Nokea
What is another term for urination?
- A. Micturition
- B. Elimination
- C. Defecation
- D. Beynation
Correct Answer: A
Rationale: The correct answer is A: Micturition. Micturition is the medical term for urination. The process of urination involves the release of urine from the bladder through the urethra. Choice B: Elimination refers to the removal of waste from the body, which includes both urine and feces. Choice C: Defecation specifically refers to the passing of feces. Choice D: Beynation is not a valid term related to urination or elimination. Therefore, the correct term synonymous with urination is micturition.
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A resident has just been informed that his wife has died. The nursing assistant notes that he is staring and his skin is pale. She suspects the resident is experiencing shock. What should she do next?
- A. The NA should place the resident on his side.
- B. The NA should offer food or a sip of water.
- C. The NA should elevate the resident's legs.
- D. The NA should ask the resident's friend to help cheer him up.
Correct Answer: C
Rationale: The correct answer is C: The NA should elevate the resident's legs. Elevating the legs can help improve blood flow to vital organs and prevent the resident from going into shock. When a person experiences emotional shock, blood flow can be redirected away from the brain and extremities, leading to symptoms like paleness and staring. Elevating the legs can help counteract this physiological response and stabilize the resident's condition.
Summary:
A: Placing the resident on his side is not the appropriate action for someone suspected of experiencing shock.
B: Offering food or water is not relevant in this situation and may not address the underlying issue of shock.
D: Asking the resident's friend to cheer him up is not a medical intervention for shock and may not address the physical symptoms observed by the nursing assistant.
Ms. Martin is an elderly resident with very dry skin. What kind of bath would be appropriate for her?
- A. Partial bath
- B. Shower
- C. Tub bath
- D. Complete bed bath
Correct Answer: A
Rationale: The correct answer is A: Partial bath. Ms. Martin has very dry skin, which can be further aggravated by frequent exposure to water. A partial bath involves only cleansing the essential areas, like the face, underarms, and genitals, while minimizing overall water exposure. This helps to maintain skin hydration and prevent further drying.
Summary:
- B: Shower involves prolonged exposure to water, which can worsen dry skin.
- C: Tub bath immerses the entire body in water, leading to more drying of the skin.
- D: Complete bed bath is unnecessary and excessive for Ms. Martin's condition, and it can strip the skin of its natural oils, exacerbating dryness.
The amount that Medicare and Medicaid will pay long-term care facilities for services is based on
- A. The resident's background
- B. The resident's need upon admission and throughout his stay
- C. The size of the facility
- D. The financial contributions from the resident's family
Correct Answer: B
Rationale: The correct answer is B because Medicare and Medicaid reimburse long-term care facilities based on the resident's need for services upon admission and throughout their stay. This is determined through assessments of the resident's health condition, functional status, and care requirements. The reimbursement is directly tied to the level of care provided to ensure that residents receive appropriate services.
Choice A (The resident's background) is incorrect because reimbursement is not based on the resident's personal history but on their current health and care needs. Choice C (The size of the facility) is incorrect as reimbursement is not determined by the facility's size but by the individual resident's care requirements. Choice D (The financial contributions from the resident's family) is incorrect as Medicare and Medicaid payments are not influenced by the resident's family contributions but are solely based on the resident's care needs.
The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
- A. Warfarin
- B. Vitamin C
- C. Prednisone
- D. Acetaminophen
Correct Answer: A
Rationale: Step 1: Warfarin is an anticoagulant that increases the risk of bleeding during surgery.
Step 2: Holding Warfarin helps normalize the patient's clotting ability before surgery.
Step 3: This reduces the risk of excessive bleeding during and after the procedure.
Step 4: Vitamin C, Prednisone, and Acetaminophen do not pose the same bleeding risk.
Summary: Warfarin is the correct choice due to its anticoagulant properties, making it crucial to discontinue before surgery to minimize bleeding complications. Vitamin C, Prednisone, and Acetaminophen do not have the same impact on clotting and are safe to continue.
Ms. Martin is an elderly resident with very dry skin. What kind of bath would be appropriate for her?
- A. Partial bath
- B. Shower
- C. Tub bath
- D. Complete bed bath
Correct Answer: A
Rationale: The correct answer is A: Partial bath. For an elderly person with very dry skin, a partial bath is appropriate as it helps to prevent further drying of the skin by focusing on areas that need cleaning, while minimizing exposure to water which can exacerbate dryness. Other choices such as a shower or tub bath involve prolonged exposure to water and may strip the skin of its natural oils, worsening dryness. A complete bed bath is not necessary for someone with dry skin and can be physically taxing for the elderly individual.