Exam Review Flashcards
What is residents rights?
The right to quality of life, focusing on resident-centered care that enhances each person’s dignity and self-esteem (personal pride)
What is communication?
Speaking, listening, feedback, and actions
What are the 6 different body positions?
-Lateral (lying on side)
-Supine (lying on back)
-Sim’s (shoulders nearly prone, hips in side-lying position)
-Prone (lying on stomach)
-Fowler (sitting 45-60 degrees)
-Semi fowler (sitting 30-45 degrees)
What are the most effective ways to help with infection control?
-Washing hands
-PPE
-Disinfecting
What is the unit measurement for weight?
-lb (pounds)
-kg (kilograms)
-oz (ounce)
16oz=1lb
1lb=.45kg
What is the unit measurement for fluids?
-cc (cubic centimeter)
-mL (milliliter)
-oz (ounce)
1cc=1mL
30cc=1oz
What is the unit measurement for food intake?
percentage
What activities are part of basic care?
-Bathing
-Perineal care
-Bed baths
-Shower bath
-Dressing
-Foot/nail care
-Shaving
-Oral care
-Hair care
What are the vital signs that you must take?
-Temperature
-Pulse
-Respiration
-Blood Pressure
What is Dysphagia?
Difficulty in swallowing
Define RACE
R- RESCUE resident
A- sound the ALARM
C- CONTAIN fire
E- EXTINGUISH fire
Define BEFAST
B- balance
E- eyes
F- face
A- arms
S- speech
T- time
What is the job of the CNA
-To observe and report
-Promote health
-Prevent harm
-Preventing/controlling infection
What is the first thing a CNA do if they find a resident on the floor during rounds?
Call the charge nurse for assistance
What is neglect/examples of neglect?
-Failure to give assigned care, or giving improper care that causes harm
-failing to provide appropriate care
-failing to feed/provide fluids to resident
-fall risk patient falls and results in injury/death
-restraints without Dr. order
-not repositioning patient, resulting in sores
What is the first thing you do when a resident asks you for food at night?
Check the patients diet card
Convert 1oz to mL
1oz=29.5737mL
Where is it most accurate to take temperature?
In the rectum
What areas can you take a residents temperature? What are the average temperatures in those areas?
-Oral (mouth): 98.6 F
-Rectal (anus): 99.6 F
-Tympanic (ear): 99.6 F
-Axillary (armpit): 97.6 F
What is the average normal temperature
98.6 degrees F
When do you prepare best for disaster?
Before is happens
When is it most important to wear gloves?
When you are exposed to:
-bleeding/open wounds
-bodily fluids
-soiled linen
-nose, eyes, mouth, genital area
How do you promote a patients independence?
Encourage/allow patients to do tasks they are capable of doing on their own
What is the role of the ombudsman?
To investigate complaints and acts as an advocate for residents and their families to resolve conflicts
When transferring a resident, what is important that a CNA should do?
The CNA should stand with their legs apart for more support
What should you do if you are unable to reposition a patient?
Ask the nurse for help
How should you speak to a confused resident?
-Slow
-Clear
-Use simple words/short sentences
What is adduction?
Moving a body part TOWARD the body
What is abduction?
Moving a body part AWAY from the body
What is Flexion?
Bending a limb or joint
What is extension?
Straightening a body part
What is prosthesis?
An artificial substitute for a missing body part
What is the first thing you should do when there is a fire in a patients room?
Remove the patient
What is the importance of padding a patients siderails
To prevent injury
What are the 5 different stages of dying and describe them
-DENIAL: state of shock and does not accept what is happening
-ANGER: no longer deny what is happening and becomes angry
-BARGAINING: tries to make deals to postpone death
-DEPRESSION: when person become withdrawn, not wanting to eat/interact/be upset
ACCEPTANCE: resigned to the fact that death is inevitable
How should you dress a client with a weak side? Why?
-Dress the client with the weak side first to lessen movements on that side. The stronger side is able to move/maneuver more.
-Undress client using the clients stronger side first
Where should you tape a catheter to prevent a patient from pulling it?
On the patients thight
What is HIPAA?
-Health Insurance and Portability and Accountability Act
-Health information privacy, governmental rules and regulations
-Confidentiality
When is it appropriate to share a patients information?
Never, unless it is to the nurse regarding the patients condition/safety
What should you do if you have mail from a resident?
Don’t open it. Give it straight to the resident.
What is rehab?
The process to help an individual with an underlying condition to get back to baseline
When is the best time to check a patients weight?
In the morning
What is the right way to answer a patient who wants to know the time?
Tell them the time
When should you report a patients skin condition?
-redness/pinkness
-brusing
-cuts/wounds
-sores
What are the beginning signs of pressure sores?
-Skin surface that is red, pink, bruised, or mottled.
-Discoloration does not fade within 15 mins after pressure is released
Where should the CNA stand when ambulating a patient who just had a stroke?
On the weak side of the patient
What are some barriers in communication?
-Emotion
-Visual impairment
-Hearing impairment
-Cognitive impairment
-Aphasia (partial/total loss of ability to communicate verbally/written)
What should you do with unused linen that was brought into a patients room?
Do not put it back on the clean linen cart. Put in soiled linen cart instead.
What should you do when taking a patients oral temperature who just drank something hot/cold?
You should wait at least 20 minutes to take the patients oral temperature
What is the last sense to go when a resident is dying?
Hearing
What safety device do you use when ambulating a resident?
Transfer/Gait belt
What should you do for denture care?
Clean and store dentures in a clean and labeled container filled with liquid
When should you use restraints?
Never. Unless it is under the doctors orders
When should you use an isolation gown?
(Be sure to know how to put it on and remove it)
When you are in direct contact with infection material or bodily fluids
-Remove gloves first, then pull gown away from neck and shoulders. hold gown away from you turning it inwards keeping it inside out and roll it.
What is the Heimlich maneuver? When/how should you perform it?
The abdominal thrust/ emergency aid procedure to prevent suffocation.
This is usually used when someones airway is obstructed and needs to be dislodged by forcing it upwards out the throat
What is the unit measurement of intake and output?
Cubic centimeters (cc)
What is dehydration
When the body loses more fluid than it takes in and is unable to perform normal functions
What is the order of recording vital signs?
-Temperature
-Pulse
-Respiration
-Blood Pressure
