Older adults can be at risk for skin breakdown. Which of the following interventions can help maintain skin integrity?

Provide the client with a diet high in protein

If a client starts to fall while mobilizing with him, you will:

Ease him down your leg and go down with him

Making an occupied bed involves

Changing the linens while the person is still in the bed

What is the main purpose of a bedpan?

For the non ambulatory patient to use for defacation and urination in bed

What is the definition of Medical Asepsis?

Reduces infectious agent but doesn't eliminate

Why would you use a mechanical lift?

Patient is immobile and unable to bear weight.

Food safety is important because:

It protects you and others from illness

If the resident is unable to clean up properly after using a bedside commode, the HCA should:

Provide the resident with privacy and clean him gently

What is an alternating pressure mattress for?

It is to sleep on and reduce risk of pressure injury

When assisting with bedpan you should

both RED & BLUE choices are correct

The three main parts of the brain are (click all that apply)

brain stem, cerebellum, cerebrum

You make an occupied bed;

By turning the Resident side to side

What is so important about fibre? (choose 2)

Helps to manage blood glucose and blood cholesterol, Needed for digestive system health

Placing an incontinent person on a toileting schedule

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HCAP143

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Questions 94

Answers

1
Older adults can be at risk for skin breakdown. Which of the following interventions can help maintain skin integrity?
Apply cornstarch to keep the skin dry
Reposition the client every 3 hours
Massage bony prominences to promote circulation
Provide the client with a diet high in protein
2
If a client starts to fall while mobilizing with him, you will:
let him fall but put down a pillow to protect his head
run and get help
Ease him down your leg and go down with him
ask his daughter to help catch him
3
The HCA must ensure equipment is in good working order
True
False
4
Feeding a patient with dysphagia, you would:
Have lots of people in the room
Sit the patient upright
Have the patient side lying
Order Steak dinner
5
What does PPE stand for?
Personal protective equipment
Personals preotectives equipment
Personal preventative equipment
Protect people effectively
6
Ways to prevent muscle atrophy include:
resting in bed
keeping positive
visiting with friends
keeping active
7
If you were to notice signs of skin breakdown, you should first...
Scream cry
Check bony prominences
Inform the nurse
massage the area
8
Making an occupied bed involves
Changing the linens while the person is still in the bed
Placing special devices on the patients bed
Changing the linens while the person is int the shower
Making the metered corners at each end of the bed
9
What is the main purpose of a bedpan?
To store dirty sheets
For the non ambulatory patient to use for defacation and urination in bed
For a vomiting patient
Cooking in bed
10
The policy that is best practice for the safety of transferring patients is called:
Zero lift policy
safe handling policy
mechanical lift policy
Safe transfer policy
11
Tearing of skin tissue caused when the skin sticks to a surface is:
laceration
friction
shearing
abrasion
12
Dysphagia is;
difficulty talking
difficulty having a BM
difficulty swallowing
difficulty walking
13
Unhook all drainage tubing prior to repositioning a client to ensure no tangles
False
True
14
What is the definition of Medical Asepsis?
Absolute killing of all life form
Reduces infectious agent but doesn't eliminate
Protection against infection with the use of sterile technique
microorganism free area
15
Why would you use a mechanical lift?
Nurse is too lazy to assist.
Makes it easier.
Patient is immobile and unable to bear weight.
All of the above
16
How many staff members must be in attendance when using a mechanical lift?
2
3
1
all of the above
17
The health assistant performs skin care to avoid breakdown. What link in the chain of infection is targeted?
causative agent
susceptible host
reservoir
portal of entry
18
Food safety is important because:
It protects you and others from illness
It is not really important
It helps you make better choices about nutrition
It is a part of the training for being a cook
19
If the resident is unable to clean up properly after using a bedside commode, the HCA should:
Tell the resident that he will be cleaned at bath time.
Assist the resident to bed and return later to clean him/her
Provide the resident with privacy and clean him gently
Give a washcloth and instruct proper cleaning techniques
20
After assisting Mr. Roth with ambulation, what observations should you immediately report?
A transfer belt was used.
Mr. Roth sat down for a short rest during ambulation
Mr. Roth complained of pain.
Mr. Roth was wearing non-skid shoes.
21
Standard precautions include:
Hand Hygiene and PPE
Environmental cleaning every so often
Disposals of sharps in a black waste bag
Isolating the patient from visitors
22
Which of the following situations is a safety hazard for the client using a cane?
The client is ambulating wearing no-skid shoes.
The grip is level with the hip.
The client is holding the cane on the unaffected side
The rubber cane tip is wet.
23
What is an alternating pressure mattress for?
it is for sleeping.
It is to sleep on and reduce risk of pressure injury
It is for working on.
It is for walking on.
24
Major cause of food poisoning?
Rodents
Hair
People being rude
Cross contamination
25
Incontinence is a normal part of aging
True
False
26
A HCA should give nail care:
when the resident's nail polish wears off
whenever she has time
when she is bathing a resident
When she notices a residents nails are getting long
27
When assisting with bedpan you should
both RED & BLUE choices are correct
only RED choice is correct
provide privacy, explain, identify self, wear gloves
Provide toilet tissue, wipes, call device with in reach
28
what are the first signs of skin breakdown?
difficulty breathing
clear blood flow
pale, white, or reddened skin
depression
29
which is not the type of diet texture
soft
rice
pureed
minced diet
30
Pocketing food in the oral cavity can cause all of the following EXCEPT
dessert for later
choking on food particles
aspiration which can cause respiratory diseases such as pneumonia
31
The two main divisions of the nervous system are the central nervous system and the:
autonomic nervous system
parasympathetic nervous system
somatic nervous system
peripheral nervous system
32
Which of the following is a MINIMAL daily adult urine output:
1500 mL per day
1200 mL per day
2000 mL per day
1000 mL per day
33
Food poisoning be life threatening
True
False
34
Which is not a symptom of dysphagia?
constipation
excessive drooling
coughing
choking
35
The three main parts of the brain are (click all that apply)
brain stem
occiptal
cerebellum
cerebrum
36
You make an occupied bed;
Closed
Open
Fanfold the sheets away from the side by the gurney
By turning the Resident side to side
37
Keeping skin moisturized can increase risk for pressure injuries
False
True
38
True or false. For a purée diet, food can be runny.
False
True
39
Anal leakage is the primary symptom of fecal impaction?
False
True
40
The peripheral nervous system (PNS) is the brain and spinal cord while the CNS is everything else
False
True
41
A resident has fecal incontinence. You know that
Good skin care is required.
The person has dementia
A bowel training program will cure the person
The condition is permanent.
42
when bed making you should always
follow medical asepsis rules
wash hands prior to handling clean linens, and afterwards
all of the above
use good body mechanics
43
Which of the following situations require good skin care?
client with diabetes
client with incontinence
client with prosthesis
All of the above
44
Which results from the breakdown of skin?
All of the above
Pressure injury
Decubitus ulcer
Bedsore
45
A triangular apparatus above a bed, used to help the client reposition and support weight or help with position change
Bed cradle
trapeze bar
bed railing
Grab bar
46
Hemiplegia is the paralysis of...
the WHOLE body.
ANY part of the body.
an ABNORMAL part of the body.
one vertical HALF of the body.
47
What term occurs if fluid output is more than the intake?
Output
Dehydration
Edema
Graduate
48
Two significant risks associated with extended bed rest are:
Boredom and irritation
blood clot and pressure ulcers
Poor hygiene and weight gain
Fatigue and insomnia
49
A transfer belt will be used
when the client is bigger and heavier than the HCA
none of the above
whenever ambulating a client
when the caregiver is feeling weak and tired
50
What is so important about fibre? (choose 2)
Helps to manage blood glucose and blood cholesterol
Needed for digestive system health
Nothing.. who needs it!
Tastes great, yummy!
51
Bladder training is:
Placing an incontinent person on a toileting schedule
Something only a doctor assists with
A surgical procedure
Something only a RN assists with
52
How should you store food?
In a sealed container
labeled with the date opened / cut
labeled with the date it expires
labeled with the date opened / cut in a sealed container
53
What is the purpose of being on a texture modified diet
All of the above
To prevent dehydration
To prevent aspiration pneumonia
To prevent choking and embarrassing situations at meal times
54
What is the purpose of being on a texture modified diet
To prevent dehydration
All of the above
To prevent aspiration pneumonia
To prevent choking and embarrassing situations at meal times
55
Compression garments can be washed
Never
Monthly wash will do
by Hand & hung to dry
In normal aged care facility laundry
56
where does skin breakdown usually occur?
inner ears
bony prominences
stomach
arch of the foot
57
When making accurate observations of feces, the HCA should take note of the following:
Whether the client was able to perform pericare for herself
The location in which the client had the bowel movement
The amount, color, odour, consistency, and anything unusual about the feces
The time of day of the bowel movement
58
Never refer to the clients affected side as the "Bad Side."
False
True
59
When working in the community, the HCA must observe for the presence of HAZARDS such as:
stair rails
grab bars in the shower
scatter rugs
good lighting
60
Why do we record mouth care?
To cover our back if there is a complaint
For use in research
Because we have to
To maintain accurate records and support interdisciplinary communication
61
To avoid skin breakdown in those unable to mobilize, how often, at minimum, will you reposition?
twice per shift
2 hours
15 minutes
1 hour
62
Always communicate with your partner when transfering a patient
False
True
63
When assisting someone to the commode, the first pair of gloves I don will be
When I clean the commode
When I remove the resident's clothing
Before I place the commode in position
When I wipe the resident
64
What is Dangling a Patient?
medical procedure to take blood
A laying down position for surgery
seems dangerous
a sitting position on the side of the bed
65
The HCA may also hear elastic stockings referred to as
compression socks
all of the above
anti-embolic stockings
TED hose
66
The rubbing of one surface against another
laceration
shearing
friction
abrasion
67
When you transfer a client to the toilet
ensure that the back of the client’s legs touch the toilet before sitting
use the transfer belt to pull the client towards the toilet
place your hands under the client’s axilla to provide the best support
ensure that the client is taking big steps
68
Which of the following statements is true when measuring intake and output?
You should wear gloves with any body fluids
You should wash your hands before writing amount
You should measure amount of fluid at eye level
all above are correct
69
You are providing perineal care to an uncircumcised patient the HCA should:
Do not retract the forskin due to the glands being sensitive
Make sure the forskin is retracted & glans exposed p care
Forskin must be retracted to properly clean the secreations
Provide all Care the same
70
A 93-year-old has decreased hydration intake leading to poor skin integrity. To help slow skin breakdown, the HCA would
spoon feed the resident
request an order for a feeding tube
offer 4 oz of fluid every hour
inform the resident to eat more
71
pureed diets are
blenderized
diced
strained
chopped
72
Canada's food guide recommends:
1/4 of your plate as dairy
half your plate vegetables / fruits
1/2 your plate protein foods
half your plate to be grains
73
When assisting the resident to the toilet or bedside commode the HCA should...
Help the resident by removing a bowel impaction
allow the resident adequate time
Notify the nurse of every regular bowel movement
Check on resident every 5 minutes
74
Standard Precautions apply to:
Persons with infections.
The health team
All residents
All persons.
75
The bedpan shown below is a :
Fracture pan
Curved pan.
Flat pan
Standard pan.
76
FIBRE
IS IN PASTA, RICE, CEREALS AND POTATOES
IS GOOD FOR OUR DIGESTION & BOWEL ELIMINATION
HELPS US GROW
77
Your patient is in a coma. While making the bed, you..
Talk reassuringly & explain the procedure while changing bed
Don't worry about privacy because the patient is not aware
Don't change the linens as often since they are hard to move
Remove the patient out of bed
78
Which patient would wear a disposable brief?
urinary retention
urinary incontinence
urinary dysplasia
urinary catheter
79
While providing mouth care you should never:
use gentle motions
leave soiled linens on resident's bed
wear gloves
clean all surfaces including gums
80
Dark amber urine may be a sign of dehydration
True
False
81
What should the HCA not do when shaving a patient who is on continuous oxygen (cannot be removed)?
Use lotion after shaving
Use an electric razor
Use a safety razor
Use extra shaving cream
82
Most food poisoning bacteria will be killed by:
Refrigeration
Cooking
Freezing
Washing
83
Measures to decrease incontinence include
applying an incontinence brief
leaving the bedpan in place for at least 15 minutes
increasing the residents fluid intake before bedtime
answering the resident call like promptly
84
Which of the following foods would be allowed on a Level 1 Dysphagia Pureed diet?
Applesauce
Soft cheese slice
Moist pancakes
Meatloaf
85
which of the following is NOT a reason for incontinence?
prostate problems
strokes
too much fluid intake
childbirth
86
Which of the following best describes a type of texture modification?
The food is left in large pieces
The food is pureed
87
Dysphagia is most common in?
Children
Pregnant women
Heart failure
Stroke
88
Providing good mouth care is important for...
Patients dignity and comfort
Ensuring families know their loved one is being cared for
Reducing risk of infection
All of the above
89
A bowel training program includes which of the following?
Decreasing fluid intake to 1000ml.
Administering an enema once a day to stimulate peristalsis.
Using a diet that is low in bulk.
Allowing ample time for evacuation.
90
Which of the following actions should the nurse take to decrease risk of skin breakdown on a paralyzed client?
Massage erythematous bony prominences
Use pillows to keep heels off bed surface
Keep environmental humidity less than 30%
Implement turning schedule every 4 hours
91
Intake and output be about the same?
Maybe
True
False
92
Muscles have 3 important functions, which of the below is NOT one of them?
posture
movement
absorption
body heat
93
Which are preventions for a fecal impaction? choose all that apply
Increasing fluid intake.
Bed rest.
Diet high in fiber.
Constant use of stool softeners.
94
Alternating pressure mattress
Egg crate mattress
Memory foam matress
Inflation and deflation of air changes pressure points
Automatic repositioning mattress

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