Exam 1: Physical Care

Which of the following measure(s) is /are included in the care plan of clients with fecal incontinence? I. Help with elimination after meals and every 2 to 3 hours II. Provide good skin care after every elimination III. Assist the nurse in the insertion of a suppository as ordered by the physician IV. Apply of incontinence products V. Eliminate foods that are gas-forming (cabbage, cauliflower, radish, beans, onions, and cucumbers)

Ms. Schultz has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action?

Ms. Walsh scratches and picks at a wound in her right foot. Because she is diabetic, the nurse obtained a doctor's order to apply mitt restraints. You were delegated by the nurse to monitor Ms. Walsh after the restraints were applied. Which of the following are important to report to the nurse?

Mr. Serio, 60 years old, was placed in traction after an open reduction internal fixation surgical procedure. Which of the following activities should the nursing assistant perform for a client in traction?

Ronnie (CNA) is standing next to a person eating fried shrimp at a parade. Suddenly, the man clutches his throat and is unable to speak, cough or breathe. Ronnie asks the man if he's choking and he nods yes. Which of the following responses is most appropriate?

Keeping an accurate I&O record is part of the nurse assistant's duties. If the client is incontinent, how should the nurse assistant document the output?

Which of the following is the most effective practice by caregivers and family when caring for a client with low resistance to infection due to cancer?

Clients with osteoarthritis may be on bed rest for prolonged periods. When working with said clients, the nursing assistant is aware that she should:

Mr. Gomez, a 55-year-old taxi driver, complains of tickling in the throat and a bubbling sensation in the chest, then coughs up bright red, frothy blood mixed with sputum. The nurse aide reports this finding to the nurse as:

The nurse aide would report to the nurse that a client has decreased muscle strength if which of the following were observed?

Which of the following is the correct reason for using a paper towel to turn off the faucet after hand washing?

Using the principles of standard precautions, the nurse assistant would apply gloves when performing which of the following procedures?

A client uses a cane to assist with ambulation. Which of the following statements made by the client indicates the need for additional assistance?

Which of the following is the most important consideration when performing perineal care?

All of the following are correct methods in obtaining blood pressure except:

Jeremy (CNA) is assisting Mr. Shank walk in the hallway. After several steps, the client complained of light-headedness and suddenly fainted. What should be Jeremy's initial action?

When removing gowns and gloves, which of the following is inappropriate?

Mr. Stanley has a newly fitted hearing aid. He is very excited about this and now participates in every group activity. Which of the following reminders is given to Mr. Stanley with regards to the care of his hearing aid?

To prevent plantar flexion in an unconscious client, which of the following protective devices may be used? I.Foot board II.Trochanter roll III.Hand roll IV.Boot splint

The proper manner of trimming the toenails is: