedure/Protocol Quiz

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When using a lift for safe patient handling, a minimum of 2 people are required. This is because one person needs to operate the lift and ensure the patient's safety, while another person assists in positioning and supporting the patient during the transfer. Having two people helps to distribute the workload and reduces the risk of injury to both the patient and the staff members involved.

The correct answer is 7911 because it is the only option that ends with "911," which is commonly associated with emergency numbers. The other options do not have the same pattern and are therefore unlikely to be emergency numbers.

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 to document their observations and actions on both the Hourly Rounds Flowsheet and the Nursing shift note. This allows for accurate and comprehensive record-keeping of patient care, ensuring that important information is captured and can be easily accessed by other healthcare professionals.

The nurse may ask the patient to perform various tasks in order to assess their condition and provide appropriate care. In the case of a patient experiencing chest pain, obtaining vital signs, obtaining an EKG, and obtaining oxygen saturation level are all important tasks to gather information about the patient's condition. However, giving nitroglycerin is not a task that the nurse would ask the patient to perform. Nitroglycerin is a medication that is typically administered by healthcare professionals to relieve chest pain and improve blood flow to the heart.

The acceptable range for pulse rate in an adult patient is typically between 60 and 100 beats per minute. This range is considered normal and indicates a healthy heart rate. A pulse rate below 60 may indicate bradycardia, while a pulse rate above 100 may indicate tachycardia. It is important to monitor pulse rate as it can provide valuable information about a person's cardiovascular health.

The acceptable range for respirations in the adult patient is 12 - 20 breaths per minute. This range indicates a normal respiratory rate and is considered within the healthy range for adults. A respiratory rate below 12 or above 20 could indicate an underlying health issue and may require further evaluation and medical intervention.

HCTs/NAs can indeed function as sitters for patients on suicidal precautions. This means that they are responsible for closely monitoring the patient to ensure their safety and prevent any self-harm attempts. This may involve staying in the patient's room or within close proximity to provide constant supervision and support. This is an important role in ensuring the well-being of patients who are at risk of self-harm or suicide.

HCTs/NAs should participate in the Post Fall Huddle meetings because these meetings provide an opportunity to review and discuss any falls that have occurred. By involving the healthcare team and nursing assistants in these meetings, they can share their observations, insights, and any relevant information about the fall incidents. This collaborative approach helps in identifying the root causes of falls, implementing preventive measures, and improving patient safety. Therefore, it is important for HCTs/NAs to actively participate in Post Fall Huddle meetings.

This statement suggests that all staff members have the responsibility to implement interventions that promote a safe environment and ensure the safety of all patients. This implies that it is not solely the responsibility of a specific group or department, but rather a collective effort by all staff members. Therefore, the statement is true.

Pre-thickened liquids are available for patients with a diagnosis of dysphagia. Dysphagia is a condition characterized by difficulty swallowing, which can be caused by various factors such as neurological disorders, muscle weakness, or structural abnormalities. Thickened liquids help to reduce the risk of aspiration and choking by making it easier for individuals with dysphagia to swallow safely. These pre-thickened liquids are specifically designed for individuals with swallowing difficulties and are an important part of their dietary management.

The explanation for the correct answer "Yes" is that by pledging to demonstrate the core values of the American Nurses Association code of ethics, the person is committing to upholding the standards of honesty and integrity. By answering "Yes," they are certifying that they are the person taking the test, thereby affirming their commitment to the code of ethics and their honesty in taking the test.

Patients should be repositioned every 2 hours during an eight-hour shift. Repositioning helps prevent pressure ulcers, improves circulation, and reduces the risk of complications such as pneumonia or urinary tract infections. By repositioning every 2 hours, the patient's body weight is redistributed, relieving pressure on certain areas and allowing blood flow to reach all parts of the body. This regular repositioning schedule ensures the patient's comfort and overall well-being.

Wrinkles in bedclothes can cause pressure ulcers. When a person lies on wrinkled bedclothes for an extended period, the wrinkles can create pressure points on the body. This pressure can restrict blood flow to the affected area, leading to tissue damage and the formation of pressure ulcers. Pressure ulcers are painful and can be difficult to treat, causing discomfort and complications for the individual. Therefore, pressure ulcers are the most serious problem that wrinkles in bedclothes can cause.

The CNA/HCT can provide peri care every shift, check for signs and symptoms of infection, and maintain no kinks in tubing or coil on bed to prevent a catheter acquired urinary tract infection (CAUTI). However, notifying the MD of cloudy or red urine color is not an intervention that the CNA/HCT can provide. This task falls under the responsibility of the healthcare provider or nurse who can assess the situation and determine the appropriate course of action.

Having a feeding problem does not necessarily mean that a patient will also have a swallowing problem. Feeding problems can arise due to various reasons such as difficulty in chewing or manipulating food, loss of appetite, or aversion to certain textures or tastes. On the other hand, swallowing problems, also known as dysphagia, specifically refer to difficulties in the process of swallowing. While feeding problems can be a contributing factor to swallowing problems, they are not always synonymous.

The radial artery is the most common site for counting the pulse because it is easily accessible and located close to the surface of the skin. It is located on the wrist, on the thumb side, making it convenient for healthcare professionals to feel and count the pulse. Additionally, the radial artery is a major artery that carries oxygenated blood from the heart to the hand, so it provides an accurate representation of the heart rate.

The given question asks whether the statement is true or false. Since the answer provided is "True", it implies that the statement is indeed true.

The given answer

Nail polish interferes with sensor function. Nail polish creates a barrier between the finger and the sensor, preventing accurate readings of oxygen saturation. Removing the nail polish allows for direct contact between the finger and the sensor, ensuring accurate measurements.

Stool color can vary depending on various factors such as diet, medications, and gastrointestinal bleeding. A large black tarry stool can be an indication of upper gastrointestinal bleeding, which is a serious condition that should be reported to the nurse immediately. Stool color changes should not be assumed as a normal part of aging.

The statement is false because when a patient is placed on contact isolation, healthcare providers only need to wear a gown and gloves. Masks and foot covers are not necessary for contact isolation.

If a patient is having feeding problems, there are several actions that can be taken to assist them. Cutting meat into smaller, more manageable pieces can make it easier for the patient to chew and swallow. Buttering bread can help to soften it, making it easier to consume. Opening packages can be helpful for patients who may have difficulty with fine motor skills or gripping objects. Reminding the patient to eat slowly can help prevent choking or aspiration, allowing them to eat more safely and comfortably.

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

The statement is false because it claims that ceiling lifts are the only safe patient handling devices available at the VA for safe patient handling. This is not true as there are other safe patient handling devices available apart from ceiling lifts. Ceiling lifts are just one of the options for safe patient handling, but there are other devices such as transfer slings, transfer boards, and hydraulic lifts that can also be used for safe patient handling at the VA.

Patients' intake and output should be recorded every 8 hours. This frequency allows healthcare professionals to closely monitor the patient's fluid balance and ensure they are receiving adequate hydration and eliminating waste properly. Recording intake and output every 8 hours provides a comprehensive picture of the patient's fluid status and allows for timely interventions if any imbalances or abnormalities are detected.

The CNA should retract the foreskin before cleansing the male patient's genital area. This is important for proper hygiene and to prevent any buildup of bacteria or infection. Failing to retract the foreskin indicates a lack of understanding or knowledge about this necessary step in caring for male patients.

To protect the patient's skin, several interventions can be provided. Bathing helps to keep the skin clean and free from irritants. Applying a barrier cream to reddened areas creates a protective layer and helps prevent further irritation. Limiting the linen to only 2 layers reduces friction and irritation on the skin. Placing adult briefs on the patient and changing them every four hours helps to keep the skin dry and prevent moisture-related skin issues.

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The statement suggests that if a patient has trouble swallowing food, they will also have trouble feeding themselves. However, this is not necessarily true. While difficulty swallowing may make it challenging to eat certain types of food or require modifications in the diet, it does not automatically imply that the patient will have trouble feeding themselves. Factors such as the severity of the swallowing difficulty, the presence of assistance or adaptive devices, and the individual's overall physical and cognitive abilities can all influence their ability to feed themselves.

Patients with strokes, Parkinson's disease, Alzheimer's, and multiple sclerosis often experience feeding problems. Strokes can affect the muscles involved in swallowing and chewing, leading to difficulties in eating. Parkinson's disease can cause dysphagia, making it challenging for patients to swallow food properly. Alzheimer's disease can lead to a decline in cognitive function, including difficulties in recognizing and using utensils, resulting in feeding problems. Multiple sclerosis can affect the nerves that control swallowing and coordination of the muscles involved in eating, causing feeding difficulties.

The acceptable range for temperature in an adult is 96.8F - 100.4F. This range is considered normal for an adult's body temperature.

The explanation for the given correct answer, which is False, is that when measuring the amount of urine from a foley catheter, it should be done while the graduate is seated on a chair or a bed, not on the floor. This is because measuring urine output requires accuracy, and measuring it while the graduate is seated on the floor may lead to errors in measurement.

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 bony prominences where there is less subcutaneous tissue to cushion the pressure. The elbows, occiput (back of the head), and knees are all bony areas that are susceptible to pressure ulcers. However, the thighs have more subcutaneous tissue and muscle, providing better cushioning and reducing the risk of pressure ulcers in that area.

The acceptable range for O2 saturation is 95 - 100. This range indicates that the blood is adequately saturated with oxygen, which is necessary for proper functioning of the body. O2 saturation levels below 95 may indicate a lack of oxygen in the blood, which can be a sign of respiratory or cardiovascular issues.

Dry skin, incontinence, spasticity, and poor positioning are all factors that can increase the risk of pressure ulcer development in hospitalized patients. Dry skin can lead to increased friction and shear, making the skin more susceptible to damage. Incontinence can cause prolonged exposure to moisture, which can weaken the skin and make it more prone to breakdown. Spasticity, or muscle stiffness, can lead to increased pressure on certain areas of the body, increasing the risk of pressure ulcers. Poor positioning, such as prolonged immobility or incorrect alignment, can also cause pressure to be concentrated on specific areas, leading to tissue damage.