cna final Flashcards
What is tuberculosis and how does it spread:
A disease that affects the lungs and is spread through droplets
How does Covid spread?
Covid is airborne, and can also be spread through droplets
Sycope
Medical word for fainting or passing out
Epistaxis
Medical word for a bloody nose
Perseveration
Often a symptom of dementia, it is the inappropriate and constant repetition of an act or phrase.
Orthotic
A brace or splint used to support the body
What are social determinants of health?
The 5 conditions in the environment where people live, work, and play that influence their quality of life
1. Economic stability (people can afford housing and food)
2. Access to education
3. Access to healthcare
4. Safe neighborhoods
5. A social community with friends
What do you do ifyou suspect one of your patients doesn’t have one of the 5 sociat determinads of health?
Let the nurse know
What does combative mean?
This refers to a patient who is angry and won’t cooperate
This is often a dementia patient and the term is used for someone who may lash out physically
What is apnea?
In medical terminology, apnea literally means without breathing
Sleep apnea is a common medical condition when people stop breathing temporarily in their sleep
When you are taking a blood pressure and hear the systolic immediately, what is the problem?
The blood pressure is high, and you didn’t inflate the cuff high enough
Wait two minutes and retake it, pumping the cuff up higher
What is adaptive equipment?
Any tool or device used to help with ADLs
Like - a spoon that straps to the patient’s hand so they don’t have to hold it, or something that helps you pick up an object from the floor when you can’t bend down
Range of motion rules are:
Stop if there is resistance or the person complains of pain
Follow the care plan - usually 3 to 5 repetitions
Support the joint
What is the armpit temperature called?
Axillary (NOT auxiliary), and it usually runs one degree lower than an oral temperature Auxiliary is a real word with a different definition
Shaving guidelines:
Shave with the hair growth - down on the face and up on the neck
What is important to know about cold packs?
Used to decrease pain and prevent swelling, they should be applied with a barrier between the cold pack and the skin, checked after 5 minutes, and removed after 20 minutes They can cause an injury similar to a burn if they are left on too long
What is a sharps container for?
To dispose of anything that might be sharp - like needles, razors, or lab tubes
What is c-diff?
Clostridium difficile - an intestinal infection that causes severe diarrhea and is very contagious
C-diff requires contact precautions and is immune to hand sanitizer so actual handwashing is necessary
What is misappropriation?
Taking something that isn’t yours, usually from work, like bringing home a box of gloves or charging a personal
item on the company credit card
Who is affected by a resident dying?
Everyone involved - including the staff, there is counseling help available if staff members need it
How do you care for a dying patient?
Take care of their physical needs - turn and do oral care every 2 hours, give a bed bath as needed
If they stop breathing get the nurse, she will verify that there isn’t a heartbeat and notify the appropriate people
What is a draw sheet?
A flat sheet that goes across the middle of the bed, also called a lift sheet and a turn sheet, depending on what it is being used for
What is delegation?
Authorizing someone else to do a task on your behalf, the nurse delegates direct patient care to the CNA The 5 rights of delegation are: the right person, right task, right circumstance, right direction, and right supervision
What is sexual harassment?
Unwelcome sexual advances or remarks, should be reported to a supervisor or human resources
How do you help with a bedpan?
Position a bedpan with the thinner edge at the person’s back, sit the person up (Fowler’s), give them the call light and provide privacy
What is the type of bedpan called that is used for a patient who has had hip surgery?
Fracture pan
What is a low sodium diet?
Also called NAS (no added salt), the person on this diet should eat foods low in salt and cannot add any additional salt to their food, this diet is usually used for people with high blood pressure or kidney disease
What does the affected side mean?
Another way to describe the weak side
If a patient wants to leave the facility against medical advice (A MA), What does that mean and what do you do?
if They want to leave without being discharged and agdinst the wishes of their doctor - you should tell the nurse
What does disoriented mean?
Associated with confusion, a person who is disoriented may not know the date or time, where they are, or even
who they are
What is a bowel program?
Also called bowel training, the purpose is to help an incontinent patient regain control of their bowel function by providing BRP or a commode at regularly scheduled times, often the same times they are generally incontinent
What does alignment mean?
Keeping the body straight or having good posture, both the resident in bed and the CNA working need to have good body alignment
What does flexed or flexion mean?
When a joint is bent or when the angle of a joint is decreased, the opposite of extension
What is a developmental disability?
Having a physical or mental impairment (such as mental retardation, autism, cerebral palsy, or spina bifida) that becomes apparent shortly after birth or during childhood and delays, limits, or prevents the progression of
normal development
What is battery?
Offensive touching or use of force on a person without their consent, it is usually classified as a misdemeanor and punishable by fines and or jail time
What is flatus or flatulence?
This is the medical term for gas (farts), to help your patient having gas pains take them for a walk
What is restorative care?
Another term for rehabilitation, which is helping a person return to his highest level of physical, emotional, or economic function
What is a medical record?
A legal document where a patient’s information is kept and care is recorded
What is a minimum data set?
A federal form filled out on nursing home residents about the degree of assistance or skilled care they need
Define restraint:
Anything that restricts a person’s freedom of movement, it can by physical or chemical (a medication
Define unbecoming:
Inappropriate
What is normal growth and development for an infant?
Infancy is from birth to 1 year. Infants learn to smile, laugh, and say simple words
They progress from drinking milk to eating solids.
What is normal growth and development for a toddler?
Toddlerhood is from age 1 to age 3, toddlers become physically coordinated, able to run and jump
They become toilet trained and have a vocabulary that can express emotions
They are self-centered, have trouble following rules, and have separation anxiety when separated from a parent
What is normal growth and development for a preschooler?
Preschool is from age 3 to 5, preschoolers dress themselves, have a good imagination, and ask questions They begin to notice the difference between genders and understand the difference between right and wrong
What is normal growth and development a school age child?
School age is from 5 to 12 years and is characterized by growth spurts, developing gender identity, and wanting approval from peers and adults. He or she will develop morals, logical thinking, and the ability to understand other people’s perspectives
What should you do if you discover a coworker stealing from a resident?
This is financial abuse, treat the same as any abuse and report it to your supervisor and Adult Protective Services
What is palliative care?
Care with a goal of relieving pain, symptoms, and emotional and physical stress but not curing disease
It is often part of hospice care, but can be found in other places as well.
What is included in vital signs?
Temperature, pulse, respirations, and blood pressure
What is the normal range for a blood pressure?
90-140 over 60-90
What do you do if a vital sign is out of range?
Repeat it and then report it to the nurse
Give examples of acute diseases or conditions:
Broken bones, the flu or a cold, heart attack, chicken pox, appendicitis
What is foot drop?
When the foot droops or bends abnormally from injury or atrophy
Treatment includes keeping the foot in proper alignment by using a board (foot board) for the feet to rest against, or using a brace designed to prevent it
What is a common symptom of congestive heart failure?
Edema (swelling) in the feet
How should you use a gait belt?
Apply it over clothes and hold onto it with an underhand grip
What GI condition can result in stomach pain and the leaking of small amounts of thin watery stool?
Fecal impaction
To clean a stoma:
Wipe the stoma gently - it will look red and bleed easily but will not hurt
Clean the skin around the stoma with mild soap and water
Make sure ostomy appliances fits closely around the stoma to protect the skin
What is validation therapy?
useful for residents with dementia, it is communicating that the resident’s opinions and feelings are acknowledged, respected, and heard regardless of whether or not the listener agrees
This might include letting the resident tell you about their past, or about their current perception of reality even if it isn’t actually what is real
Ask them questions that allow them to tell you about their reality
What is it called if you touch a patient without their consent, or against their wishes?
Physical abuse, could also be battery
Oxygenated blood is carried by?
Arteries
What is the job of the respiratory system?
To supply oxygen and remove carbon dioxide
Oxygen is:
A life sustaining treatment
When your patient is on oxygen you should:
not let them smoke, observe their ears and cheeks for signs of irritation or pressure from the nasal cannula, check the flow rate and let the nurse know if it’s wrong