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ANSWERS FOR STUDY GUIDE FOR WEEK 5 Chapter 27: Exercise and Activity Mark T for true or F for false. Rewrite the false statements to be true: 1. __T___ The person with a contracture is permanently deformed and disabled (492). ______________________________________________________________________________ 2. __F___ Moving from a sitting to a standing position quickly prevents postural hypotension (493)._________________________________________________________________________ 3. __F___ A cane is held on the weak side of the body (505). ______________________________________________________________________________ 4. __T___ The care plan tells you when to apply and remove a brace (507). ______________________________________________________________________________ Answer the questions below explaining each thoroughly: 5. Muscle atrophy is (492)? A decrease in size or a wasting away of muscle tissue 6. List good nursing care measures to prevent complications form bedrest (493)? Good body alignment is important. 7. What are bed cradles used for (493)? Keep the weight of top linens off the feet 8. List the rules about range-of-motion (ROM) exercises (495, 496)? ROM exercises can cause injury if not done correctly. The nurse tells you which joints to exercise. The joint is moved slowly, smoothly, and gently. 9. A person uses crutches to walk; list safety measures (504)? A physical therapist measures and fits the person with crutches. Crutch tips are attached to the crutches. Clothes must fit well. 10. Braces are used for the following reasons (507)? Support weak body parts. Prevent or correct deformations. Prevent joint movement. 11. A patient wears an ankle brace. When you remove the brace, you notice a reddened area on the ankle bone. What should you do (507)? Report your observation to the nurse. 12. Give reasons why OBRA requires recreational activities in nursing centers (507)? OBRA requires activity programs for residents. The right to personal choice is protected. Recreational activities are important for physical and mental well-being. Chapter 28: Comfort, Rest, and Sleep (study guide for quiz) Mark T for true or F for false. Rewrite the false statements to be true: 1. __T___ Acute pain is felt suddenly and usually lasts less than 6 months (510). 2. __T___ Pain is personal. It differs for each person (510). 3. __F___ Illness and injury decrease the need for rest and sleep (516). ______________________________________________________________________________ 4. __F___ The amount of sleep needed increases with age (516). ______________________________________________________________________________ 5. __T___ Changes in a person’s usual environment can affect the amount and quality of sleep (517). Answer the questions below explaining each thoroughly: 6. A chronic condition in which a person cannot sleep or stay asleep all night is (517)? Insomnia 7. Read and list some measures about what promotes comfort (510)? Keeping the bed linens tight and wrinkle-free. Giving a back massage. Positioning the person in good alignment 8. What can be done to help relieve pain (514)? Providing soft music to distract the person. Using touch to comfort the person. Handling the person gently. 9. Following the person’s bedtime routine helps to promote (518)? Sleep 10. Pain that is felt in a part of the body that is no longer there is (510)? Phantom pain 11. What is the importance of reporting to the nurse a resident’s request; she wants someone to read the bible to her before she goes to sleep (518)? Protect the person’s rights, emotional, spiritual and social needs. 12. Define anxiety (511)? Feelings of fear, dread, worry and concern. The person is uneasy and tense. 13. Explain what happens during sleep (515)? There are no voluntary arm or leg movements 14. List factors affecting sleep (518)? Drinking alcohol at bedtime Chapter 30: Assisting With the Physical Examination Mark T for true or F for false. Rewrite the false statements to be true: 1. __T___ A physical exam causes anxiety for many people (535). 2. __T___ For a complete exam, all of the person’s clothes are removed (535). 3. __T___ The examiner wants the person’s weight, height, and vital signs measured. These are measured before the exam (535. 4. __F___ An ophthalmoscope is used to examine the inside of the nose (535). ______________________________________________________________________________ 5. __T___ Practice hand hygiene before and after assisting with an exam (536). Answer the questions below explaining each thoroughly: 6. This instrument is vibrated to test hearing (535)? Tuning fork 7. The lithotomy position is used to examine (537)? The vagina 8. You are preparing a person for an exam; explain about exposure during the exam (535)? You need to be sensitive to the person’s feelings. The person is positioned as directed by the examiner. Screen the person and close the door to the room. 9. What is done when a confused person refuses or resists the efforts to prepare them for an exam (535)? The exam may need to be tried at another time. Having a family member present may help calm the person. The person’s rights are respected. Chapter 31: Collecting and Testing Specimens Mark T for true or F for false. Rewrite the false statements to be true: 1. __T___ When collecting urine, stool, and sputum specimens, you must follow Standard Precautions and the Bloodborne Pathogen Standard (541)._______________________________ 2. __T___ The perineal area is cleaned before collecting a midstream urine specimen (542). 3. __F___ Sputum and saliva are the same (553). 4. __F___ Hematuria means blood in the stool (547). 5. __T___ When choosing a site for a skin puncture, do not use the center, fleshy part of the fingertip (555). Answer the questions below explaining each thoroughly: 6. List rules related to collecting specimens (541)? Use a clean container for each specimen. Use the correct container. Label the container accurately. 7. When collecting stool specimens you must avoid contamination of (550)? The stool specimen must not be contaminated with urine. Explain the procedure to the person. Follow Standard Precautions and the Bloodborne Pathogen Standard. The person does not use the toilet to obtain the specimen. 8. Explain what the best time of the day is to collect a sputum specimen and do you have the person rinse their mouth (553)? The person coughs up sputum from the bronchi and trachea. It is easier to collect a specimen in the morning. The person does not rinse the mouth with mouthwash before collecting the specimen. Privacy is important. 9. Hemoptysis is (554)? Bloody sputum 10. When choosing a site for a skin puncture, what part of the finger is best (555)? The side toward the fingertip on the ring finger Chapter 32: The Person Having Surgery Mark T for true or F for false. Rewrite the false statements to be true: 1. __F___ Elective surgery is done at once to save the person’s life (561). ______________________________________________________________________________ 2. __T___ The water pitcher and glass are removed when the person is NPO (562). 3. __F__ To prevent infection, the skin is sterilized before surgery (563). ______________________________________________________________________________ 4. __T___ After pre-operative medications are given, bed rails are raised and the person is not allowed out of bed (566). 5. __F__ Regional anesthesia causes loss of consciousness and all feeling or sensation (567). ______________________________________________________________________________ 6. __T___ Deep-breathing and coughing exercises help prevent pneumonia and atelectasis (569). 7. __T___ Proper positioning helps prevent post-operative complications (569). 8. __F___ The person must urinate within 4 hours after surgery (574). ______________________________________________________________________________ 9. __T___ The changes of aging increase the older person’s risk for respiratory complications (569). 10. __T___ Elastic stockings are applied before the person gets out of bed (570). Answer the questions below explaining each thoroughly: 11. You prepare the room for the person’s return from the recovery room by (567)? Placing equipment and supplies in the room. 12. The loss of feeling or sensation produced by a drug is (567)? Anesthesia 13. List statements about positioning the person after surgery (569)? Stress on the incision is prevented. Turn the person with smooth, gentle motions. Pillows and other positioning devices are used as the nurse directs. 14. After surgery, why is the person repositioned at least every 1 to 2 hours (569)? Re-positioning every 1 to 2 hours helps prevent respiratory complications. 15. After surgery, circulation is stimulated by the following (569) Leg exercises. Elastic stockings. Sequential compression devices.