Basic Care

Question 1

Terms for abnormal pain

Answer 1

• hyperpathia
• hyperalgesia

Question 2

Isometric exercises

Answer 2

applying pressure against a stable object like a wall

Question 3

Transcutaneous electrical nerve stimulation (TENS)

Answer 3

• OTC
• electrodes placed at site of pain
• adjust until client feels pins and needles

Question 4

BP change when taken at the leg

Answer 4

systolic BP increased by 10 to 40 mm

Question 5

Cane use

Answer 5

• cane should be advanced at the same time as the weaker leg
• followed by the unaffected stronger leg.

Question 6

Bed pan

Answer 6

• place client supine
• open rim facing foot of bed
• raise side rails allow turning client to place bedpan

Question 7

Percussion

Answer 7

• hyperressonance
  
  • adult lung = ABNORMAL
    
    • should be resonant
  • child lung = normal
• dull
  
  • over organs
• flat
  
  • over bones
• tympany
  
  • over abdomen

Question 8

Post oral surgery/tonsillectomy

Answer 8

• monitor for bleeding
• prothrombin time
• hematocrit/hemaglobin

Question 9

Caloric requirements

Answer 9

• 1600
  
  • sedentary woman
• 2000
  
  • sedentary older man
  • active adult woman
• 2400
  
  • sedentary adolescent
• 2800-3500
  
  • active adolescent male

Question 10

High fiber

Answer 10

• vegetables
  
  • brussel sprouts
  • califlower
  • broccoli
  • leafy greens
• whole-grain bread
• brown rice
• nuts/seeds

Question 11

High phosphorus diet

Answer 11

• nuts
• turkey
• garlic

Question 12

Types of dressings

Answer 12

• hydrocolloid
  
  • protect shallow ulcers
  • create moist enviornment good for healing
• alginates
  
  • used to absorb significant drainage

Question 13

Stomatitis

Answer 13

• inflammation of oral mucosa
• saline or sodium bicarb mouthwashes recommended
• avoid acidirc rinses and swabs

Question 14

Urinary catheter care

Answer 14

• daily cleaning using soap and water around urinary meatus
• irrigate using normal saline
• 10 mL fluid is used to inflate balloon
  
  • MAKE SURE 10mL COMES OUT

Question 15

Bed bath

Answer 15

• first, wash eyes inner –> outer
• dry crust for 2-3 minutes before removing
• ask if they want soap on face

Question 16

Stress response

Answer 16

• hyperglycemia
• elevated cortisol, glucagon, epinephrine
  
  • increased glucosterioids
• insullin resistance
  
  • further increasing hyperglycemia
• decreased peristalsis
  
  • diverting energy to higher priority needs

Question 17

Washing infant

Answer 17

• soap not needed, if used pick mild
• wash and dry one body part at a time

Question 18

Suprapubic catheter

Answer 18

• loop and tape to abdomen
• NOT INNER THIGH

Question 19

Plastic underpads

Answer 19

• not used for urinary incontinence
  
  • causes skin breakdown

Question 20

Obtaining glucose reading

Answer 20

• hourly
  
  • continuous insulin infusion
  • NOT normal injection shot
• 2 hours
  
  • HHS