CNA Nursing Assessment 1 LAB

Question 1

Vital Signs

Answer 1

1. Perform hand hygiene
2. Explain procedure
3. Obtain temperature
4. Obtain radial pulse
5. Obtain respiratory rate
6. Obtains BP
7. Obtain pulse oximetry measure/ Pain assessment (optional)
8. Use equipment correctly
9. Wash hands and document

Question 2

Transfer

Answer 2

1. Wash hands. Explain procedure to client
2. Refer to correct use of body mechanics
3. Provide privacy
4. Place wheelchair so the strong side of client will lead
5. Place client’s slippers or shoes on their feet
6. Lock bed brakes; lower bed to lowest level and raise head of
   bed as far as client can tolerate
7. Turn client on side with shoulder/knee support
8. Swing client’s legs over side of bed and at the same time
9. Apply transfer belt snugly to client’s waist while client is sitting
10. Stand in front of client to assess for balance and dizziness
11. Ensure brakes locked on wheelchair & is within client’s reach
12. Spread your feet apart and flex your hips and knees
13. Assist client to slide buttocks to edge of bed until feet touch floor
14. Brace your front knee against client’s weak leg as client stands
15. Leading with good leg, face client, stand client up on 3 count
16. Instruct client to place hands on chair armrest for support; flex
    your knees and hips as you assist client into chair
17. Assess client’s alignment in chair and secure client as needed
18. Wash hands & document

Question 3

Bedpan/PeriCare

Answer 3

1. Wash hands. Explain procedure to client
2. Prepare equipment
3. Provide Privacy
4. Don gloves
5. Bring head of bed down
6. Leader instructs assistant and client where to turn
7. Turn client and place bed pan underneath
8. Return client to back & bring head of the bed up for client comfort
9. When client is finished bring head down
10. Leader instructs assistant & client to turn keeping hand on pan
11. Remove bedpan and set aside
12. Wash front to back, clean to soiled (no double dipping)
13. Handle Soiled materials appropriately, change under pad
14. Remove soiled gloves
15. Repositioned client
16. Wash hands & document