Chapters 13 and 14 Flashcards

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1
Q

What is a bed cradle

A

it is used to keep the bed covers from pushing down on a resident’s feet

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2
Q

oral care

A

care of the mouth, teeth, and gums

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3
Q

oxygen concentrator

A

a box-like device that changes the air in the room into more oxygen

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4
Q

pediculosis

A

a infestation of lice. Lice can spread very quickly

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5
Q

trochanter roll

A

keeps a resident’s hips from turning outward

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6
Q

Know ways to promote respect, privacy, and dignity

A

1) Knock before entering the resident’s room. Do not rush residents while they are in the bathroom.
2) Respecting a resident’s private time and personal things.
3) Encouraging residents to do things for themselves. Also keeping residents covered as much as possible when you help with dressing.

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7
Q

Which residents are at a higher risk of skin deterioration at pressure points?

A

resident’s with restricted mobility

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8
Q

Know about pressure sores

A

1) Most pressure sores occur within a few weeks of admission to LTCF. Pressure sores are painful and difficult to deal with.
2) They can lead to life threatening infections. Prevention is the key to skin health.

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9
Q

How often should immobile residents be repositioned

A

at least every two hours

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10
Q

What skin observations should be reported with darker complexions?

A

1) The skin area may appear purple. If this discoloration does not go away, even when the resident’s position is changed.
2) Any change in the feel of tissue.
3) Any change in the appearance of the skin, such as the “orange-peel” look.
4) Extremely dry, crust-like areas that might be covering a tissue break upon closer look.

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11
Q

Know the guidelines for basic skin care

A

1) Report any changes in the resident’s skin. Provide regular, daily care for the skin to keep it clean and dry.
2) When complete baths are not taken every day, check the resident’s skin. Massage skin often. Use light circular strokes to increase circulation.
3) Use little or no pressure on bony areas. Be careful during transfers. Avoid pulling or tearing fragile skin. Residents seated in chairs or wheelchairs need to be repositioned often, too. Reposition resident every 15 minutes if they are in a wheelchair or chair and cannot change positions easily.

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12
Q

What four body parts should be washed every day

A

the face, hands, perineum, and axillae

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13
Q

Know the guidelines for bathing

A

before bathing a resident, make sure the room is warm enough. Before bathing, make sure the water temperature is safe and comfortable.
2) Test the water temperature to make sure it is not too hot, then have the resident test the water temperature. His/her sense of touch may be different from yours.
3) Gather supplies before giving a bath so the resident is not left alone. Use only products approved by the facility or that the resident prefers.

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14
Q

When should the nursing assistant give nail care

A

Give nail care when it has been assigned or if nails are dirty or have jagged edges. Do not give nail care to a diabetic resident.

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15
Q

What is proper bath temperature

A

1005 degree to 110 degrees Fahrenheit

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16
Q

Know how to properly handle and style hair.

A

1) Nursing assistants help keep resident’s hair clean and styled.
2) Use hair ornaments only as requested. Do not comb or brush resident’s hair into a childish style.
3) When assisting with combing, brushing, or styling hair, handle it gently.

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17
Q

how do you properly address a person’s weakened side?

A

It is called the affected side. Never refer to the weaker side as the “bad side,” or talk about the “bad” leg or arm.

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18
Q

Know the guidelines for dressing and undressing

A

1) As with all care, the resident’s wishes should be asked and followed. Let the resident choose clothing got the day. However, check to see if it is clean, appropriate for the weather, and in good condition.
2) Encourage the resident to dress in regular clothes rather than in pajamas. Wearing regular daytime clothing encourages more activity and out-of-bed time.
3) The resident should do as much to dress or undress himself/herself as possible. Provide privacy. For residents who have weaknesses or paralysis on one side, place the weaker, or affected, arm or leg through the garments first. When undressing, do the opposite start with the stronger, or unaffected side.

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19
Q

How often should oral care be performed?

A

At least twice a day. Oral care should be done after breakfast and after the last meal or snack of the day. It may also be done before a resident eats. Oral care includes brushing teeth, tongue, and gums; flossing teeth; and caring for dentures.

20
Q

know the proper way to care for dentures

A

1) Wash your hands. Put on gloves. Line the sink or basin with towels and fill with water.
2) The towel and water will prevent the dentures from breaking if they slip from your hands and fall into the sink.
3) Rinse dentures in cool running water before brushing them. Do not use hot water.
4) After cleaning, place a clean denture cup with solution or cool water. Make sure cup is labeled with resident’s name and room number.

21
Q

Know how to perform oral care on an unconscious resident.

A

1) Use as little water as possible. Turn the resident’s head to the side. Place a towel under his/her cheek and chin.
2) Place an emesis basin next to the cheek and chin for excess fluid. Hold mouth open with padded tongue blade.
3) Dip swab in cleaning solution. Wipe teeth, gums, tongue, and inside surfaces of the mouth.
4) Change the swab often. Repeat until the mouth is clean. Rinse with clean swab dipped in water.

22
Q

What is normal temperature (oral route)?

A

97.6-99.6 degrees

23
Q

Be able to read a mercury-free thermometer in Fahrenheit and Celsius?

A
24
Q

Know the different places that a temperature can be measured and the type of thermometer used?

A

Oral thermometer (mouth), rectal thermometer (rectum), tympanic thermometer (ear), and axillary thermometer (underarm/axilla)

25
Q

Which temperature is the most accurate?

A

Rectal temperature

26
Q

Know the situations that you should not take an oral temperature

A

1) Do not take an oral temperature on a person who: is unconscious, has recently had facial or oral surgery, is younger than 5 years old.
2) is confused, heavily sedated, coughing, being administered oxygen, has facial paralysis, or has a nasogastric (NG) tube.

27
Q

Why are mercury-free thermometers considered safer than mercury thermometers?

A

Because mercury-free thermometers do not contain mercury which is dangerous, toxic substance

28
Q

Know the guidelines for recording a rectal tempurature

A

1) Wash your hands. Identify yourself and the resident. Explain the procedure to the resident. Provide privacy.
2) Apply a small amount of lubricant to the tip of the bulb or probe cover. Separate the buttocks.
3) Gently insert the thermometer into the rectum 1 inch (1/2 an inch for a child.) Stop if you meet resistance. Do not force the thermometer in. Replace the sheet over the buttocks while holding onto the thermometer. Hold the thermometer at all times.

29
Q

How far should a tympanic thermometer be inserted

A

one-quarter to one-half an inch

30
Q

What is the most common site to take a pulse?

A

Radial (inside the wrist)

31
Q

What is the normal pulse rate for an adult?

A

60 to 100 beats per minute

32
Q

What should be documented about a resident’s pulse?

A

Record pulse rate, date, time, and method used. Note any irregularities in the rhythm

33
Q

What is the normal respiration rate for an adult?

A

12 to 20 breaths per minute

34
Q

Why should respirations be counted immediately after taking a pulse?

A

People may be breathe more quickly if they know they are being watched. Do not make it obvious that you are watching the resident’s breathing.

35
Q

Know the normal range for an adult blood pressure.

A

Systolic 100 - 139 and Diastolic 60 - 89; High (hypertension): 140/90: Low: Below 100/60

36
Q

What instrument is used to measure blood pressure?

A

Sphygmomanometer

37
Q

What is the proper way to record a blood pressure?

A

Systolic blood pressure / Diastolic blood pressure

38
Q

Know the truth about pain

A

Pain is a personal experience, which means it is different for each person. Pain is not a normal part of aging. When residents complain of pain, treat their complains seriously. Listen to what residents are saying about the way they feel. Immediately report the information to the nurse. Sustained pain may lead to withdrawal, depression, isolation.

39
Q

Know measures which reduce pain

A

Report complaints of pain immediately. Gently position the body in good alignment. Assist in frequent changes of position if the resident desires it. Give back rubs. See if the resident would like to take a warm bath or shower. Assist to the bathroom, encourage slow, deep breathing. Provide a calm and quiet environment. Be patient, gentle, kind, and responsive to residents who are in pain.

40
Q

how can cold applications help a person

A

Stop bleeding, decrease swelling, alleviate pain, and bring down high fevers

41
Q

What should the CNA watch for when using hot/cold applications?

A

excessive redness, pain, blisters, or numbness

42
Q

Why would a sitz bath be used

A

They are used to clean perineal wounds and reduce inflammation and pain

43
Q

Know about non-sterile dressings

A

They cover dry or closed wounds. Nursing assistants may change non-sterile dressings. Observe the wound for any odor or drainage.

44
Q

When is it not ok to use a sterile dressing package?

A

If the wrapper has been torn, if it has been opened previously, if the wrapper is wet or has wrinkles or marks that indicate it was once wet, if the date on the supply shows it has expired, or if you are unsure whether a wrapper is sterile or not.

45
Q

Know the facts about IVs

A

nursing assistants never insert or remove IV lines. NA’s will not be responsible for the care of the IV site. NA’s only responsibility for IV care is to observe and report any observations of changes or problems with the IV line.

46
Q

What should be reported to the nurse immediately about IVs

A

The tube/needle falls out or is removed. The tubing disconnects. The dressing around the IV site is loose or not intact. Blood is in the tubing or around the site of the IV. The site is swollen or discolored. The IV is not dripping. The IV fluid is nearly gone. The pump beeps, indicating a problem.