Study Flashcards
Carotid Artery
Neck
Temporal Pulse
Ear
Brachial Pulse
Elbow
Radial Pulse
Wrist
Dyspnea
Difficult or labored breathing
Shallow Breathing
Small amount of air exchanged
Noisy Breathing
Gurgling, wheezing, snoring sounds
Irregular Breathing
Cycles of dyspnea, followed by apnea
Blood Pressure
The force of blood against the artery wall
Systolic Pressure
Top #
First heartbeat after inflate
Force within artery when heart contracts
Highest pressure in artery
Diastolic Pressure
Bottom #
Stop hearing heart beat
Force within arteries when heart relaxes between beats
Input
Liquid, food, IV fluids
Measured in ml
Output
Urine, vomit (emesis), but, # times incontinent
Dysphagia
Trouble swallowing
Supine Position
Lay on back
Prone position
Lay on stomach
Fowlers position
Semi-sitting
Sims
Left semi prone (lay on left side, stomach - for enemas)
Psychosocial losses
Ability to work
Social relationships, spouse, friend
Home & property
Physical losses
Diminished senses
Change in appearance
Mobility changes
Memory changes
General decline
Nonverbal cues
Body position
Face expression
Restlessness/turning away
Isolation
Prefix that means difficult
Dys-
Correct term for breathing
Respirations
Maslow’s Hierarchy of Needs
1 biological- air/oxygen, food, water, elimination, sex, activity/rest/sleep
2 safety & security
3 belongings & love needs
4 self-esteem & respect needs
5 self actualization
Maslow’s Hierarchy of Needs
1 biological- air/oxygen, food, water, elimination, sex, activity/rest/sleep
2 safety & security
3 belongings & love needs
4 self-esteem & respect needs
5 self actualization
You would never do ___ ___ on a diabetic resident.
Nail care
P.A.S.S.
Fire extinguisher
Pull pin
Aim at base of fire
Squeeze/spray
Sweep the base of fire
R.A.C.E.
Rescue residents in immediate danger
Alert 911/charge nurse
Contain the fire
Extinguish/evacuate
A group of organs that work together
System
A group of organs that work together
System
This ROM is when you must do the exercise for the resident
Passive ROM
This ROM is when the resident requires no assistance
Active ROM
When bones become weak and brittle
Osteoporosis
Personal Protective Equipment is used for what?
Infection / Isolation
The integumentary system includes the ___, ___, and ___.
Skin, hair, nails
Something that is not contaminated
Clean or sterile
Inability to control the bladder
Incontinence
An act to mistreat, punish or hurt a resident
Abuse
Taking/ using resident’s personal items (money, lotion magazines, jewelry)
Exploitation
TPR
Temperature, pulse, respirations
Handwashing
30-60 seconds of scrubbing (abc’s twice)
Wrists, back of hands, palms, between fingers, nails.
Turn off water with paper towel.
Obra 87
Resident rights
Safety and security
Choices of medical care
Freedom from abuse, neglect, manage finances
How do you correct breaks
Stop > correct > resume
With oxygen
Aerobic
Without oxygen
Anaerobic
CNA Roles and Responsibilities
Personal care
Good service
Care of space
Elimination help
Laundry
Personal grooming
Confidentiality
Reliability
Record keeping (behaviors, activities)
NOT CNA Role and Responsibilities
Administer meds
Accept Dr orders
Reveal patient info from chart
This system supports and protects the body
Skeletal
Paralysis of the lower body
Paraplegic
Paralysis below the neck
Quadriplegic
Correct name for windpipe
Trachea
When measuring pulse, you should note the rate, rhythm, and ___.
Force or strength
Permanent shortening of a muscle
Contracture
When the body retains too much fluid
Edema, hypervolemia, fluid retention
___ may also be called stool or bowel movement
Feces, defecation, bm
This term means without respirations
Apnea
This system carries nutrients to body cells
Circulatory
Purulent
Discharging pus
70% of all accidents are due to ___
Falls
The most common fracture in LTC
Hip fracture
How many fingers do you use to check pulse?
Three
Omnibus Budget Reconciliation Act
Patient Rights
Myths about aging
Starts at 65
All old people are grumpy
Older adults are isolated and alone
Elderly are poor
All elderly have trouble remembering and become confused
Most elderly will not experience what?
Memory loss
Basic human needs:
A need that which is necessary for maintaining life and mental well being
Biological and physical needs
Required to sustain life
Air, oxygen
Food
Water
Elimination
Activity, rest, sleep
Sex/sexuality
Goals of long term care
Promote quality of life
Quality care
Safe, home-like environment
Roles and responsibilities of CNA
Personal care of resident
Care of living space
Food service
Record keeping
Communication and team work
Physical, mental, verbal, involuntary seclusion, sexual abuse, financial abuse
Elder Abuse
Failure to use care that a reasonable, prudent, and careful person (cna) would use in a similar situation
Neglect
Using resident’s physical or financial resources taken by caregiver by use of coercion, harassment or deception.
Exploitation
Mental or physical injury to resident
Abuse
Information to report to nurse
Situation that could result in harm to resident
Any change (improve or decline) in a resident’s condition
Personal info about CNA that could interfere with their performance
Resident care that CNA is unable to provide or complete
All complaints from residents and visitors
Common organisms that can be pathogens
Bacteria, fungi, viruses, parasites
How are pathogens transmitted?
Direct contact
Indirect contact
Droplet spread
Airborne spread
Vehicle spread
Why are some pathogens difficult to control
Because they’ve developed resistance to antibiotics
An unresponsive resident who had little fluid intake needs extra what?
Oral care
How to properly give a back rub
Rub waist to shoulders
Function: nixes food with gastric juice to begin chemical breakdown. Empties food material gradually into intestines.
Stomach
Function: contents mixed and moved by peristalsis, a rhythmic, wavelike contraction of the digestive system’s muscle walls.
Small intestines
Function: reabsorption of water. Stores material that the body cannot use until it’s expelled from the rectum through the anus
Large intestine
Diet: all foods, used for most residents
Regular diet
Diet: for resident whi has difficulty chewing or swallowing
Mechanical soft diet
Diet: for those with the most difficulty chewing or swallowing
Pureed diet
Diet: in prep for diagnostic test or following surgery
Liquid diet
Clear liquid vs full liquid
Clear - liquid you can see through
Full - other liquid including milk
Diet: for resident who needs to lose weight or who has low energy needs
Calorie controlled - low
Diet: for resident who has high energy needs
Calorie controlled - high