Community Caregivers. Diseases of the Elderly/Vital Signs Test

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Emory Doyle
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1 Community Caregivers Diseases of the Elderly/Vital Signs Test Name: Date: For each question, choose the best response or responses. 1. Care for a client with a stroke involves which of the following? a. Being consistently calm and reassuring b. Discussing your problems with the client c. Teasing the client when he/she has word-finding problems d. Keeping the client in bed at all times 2. If a client has Parkinson's Disease, you should: a. Have patience with communication as they often slur words b. Pay extra attention to safety issues, due to a high risk for falls c. Assist with movements, such as starting and stopping, which are more difficult d. All of the above 3. A client with Diabetes requires: a. Isolation from others b. Exclusion from activities c. A balance of medications, activity, and diet d. The HHA to do all nail care 4. Which of the following is correct about Alzheimer's Disease? a. It can be cured with proper medication b. It is a normal part of the aging process c. It affects only men d. It can affect people in different ways at any age 5. Osteoporosis can cause all of the following, except: a. Low blood sugar b. Back and hip pain c. Loss of height d. Fractures 6. Neuromuscular Disease, such as Multiple Sclerosis, Fibromyalgia, and Lupus, affects which of the following? a. Only the elderly b. Men and Women c. People in the "prime" years of their lives d. Both b and c 1

If a client has Parkinson's Disease, you should: a. Have patience with communication as they often slur words b. Pay extra attention to safety issues, due to a high risk for falls c.

2 7. When caring for a client with Alzheimer's Disease, which statement is most important? a. Give instructions in detail b. Never give instructions, because they don't understand anyway c. Use simple, short sentences and one-step requests 8. Common signs/symptoms of Cardiovascular Disease can include: a. Excessive thirst b. Changes in pulse and BP readings c. Skin irritation d. Hypoglycemia 9. Your client with CHF requires which of the following care responsibilities? a. Noting complaints of muscle/body aches b. Documenting signs/symptoms of dementia c. Noting/reporting a decrease in urine output or increased edema d. Keeping the client positioned on his/her back at all times 10. A client with Pulmonary Disease can exhibit which symptoms? a. Nausea, vomiting, diarrhea b. Changes in respiratory rate, wheezing, coughing c. Join pain d. Increased urination 11. Care responsibilities for a client with cancer include which of the following? a. Encouraging good nutrition b. Providing frequent rest breaks with ADL's c. Insulin therapy d. Both a and b 12. Skin care is important for a diabetic client because: a. He/she can't do it for himself/herself b. Slow healing wounds can lead to loss of limbs c. It affects the client's eyesight d. Insulin is a chemotherapy drug 13. Care of a client with Pulmonary Disease requires all of the following except: a. Calm, reassuring presence b. Good skin care c. A different routine at each visit d. Good mouth care 14. Which should you do to help prevent shortness of breath symptoms? a. Lower the head of the bed b. Have the client breathe fast and shallow c. Alternate activity with periods of rest d. Give extra fluids 2

Hypoglycemia 9. Your client with CHF requires which of the following care responsibilities? a. Noting complaints of muscle/body aches b. Documenting signs/symptoms of dementia c.

3 True or False 15. A client should lay down immediately after eating. 16. For a diabetic client, you may give additional food without approval. 17. For a stroke client, your care is limited to helping the client achieve the maximum amount of independence. 18. A change in bowel and bladder habits is one of the warning signs of cancer. 19. It is important to always hurry in doing care with the client who has heart disease. 20. The one thing you should not do when a client is having a seizure is put something in the client s mouth. 21. Clients with Multiple Sclerosis have a lower level of consciousness and intelligence. 22. A HHA is responsible for ordering fluid restrictions for a client. 23. A client with diabetes does not need skin checks done. 24. Use of perfumes, colognes, and body sprays can cause problems for a client with pulmonary disease. 25. All clients who have experienced CVA's have difficulty speaking and swallowing. Fill in the Blanks 26. List the 7 warning signs of cancer (you get a hint): C A U T I O N 27. List 3 signs of low blood sugar: 3

It is important to always hurry in doing care with the client who has heart disease. 20. The one thing you should not do when a client is having a seizure is put something in the client s mouth. 21.

4 Name the one symptom a client reports that should always be taken seriously: 29. Which statement is false? a. The vital signs are temperature, pulse, respirations, and blood pressure. b. Vital signs detect changes in body function. c. Vital signs change only during illness. d. Sleep, exercise, drugs, emotions, and noise affect vital signs. 30. Which should you report at once? a. An oral temperature of 98.4 degrees F b. A rectal temperature of degrees F c. An axillary temperature of 97.6 degrees F d. An oral temperature of 99.0 degrees F 31. A rectal temperature is not taken when the person a. Is unconscious b. Is an infant c. Has a nasogastric tube d. Has diarrhea 32. Which gives the least accurate measurement of body temperature? a. Oral site b. Rectal site c. Axillary Site d. Tympanic Site 33. Which is usually used to take a pulse? a. The radial pulse b. The apical-radial pulse c. The apical pulse d. The brachial pulse 34. Which is reported to the nurse at once? a. An adult has a pulse of 120 beats per minute. b. An infant has a pulse of 130 beats per minute. c. An adult has a pulse of 80 beats per minute. d. An adult has a pulse of 64 beats per minute. 4

A rectal temperature of 101.6 degrees F c. An axillary temperature of 97.6 degrees F d. An oral temperature of 99.0 degrees F 31. A rectal temperature is not taken when the person a. Is unconscious b.

5 35. Which statement about the apical-radial pulse is true? a. It is taken by one person. b. The radial pulse can be greater than the apical pulse. c. The apical pulse can be greater than the radial pulse. d. The apical and radial pulses are always equal. 36. The following describe normal respirations except a. There are 12 to 20 per minute b. They are quiet and effortless c. They are regular with both sides of the chest rising and falling equally d. The person breaths through the mouth 37. Respirations are usually counted a. After taking the temperature b. After taking the pulse c. Before taking the pulse d. After taking the blood pressure 38. Which blood pressure is normal for an adult? a. 88/54 mm Hg b. 210/100 mm Hg c. 112/78 mm Hg d. 152/90 mm Hg 39. When taking a blood pressure, you should do the following except a. Take the blood pressure in the arm with an IV infusion b. Apply the cuff to a bare upper arm c. Turn off the TV and radio d. Locate the brachial artery 40. Which is the systolic blood pressure? a. The point where the pulse is no longer felt b. The point where the first sound is heard c. The point where the last sound is heard d. The point 30 mm Hg above where the pulse was felt 5

They are regular with both sides of the chest rising and falling equally d. The person breaths through the mouth 37. Respirations are usually counted a. After taking the temperature b.

PARAMEDIC TRAINING CLINICAL OBJECTIVES

PARAMEDIC TRAINING CLINICAL OBJECTIVES Page 1 of 21 GENERAL PATIENT UNIT When assigned to the General Patient unit paramedic student should gain knowledge and experience in the following: 1. Appropriate communication with patients and members