Unit Reviews Flashcards
Which basic need is most important?
Safety and Security
A person has a garden behind the nursing center. This relates to
Self-Actualization
What encourages safety and security needs?
Handle gently, demonstrate hospitality, helping resident accept facility as a home
Psychosocial loss
Loss of companion, job loss, loss of senses.
What do you do when someone has a bloody nose
Pinch soft part of nose for 5-10 minutes and have them lean forward slightly
What happens when someone is in shock?
CNA starts CPR if there’s no DNR
CNA checks vitals and follows nurse orders
Skin may be cool and clammy, pale or gray
What symptoms accompany a change in conciousness?
Dizziness, difficulty swallowing, slurred speech, sudden weakness
When a resident falls, what do you do?
Reassure resident
Perform only what you’ve been trained to do
Keep person as you’ve found them
The recovery position, or turning a resident on their side, is used…
When a person is breathing and has a pulse, but is not responsive
It helps keep airway open
It prevents aspirations
If a person is having a seizure, you should
Move furniture, equipment and sharp objects away from the person
If a person says they feel faint, what do you do?
Have them sit or lie down before they faint
When giving abdominal thrusts, the correct procedure is to..
Make a fist, place the thumb side against abdomen, and quickly thrust inward and upward
A resident is arriving on a stretcher, what kind of bed do you make?
An open bed
During admission, a resident complaints of pain. When do you report it?
Immediately
Who explains resident rights (obra87) to resident and family?
Social services
What emotions do families and residents usually experience during admission?
Guilt, anger, confusion
What are alternatives to restraints?
Anticipation of needs
Security devices
Bed positions
Examples of restraints:
Some medicine
Bedrails
Geri-chairs
If a personis receiving oxygen, it’s important to…
Check for pressure or skin damage where the tubing presses on skin
Know the flow rate
Provide oral care
What happens when heat is applied to the skin?
Blood vessels in the area dilate causing more blood to circulate the tissue
When a cold application is applied, the numbing effect helps to…
Reduce or relieve pain
When applying elastic stocking (ted hose), you should have the person
Lie in supine position
When collecting specimen, what do you do?
Use a clean container for each specimen
When a stool specimen, ask the person to…
Urinate in the toilet and connect the stool in the specimen pan
You need to check anti-embolism stocking to make sure they are smooth and completely extended without wrinkles
True
When collecting urine specimens:
Keep toilet paper and feces out of sample
Provide peri-care for female before sample
Males may use urinals or specimen collection pan
Cognitive function relates to…
Judgment and behavior
Ability to understand
Thinking and reasoning
Resident exhibits behaviors such as deep sadness, lack of interest in activities, altered appetite, and slowed functioning. These are signs of what?
Depression
A person is confused, care plan interventions might include:
Use touch to communicate
Give clear, simple directions
Open drapes during the day
What is a delusion?
A false belief
These are common in persons with alzheimer’s disease (AD)
Los of impulse control and loss of ability to communicate
Memory loss, poor judgment, sleep disturbance
Wandering, delusions, hallucinations
What is sundowning?
Behavior becomes worse in the late afternoon and evening hours
How can you help residents with AD complete ADLs?
Use redirection or distraction to de-escalate the situation
Following routines or patterns that resident is used to
Observe for early signs of frustration and use nonthreatening communication
Can dementia be reversible
Yes
Resident is an elopement risk. What do you do?
Make sure door alarms are set
Know where resident is at all times
Provide entertainment cues to help the resident locate things such as their room or toilet
What causes a pressure ulcer (or bed sore)?
Skin and underlying tissue is damaged by pressure, or pressure and friction
A person’s right side is weak. You move the signal life to the left side. You have promoted quality of life by
Providing for safety
How do you prevent skin breakdown?
Provide routine skin care in folds and creases
Restorative care stresses preventing further disability and focuses on what the resident CAN do
True
Complications of bedrest include
Muscle atrophy
Orthostatic hypotension and syncope
Contractures in fingers, wrists, knees and hips
Complications can be prevented by making sure the person is in ____ alignment, is turned and ____ and has ROM _____
Good, repositioned, exercises
Can a CNA be asked to administer or assist an enema?
Yes
When cleaning the skin around a stoma, you
More that cleaning and drying the skin is an important measure to prevent infection
Use guaze pads or washcloths and water and soap or cleansing agents as delegated by may be asked to use skin barriers or protectants
When bowel training is planned, what needs to be included in care plan?
The usual tone the resident has a BM
The absence of bm or stool that is hard, dry and difficult to expel is what?
Constipation
What do you do when a resident has a bm that is unusual?
Ask nurse to observe it
When you empty a drainage bag, you
Maintain sterility of system by carefully handling bag and spout
Open clamp on drain and let urine drain into graduate
Observe for abnormalities
When a person receives nutrition through a tube, frequent mouth care is needed because it
Prevents dry mouth, dry lips and sore throat
In the stage of denial, what do people do?
Refuse to believe they are dying
A person usually tries to gain more tone during the stage of
Bargaining
When caring for a dying person, CNA should assume
The resident can hear everything spoken, even if unresponsive
As death bears, the last sense lost is what?
Hearing
A dying person’s care includes
Position change
Eye care
Mouth care
