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CNA > Skills > Flashcards

Skills Flashcards

0
Q

Skill 6 measure and record fluid intake

A
  1. Calculate intake in mL
  2. Measure on a flat, level surface
  3. Record intake accurately within +/- 25 mL
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1
Q

Skill 16 Feeding the dependent resident

A

1 check that the name and the diet in the meal tray matches the resident!

  1. Position the resident in an upright high fowler position!
  2. Wash residents hands and check dentures
  3. Offer clothing protector!
  4. Describe foods
  5. offer fluids every 3-4 bites. Offer food in small amounts and allow the. To chew and swallow!
  6. Verbalize need to stop feeding!
  7. Leave resident clean and in a position of comfort!
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2
Q

Skill 7 convert ounces to mL

A
  1. Convert ounces to mL
    1 ounce =30 mL
  2. Record amount accurately within +/- 25 mL
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3
Q

Skill 1 pressure ulcer prevention

A 
Bed cradle
Elbow heel protector
Using pillows
Wrinkle free contact
Changing position
Good nutrition 
Shearing
Good skin care 
Mobility
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4
Q

Skill 2 Position Foley catheter bag

A

1 secure tubing over residents inner thigh or abdomen
2 place tubing over leg!
3 position the tubing to facilitate gravitational flow
4 attach to bed frame always below level of bladder!
5 keep catheter bag from touching floor

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5
Q

Skill 3’oxygen

A

1 demonstrate correct placement of O2 nasal cannula (place prongs following contour of nasal passages tubing around ears and chin)!
2 when asked by nurse demonstrate how to check the oxygen flow meter and verbalize actions needed if flow rate is not accurate. Do not adjust flow of oxygen- alert nurse immediately
3. Verbalize oxygen use guidelines

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6
Q

Oxygen use guidelines

A

Ensure all electrical equipment in good repair
No kinks in tubing
Placed correctly on resident
Do not remove unless told to do so by nurse
Provide oral care frequently
Watch for signs of irritation behind ears cheek nose
Make sure water level and humidity are correct
Check to make sure oxygen is flowing

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7
Q

5 Apply cold compress

A

1 cover cold compress with towel or other protective care!
2 properly place on correct site as directed by skills examiner!
3 when asked by examiner verbalize frequency of checks and how long you would eave the compress on resident!
4 assess for redness swelling irritation and pain

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8
Q

Skill 8 measure and record urine output

A

1 place container in flat surface and measure correctly in mLs!
2. Dispose of properly in toilet
3 rinse and dry container
4 remove gloves and wash hands
5 record output accurately within +/- 25 mLs!

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9
Q

Skill 9 conscious choking

A

1 candidate is able to identify symptoms of choking and asks resident are you choking!
2 call for help
3 stands behind resident and wraps arms around residents waist
4 place the thumb side of the fist against the residents abdomen
5 position fist slightly above naval!
6 grasp fist with other hand and press fist in with an in and up thrust!
7 indicate they would continue until successful or victim loses consciousness
5

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10
Q

Skill 10 obtain and record weight and height

A

1 move weights to zero
2 assist resident to stand on scale
3 ensure resident is balanced with arms to side
4 accurately record weight within .25 of nurses measurement!

1 assist to stand on scale
2 resident is balanced with hands to side
3 raise folded measuring above head and open and lower gently until bar rests on head
4 accurately record within .5 inches

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11
Q

Skill 11 application of anti embolism stockings

A

1 explain resident should be in bed or with feet elevated
2 hold foot and heel of stocking and gather up stocking
3 smooth over leg so even snug and not twisted or wrinkled!
4 heel and toe in proper position!
5 toe hole may be on top or bottom depending on manufacturer

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12
Q

Skill 12 passive range of motion 2 joints

A

1 exercise passively two joints
2 when asked by examiner explain or demonstrate that you understand never to exercise past the point of pain or resistance!
3 provide support for joint
4 avoid fast jerky movements and demonstrate flexing extension add/abd and rotation
5 repeat at least 3 times

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13
Q

4 Occupied draw sheet change

A

1 place clean draw sheet on clean surface within reach
2 provide privacy
3 lower head of bed placing resident in supine position
4 after raising side rail assist resident to turn on side moving toward raised side rail!
5 loosen draw sheet roll toward resident
6 place and tuck clean draw sheet on working side!
7 raise side rail and assist resident to turn onto clean draw sheet!
8 remove soiled avoid contact with clothes and place in location in room!
Pull and tuck in clean draw sheet free of wrinkle

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14
Q

Skill 13 moving and positioning draw sheet

A

1 raise side rail while turning patient except in the side you are working on!
2 maintain residents proper alignment at all times!
3 provide support for patients head
4 position

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15
Q

Skill 14 assisting to ambulate

A

1 resident should have footwear with nonskid soles
2 sit up and allow to dangle
3 apply gait belt properly around the residents waist. Avoid restricting circulation or breathing or injury to skin!
4 assist resident to stand while holding gait belt. Grasp the gait belt at each side not the front. Do not allow the resident to hold around your neck!
5 maintain own body mechanics while assisting to stand
6 walk at side or slightly behind on weak side!
7 demonstrate proper use of assistive devices!

16
Q

Skill 15 pivot transfer from bed to wheel chair

A

1 lock the bed wheels
2 resident should have footwear with nonskid soles
3 position wheelchair close to bed on strong side!
4 move or remove foot rests
5 lock breaks!
6 lower side rails
7 sit up and dangle
8 apply gait belt properly no restricting circulation or breathing or injury
9 assist to stand with belt!
10 maintain body mechanics
11 transfer string side first by pivoting on strong side!
12 position properly in wheelchair
13 remove belt
14 place foot rests under residents feet

17
Q

Skill 16 feeding the dependent resident

A

1 check the name and diet on meal tray matches!
2 position resident in an upright position. Minimum 60 degrees!
3 wash and dry residents hands
4 if resident wears dentures check they are in
5 protects clothing!
6 describe food
7 offer fluid frequently
8 explain pace and amount!
9 wipe hands and face
10 verbalize need to stop feeding when complications occur!
11 leave resident clean and in a position of comfort!

18
Q

Skill 17 denture care

A

1 line bottom of sink with towel or washcloth or fill with water
2 explain water should be lukewarm!
3 brush dentures under running water
4 place dentures in denture cup with water adding cleaning tablet and cover with lid
5 perform mouth care

19
Q

Skill 18 log rolling resident with hip fracture precautions

A

1 use at least two persons!
2 lower head of bed
3 do not roll onto injured side!
4 place abduction splint or pillows between legs to support hip!
5 on the count of three roll the person in a single movement keeping body aligned

20
Q

Skill 19 oral care for an unconscious patient

A 
1 verbalize frequency of oral care
2 place towel or drape under head
3 position resident in supine position with head to side or side lying to prevent aspiration or with HOB elevated and head turned to side!
4 insert swab tip gently into mouth
5 do not use toothpaste unless approved
6 rotate against all tooth surfaces mucous membranes and tongue
7 clean lips
8 moisturizer lips
9 report abnormalities
21
Q

Skill 20 back rub

A

1 place in sitting or lateral position!
2 pour small amt lotion into Palm of hand and rub together
3 apply with gentle pressure, using both hands from buttocks to back of neck using long firm strokes
4 use short circular strokes across shoulders using both hands
5 perform back rub for 3-5 minutes or as ordered
6 assess skin condition
7 remove excess lotion
8 action needed if redness of skin - no rubbing and report immediately!

22
Q

Skill 21 foot/toenail care

A

1 inspect for cracked broken nails and skin and between toes!
2 do not clip toenails!
3 soak feet in warm water
4 dry feet completely including between toes
5 apply lotion if desired but not between toes
6 apply socks
7 report abnormalities

23
Q

Skill 22 dressing/ undressing resident

A

1 demonstrate how to properly dress/undress resident with Hemiplegia
2 provide privacy!
3 dress weak side first!
4 undress weak side last!

24
Q

Skill 23 shaving with a razor blade

A 
1 place towel to protect clothing
2 soften beard with warm washcloth and apply shaving cream
3 gently pull skin taunt!
4 use short strokes of razor in direction of hair
5 rinse razor often
6 rinse and dry residents face
7 apply aftershave if desired
8 dispose of blade in sharps container!
25
Q

Skill 24 a female peri care

A

1 assist resident to remove clothing exposing only area being washed. Provide privacy!
2 obtain bath basin with water at safe comfortable temperature
3 apply appropriate cleanser preferred by resident to washcloth
4 separate labia clean inside downward front to back. Then wash outside. Repeat until clean using a different part of the washcloth for each stroke!
5 rinse gently and dry each area
6 turn resident in side
7 clean anal area front to back!
8 rinse and gently dry each area throughly after washing
9 redress resident

26
Q

Skill 24 b male peri care

A

1 assist resident to remove clothing exposing only area being washed. Provide privacy!
2 obtain basin with water at a comfortable safe temperature.
3 apply cleanser to washcloth. Cleanse penis tip to base. Use different part of washcloth for each stroke!
If not circumcised retract foreskin, clean, and replace after drying.
4 rinse and dry each area
5 turn resident in side
6 clean anal area front to back!
7 rinse and dry
8 redress

27
Q

Skill 25 assist with bedpan/fracture pan

A

1 position bedpan correctly! If using fracture pan flat side toward back
2 raise head of bed to comfortable position
3 place tissue within reach of resident
4 position call light within reach!
5 provide privacy!
6 gently remove bedpan
7 assist with peri care
8 empty bedpan in toilet
9 rinse, dry and store bedpan
10 wash hands and assist resident to wash hands
11 record results accurately

28
Q

Skill 26 collecting stool specimen

A

1 properly fill out label on specimen container!
2 use tongue depressor to take sample from bedpan or collection device
3 note color, amount, quality
4 dispose of tongue depressor in disposable bag
5 empty remaining contents in toilet
6 put lid on tightly!
7 place in transport bag!
8 wash hands!
9 take to designated location

CNA (8 decks)

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