Nokea
One dietary habit that a nursing assistant can encourage to help residents sleep better is
- A. Limiting caffeine intake
- B. Eating heavy meals before bedtime
- C. Eating foods high in sugar
- D. Serving meals later at night
Correct Answer: A
Rationale: The correct answer is A: Limiting caffeine intake. Caffeine is a stimulant that can interfere with sleep, so limiting its intake can help residents sleep better. Eating heavy meals before bedtime (B) can lead to indigestion and disrupt sleep. Eating foods high in sugar (C) can cause energy spikes and crashes, affecting sleep quality. Serving meals later at night (D) can also disrupt sleep due to the body needing time to digest before bedtime. Encouraging residents to limit caffeine intake is the most effective way to support better sleep quality.
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Your adult patient is experiencing a prolonged episode of paroxysmal supraventricular tachycardia but remains stable at the present time. He denies chest pain, shortness of breath, and his skin is warm and dry. He has failed to convert to a normal sinus rhythm after receiving the max dosage of adenosine in succession. What is your next step?
- A. Administer verapamil
- B. Administer procainamide
- C. Obtain expert consultation about diagnosis and treatment
- D. Administer Adenocard
Correct Answer: B
Rationale: Step 1: Assess the situation - Patient is currently stable without any concerning symptoms.
Step 2: Review previous treatment - Patient failed to convert with max dosage of adenosine.
Step 3: Choose the next appropriate medication - Procainamide is recommended for stable patients with ongoing SVT not responding to adenosine.
Step 4: Administer procainamide - It is effective in converting SVT and has a longer duration of action compared to adenosine.
Summary:
A: Verapamil is contraindicated in patients with stable SVT as it can cause hypotension.
C: While expert consultation is valuable, immediate action is needed to manage the ongoing SVT.
D: Administering Adenocard again is not recommended as it has already been tried at max dosage.
Fluid overload can occur when which of the following parts of the body are not working properly?
- A. Stomach and colon
- B. Esophagus and small intestine
- C. Kidneys and lungs
- D. Liver and appendix
Correct Answer: C
Rationale: The correct answer is C: Kidneys and lungs. Kidneys regulate fluid balance by filtering and excreting excess fluids. If the kidneys are not functioning properly, fluid overload can occur. Lungs play a role in maintaining fluid balance through respiration. If the lungs are compromised, fluid can accumulate in the body. Stomach, colon, esophagus, small intestine, liver, and appendix do not directly regulate fluid balance. Therefore, choices A, B, and D are incorrect.
Which of the following is an example of positive nonverbal communication by a nursing assistant?
- A. Leaning forward to listen as a resident talks about her day
- B. Rolling her eyes as the supervisor gives an assignment
- C. Tapping her foot while waiting for a resident to get ready for his bath
- D. Shaking her head when a resident has been incontinent
Correct Answer: A
Rationale: The correct answer is A because leaning forward to listen shows active engagement and empathy towards the resident, promoting effective communication and building trust. This nonverbal cue conveys attentiveness and respect. Rolling eyes (B) demonstrates disrespect and negative attitude. Tapping foot (C) may indicate impatience and lack of empathy. Shaking head (D) conveys disapproval and can be discouraging for the resident. In summary, positive nonverbal communication involves demonstrating active listening, empathy, and respect towards others.
_________ is the form of angina that occurs when the body is at rest.
- A. Unstable angina
- B. Orthopnea
- C. Ischemia
- D. Stable angina
Correct Answer: A
Rationale: The correct answer is A: Unstable angina. Unstable angina occurs at rest due to the narrowing of coronary arteries leading to reduced blood flow to the heart. This can result in chest pain or discomfort even without physical exertion. Orthopnea (B) is difficulty breathing when lying down. Ischemia (C) refers to inadequate blood supply to tissues. Stable angina (D) typically occurs during physical activity due to predictable triggers. Unstable angina is the only form that occurs at rest, making it the correct choice.
What would be the best response by a nursing assistant if a surveyor asks her a question?
- A. The NA should answer honestly and to the best of her ability.
- B. The NA should offer suggestions for making improvements in the facility.
- C. The NA should refuse to answer any questions until her supervisor is present.
- D. The NA should make up an answer if she does not know the answer to the question.
Correct Answer: A
Rationale: The correct answer is A because honesty and providing information to the best of one's ability are crucial in maintaining transparency and credibility. By answering honestly, the nursing assistant follows ethical standards and ensures accurate information is conveyed to the surveyor.
Option B is incorrect because the nursing assistant's primary role is to provide accurate information, not suggest improvements. Option C is incorrect as it could be perceived as uncooperative and may reflect poorly on the facility. Option D is incorrect as making up an answer can lead to misinformation and potential consequences.