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CNA PRACTICE QUESTIONS > Unit 3 > Flashcards

Unit 3 Flashcards

1
Q

Urinary Elimination is also known as

A

Voiding

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2
Q

The inability to empty the bladder can result in

A

damage to bladder or rupture
- Temporary measure to empty the bladder: indwelling
(Foley) catheter

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3
Q

Oral medication typically given after 3 days of no bowel movement

A

Laxatives

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4
Q

Wax cone inserted into rectum after 4 days of no bowel movement

A

Suppositories

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5
Q

Injection of fluid into rectum after 5 days of no bowel movement

A

Enemas

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6
Q

Devices Used for bowel and urinary Elimination

A

-Bedpans-traditional and fracture
- Commodes-can be placed at bedside for resident
- Urinals-only ones for males are commonplace
- Commode hats-placed under seat of toilet or commode; can be used to measure output or specimen collection

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7
Q

Incontinence • Resident care:

A

-Toilet client or change incontinence garment every 2 hours
- Cleanse the perineal area with adult wipes
- Apply barrier cream to intact skin
- Monitor skin integrity closely
- Allow client to sit on toilet and attempt to void if they are able
- Remain with client during toileting if they are at risk of falls
- Promptly remove soiled incontinence garments from room

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8
Q

Incontinence • Resident care:

A

-Toilet client or change incontinence garment every 2 hours
- Cleanse the perineal area with adult wipes
- Apply barrier cream to intact skin
- Monitor skin integrity closely
- Allow client to sit on toilet and attempt to void if they are able
- Remain with client during toileting if they are at risk of falls
- Promptly remove soiled incontinence garments from room

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9
Q

Peri-Care for Incontinent Residents
• When performing peri-care:

A
  • Act and speak in a professional manner
  • Discourage rude jokes or remarks made by resident
  • Wash from clean to dirty areas
  • Avoid overexposure of resident
  • Check skin for breakdown
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10
Q

Peri-care for a female resident:

A

-Open labia with nondominant hand
- Using adult wipes, start at top of labia and wipe downward toward anus
- Start at urethra and work toward outer aspect
- Wipe front to back at least three times
- Wipe until area is clean
- Use clean part of wipe with each pass

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11
Q

Peri-care for a male resident:

A

If resident is uncircumcised, pull foreskin back to clean head of penis
- Wipe, starting at tip of penis and moving downward to base
- Continue until penis is cleansed, using new part of wipe each pass
- Gently pull foreskin back in place
- If unable to retract foreskin, immediately inform nurse

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12
Q

To complete peri-care:

A
  • Have resident roll onto his or her side
  • Wipe buttocks with adult wipe
  • Then wipe anal area from front to back
  • Use clean part of wipe with each pass until area is clean
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13
Q

After performing peri-care:

A
  • Place dirty wipes onto incontinence pad or directly into trash
  • Apply barrier cream as directed
  • Place clean incontinence pad under resident
  • Remember to document
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14
Q

What is a Urostomy?

A

An artificial opening in the abdominal wall through which urine drains to the outside of the body.

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15
Q

When is a Urostomy required?

A

When the bladder no longer functions due to damage or disease

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16
Q

Where is urine collected in a person with a Urostomy?

A

In a bag outside of the body.

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17
Q

Where is urine collected in a person with a Urostomy?

A

In a bag outside of the body

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18
Q

When should the urostomy bag be emptied?

A

When it is 1/3 to 1/2 full and at the end of a shift.

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19
Q

What should be done after emptying the urostomy bag?

A

Measure and record the urinary output.

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20
Q

What is an ostomy?

A

A segment of bowel drawn to the outside of the body in the abdominal area.

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21
Q

What is the purpose of a stoma in an ostomy?

A

Stool is diverted through the stoma and empties into a collection bag.

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22
Q

What does PRN mean?

A

As needed

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23
Q

What is a colostomy?

A

An ostomy made from the large intestine.

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24
Q

What is an ileostomy?

A

An ostomy made from the small intestine

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25
What are the key aspects of resident care for an ostomy?
• Empty and clean the ostomy bag. • Clean the stoma and surrounding area when emptying the bag. • Change the ostomy appliance according to facility protocol. • Chart bowel movements.
26
What is occult blood in the stool?
Stool that looks black and tarry, is sticky or pasty, and may smell foul, indicating bleeding in the upper part of the digestive tract.
27
What does black and tarry stool suggest?
It suggests bleeding in the upper part of the digestive tract.
28
What is frank blood in the stool?
Red, obvious blood in the stool, indicating bleeding in the lower part of the digestive tract.
29
What might cause frank blood in the stool?
It may be due to hemorrhoids or bleeding in the lower part of the digestive tract.
30
What should you do if you notice any sign of bleeding in the stool?
Update the nurse with any sign of bleeding and do not flush the toilet.
31
Who initiates bowel and bladder training?
The nurse and the resident’s healthcare provider initiate bowel and bladder training.
32
What is the role of the nursing assistant in bowel and bladder retraining?
The nursing assistant reinforces the education done by the nurse, contributing to the team effort and maintaining consistency.
33
Why is emotional support important in bowel and bladder retraining?
Providing emotional support is crucial to help the resident feel comfortable and encouraged during the retraining process.
34
How should documentation be handled in bowel and bladder retraining?
Document according to facility protocol.
35
The most important goal of bladder training is to a. decrease the cost of care b. stop urinary incontinence c. prevent embarrassment to staff members d. reduce bed changes
stop urinary incontinence
36
A fracture-type bedpan is used for residents who a. are in traction b. have had hip surgery c. have a back injury d. have any of the above conditions
have any of the above conditions
37
What must the nursing assistant know about the manner and route of collection for specimens?
The correct manner and route of collection.
38
What must the nursing assistant know about the container and label for specimens?
The correct container and label to use.
39
What must the nursing assistant know about the amount of urine or feces required for a specimen?
The correct amount of urine or feces required.
40
What must the nursing assistant know about the specific time requirements for specimen collection?
The specific time requirements for collecting the specimen.
41
What must the nursing assistant know about the storage of specimens?
The correct storage requirements for the specimen.
42
What should be done before collecting a specimen?
Assemble supplies, don appropriate PPE, label either the container or the outside of the biohazard bag.
43
What information should be included on the label of a specimen?
The date, time, resident’s name, and date of birth.
44
What should be done after collecting a specimen if it will not be processed within 2 hours?
Refrigerate the sample.
45
What should be done after collecting and handling the specimen?
Alert the nurse that the task is complete and document the collection of the specimen.
46
What are the reasons for collecting a urine specimen?
To detect bacteria, determine kidney function, check for sugar, measure electrolytes, and check drug levels.
47
How must a urine sample be obtained for urinalysis?
It must be obtained as a clean catch.
48
Where may a resident not void when collecting a sample for urinalysis?
The resident may not void into a commode, commode hat, urinal, or bedpan.
49
What should be attempted when collecting a sample from residents who are incontinent?
Attempt to collect the sample despite the resident’s incontinence.
50
What should be done before the resident begins to void for a urinalysis sample?
Cleanse the perineal area with an antiseptic wipe.
51
How should the perineal area be wiped before collecting a urinalysis sample?
Wipe the area 3 times, starting from the urethra and moving toward the anus.
52
From which part of the urine stream should the sample for urinalysis be collected?
Collect the sample from the middle of the urine stream.
53
How much urine should be collected in the collection cup for urinalysis?
How much urine should be collected in the collection cup for urinalysis?
54
What should you avoid touching when handling the collection cup for urinalysis?
Do not touch the inside of the cup or lid.
55
What should you do after collecting the urine sample?
Attend to the resident’s needs.
56
Where should the collected urine sample be placed after collection?
Place the item in the designated storage area or give it directly to the nurse.
57
How should you set up for collecting kidney stones?
Place a commode hat in the front half of the toilet or commode.
58
What should you remind the resident to do with toilet paper when collecting kidney stones?
Remind the resident to place toilet paper in the wastebasket.
59
How should the contents of the commode hat be processed to collect kidney stones?
Empty the contents of the commode hat through a strainer.
60
What should you look for when straining urine for kidney stones?
Look carefully for stones in the strainer.
61
What should be done with the found kidney stone?
Place the found stone in a labeled container.
62
Where are the kidney stones sent after collection?
Stones are sent to the lab after collection.
63
What might happen after the kidney stones are analyzed?
The doctor may give treatment recommendations after the analysis.
64
What should be used to obtain a stool sample?
Use a clean commode hat or bedpan
65
What should be avoided when obtaining a stool sample?
Avoid contamination with urine or toilet paper.
66
What tools can be used to obtain a stool sample?
Use a wooden tongue blade or a plastic spoon.
67
From how many different areas of the stool should the sample be taken?
Take the sample from 3 different areas of the stool.
68
How should you obtain a stool sample for occult blood testing?
Obtain a small sample of stool with the wooden stick provided with the test.
69
Where should the first stool sample be placed for occult blood testing?
Wipe the stool on the test card under window A and then close the flap.
70
How should the second stool sample be collected for occult blood testing?
Take the second sample from a different area of the stool.
71
Where should the second stool sample be placed for occult blood testing?
Place the second sample under window B and close the flap.
72
What should be done after placing the stool samples on the test card?
Turn the card over and place 1 to 2 drops of developer over the window.
73
What indicates a positive occult blood test result?
The window typically turns blue if the test is positive.
74
What should be done with the test card after applying the developer?
Give the card to the nurse.
75
What are other names for the occult blood stool test?
It may be referred to as stool guaiac, fecal occult blood test, Hemosure, or Hemoccult.
76
What should be recorded for fluid intake?
Record all fluids taken in by mouth or IV, including snacks, meals, water at bedside, and food items that are liquid at room temperature.
77
What should be recorded for fluid output?
Record all eliminated bodily fluids using a graduate or commode hat.
78
What should residents avoid placing in the commode hat?
The resident should not place toilet paper in the commode hat.
79
When should the total fluid intake and output be recorded?
Record the total at the end of the shift.
80
How should intake and output be documented?
Document according to facility protocol.
81
What are the basic types of linens used on a bed?
Bath blanket, fitted sheet, draw (or lift) sheet, incontinence pad/bed protector, top sheet, blanket, bedspread, and pillowcases.
82
When collecting linens, what is used on regular hospital bed mattresses?
Reusable incontinence pads.
83
What type of incontinence pads is used on alternating-pressure beds or mattress toppers?
Disposable incontinence pads.
84
What should not be used on hospital bed mattresses?
Mattress pads.
85
What can be used in lieu of a bath blanket?
A large towel, blanket, or top sheet.
86
What should be done to limit the spread of infection before gathering clean linens?
Perform hand hygiene.
87
How should clean linens be handled to prevent infection?
Keep all linens away from your body and place clean linens on a clean surface.
88
What should be avoided to prevent the spread of infection when handling linens?
Avoid flicking or shaking linens.
89
What should you do if clean linens fall to the floor?
Place them in the soiled linen bag.
90
What should be done before putting clean linens on a bed to prevent infection?
Perform hand hygiene.
91
What should be done to limit the spread of infection before gathering clean linens?
Perform hand hygiene
92
How should clean linens be handled to prevent infection?
Keep all linens away from your body and place them on a clean surface.
93
What should you avoid doing with linens to prevent the spread of infection?
Avoid flicking or shaking linens.
94
What should be done if clean linens fall to the floor?
Place them in the soiled linen bag.
95
What should be done before putting clean linens on a bed to prevent infection?
Perform hand hygiene
96
What personal protective equipment should be worn when removing soiled linens from a bed?
Wear gloves
97
What should be used if available to further limit the spread of infection?
Use pillow protectors.
98
What should be done with collected linens that are not needed?
They should go into the soiled linen bag.
99
Where should the linen bag not be placed?
Do not place the linen bag on the floor.
100
What should you watch for when removing linens from a bed?
Watch for items accidentally left in bed by the resident.
101
Can linens from one resident’s room be used for another resident?
No, do not take linens from one resident’s room to use for another.

CNA PRACTICE QUESTIONS (7 decks)

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