Term
acute care
vs
subacute care |
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Definition
ACUTE: - done in hospitals and surgical emergency centers for IMMEDIATE ILLNESS/INJURY (SHORT STAY)
SUBACUTE: care performed by a hospital or nursing home. LONG TERM FACILITIES |
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Term
| who directly supervises CNAs? |
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Definition
the nurse, lpn
(nursing team=cna, nurses, and LPNs)
(also includes doctors, physical therapist, speech therapists, social workers, resident, and residents family) |
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Term
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Definition
client- taken care of at home
patient- taken care of in hospital |
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Term
| nurse assistants cannot do what |
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Definition
-do not do sterile procedures
- do not give info about the diagnosis or treatment plans to the resident or residents family.
- do not give medications
- no oxygen care (no dismantling or putting together oxygen tank)
-do not insert or remove tubes from body (may check tubing only)
- do not agree to do anything not in the scope of NA job as defined by board of NC nursing. |
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Term
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Definition
plan made based on residents needs
- outlines the tasks that the team must perform to help the resident achieve goals
- the NA is responsible for carrying put the care plan and cannot change it |
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Term
| any changes in residents condition must be written and is called ..... |
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Definition
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Term
medical chart may contain?
what would you sign it with?
what do you do for mistakes?
what else should you not do? |
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Definition
1. physician's orders
2. results of medical tests
3. examination results
sign name, position (CNA), and date
if you make a mistake draw a line through it and put your initials and date
don't use ditto marks or the term "patient" in the chart |
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Term
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Definition
| a comprehensive assessment of each resident in a medicare or medicaid facility. it identifies potential resident health problems and capabilities as well as resident diagnoses, treatments, and an evaluation. |
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Term
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Definition
| coordinates care for residents. the administrator is the manager of the facility followed by department heads who supervise department staff. |
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Term
1987 omnibus budget reconciliation act (OBRA)
OBRA also identified residents _______ |
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Definition
OBRA- as a result of OBRA the nursing home reform act was passed by the general government to mandated improvements in the quality of nursing assistant training. OBRA requires 75 hours of training, passing a state exam and attending regular in service education to keep skills up to date.
RESIDENTS RIGHTS- how residents must be treated while living in a facility.:
1. right to be fully informed of rights and services (must be told available services/care and the cost)
2. right to participate in own care
3. right to privacy and confidentiality
4. right to proper care
5. right to dignity
6. right to security of their personal possessions
7. right to visitations
8. right to make independent choices about care, doctors, treatments, and personal decisions such as what to wear.
9. obudsman- assigned by law as a legal advocate for residents problems. they decide what action, if any, needs to be taken. they monitor the nursing home, care and environment of residents. |
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Term
signs of neglect
signs of suspicious injuries
signs of abuse |
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Definition
-pressure sores
- unanswered call bell
- spoiled bedding or clothes
- poor appetite and dehydration
injuries: (suspicious)- brusises, scratches, burns, swelling on face, fractures or dislocations
abuse signs: complaints of anxiety, withdrawal and mood changes, poor self control, yelling obscenities |
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Term
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Definition
policy- is plan of action to guide decisions to achieve an outcome
procedure- a way of doing something |
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Term
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Definition
the failure to exercise the degree of care considered reasonable under the circumstances, when that failure results in the unintended injury to the patients. ex:
1. CNA does not perform work as taught
2. CNA does not do their job in a conscientious matter. |
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Term
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Definition
| make false statements about someone to another person and the characters of the person you are talking about is injured this is DEFAMATION |
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Term
verbal remarks
remarks you express with writing |
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Definition
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Term
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Definition
| restraining a residents movement for actions without proper authorization is unlawful and called FALSE IMPRISONMENT |
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Term
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Definition
| an act or failure to act that causes or could cause harm or death to a resident and was NOT an accident. |
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Term
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Definition
1. failure to turn a resident as often as need
2.failure to perform ROM or exercises
3. failutre to perform proper hygiene
4. failure to provide meal assistance
5. failing to provide water or require fluids. |
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Term
| objective vs subjective information |
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Definition
objective: information that is collected with the senses (hear, touch, see) (mrs jones ear feels better)
subjective: information you didn't observe, the resident reported it to you. (mrs jones has an earache) |
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Term
| a nursing assistant _____________ physicians orders |
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Definition
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Term
| a nursing assistant cannot take results of ______________ tests or give information to ________ |
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Definition
do not take results of diagnostic tests
no info given to family/family members |
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Term
| barriers to communication |
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Definition
1. look person in eyes so they can see and read lips
2. confusion, blindness, aphasia
3. hearing impairment
4. culture |
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Term
regression
rationalization
displacement |
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Definition
regression- immature behavior
rationalization- making excuses justifying a situation
displacement transferring negtive feelings to a safer place |
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Term
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Definition
a condition where a person may not be able to speak or write or understand spoken or written language
(stroke or brain injury causes it) |
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Term
repression
suppresion
projection |
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Definition
repression- involuntarily not acknowledging a situation (ill person not going to doctor)
suppresion- person is aware of a situation but refuses to accept it. (person is told they have cancer and refuses to accept the fact)
projection- blaming others for their situation |
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Term
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Definition
| hostile or violent. remain calm and block any physical attacks. if safety is jeopardizes try and leave patient alone. |
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Term
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Definition
- bed sores, dermal ulcers, or decubitus ulcers.
- pressure ulcers develop when the skin starts to break down and becomes pale, white or red in color.
-resident may feel tingling or burning in the area.
- if pressure continues ulcer will result
- usually appear with a few weeks of admittance
-4 stages of tissue breakdown
1. skin develops redness/blue gray discoloration over the rpressure area. color will go away when pressure is removed within 30 mins
2. skin is reddened and there are abrasions, blisters or shallow craters, may or may not be broken
3. all the layers of skin are destroyed and a deep crater forms
4. the ulcer extends through the skin and tissues resulting in tissues death, damage to muscle and bone.
common places: elbows, heels, shoulders, hips, buttocks, ankles, ears, toes, knees.
observe and report: pale, white, red, blisters, bruises on skin. swelling, dry skin, broken skin, fowl smell, drainage, signs of infections, skin tears
PREVENT:
- change position every 2 HOURS
-encourage sitting up in wheelchair
- proper nutrition and fluids
- immediately remove feces or urine from the skin
-inspect skin daily and keep dry
-keep linen dry and wrinkle free
- report signs of bed sores
- bathe frequenty
- apply lotion
- use sheepskin or form between resident and the bottom linen
- check tubes and catheters so not to cause irritation
- protect areas such as eels and elbows |
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Term
| to avoid pressure ulcers change position every ___ hours |
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Definition
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Term
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Definition
| occurs when skin moves away from bone while bone remains fixed (happens when resident slides down in bed or wheel chair) ( can cause tearing and infection) |
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Term
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Definition
| ligaments connect bones to joints and tendons that attach muscle to bone. |
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Term
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Definition
| bone mass is lost, causing bones to become porous and a high risk of fractures. |
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Term
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Definition
compound- bone is broken and skin is broken through
simple- bone is broken but skin is intact
comminuted- bone is broken and splintered
greenstick- one side of bone is broken and the other side is bent |
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Term
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Definition
| inflammation of the joints and usually affect weight bearing joints like knees, hips, fingers, and vertebra (stiffness, pain, limited motion) |
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Term
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Definition
| when muscle mass decreases in sixre and muscle bgins to waste away |
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Term
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Definition
| when a muscle or muscle shortens and becomes inflexible and freezes in position. (occurs usually when patient is immobile and pressure sores may occur) |
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Term
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Definition
hardening of arteries
where the walls becomes thick and harden |
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Term
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Definition
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Term
| peripheral vascular disease |
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Definition
| decrease flow of blood to the extremities and brain |
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Term
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Definition
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Term
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Definition
| enlarges, twisted veins usually in the legs |
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Term
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Definition
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Term
| myocardial infarction (MI) |
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Definition
| heart attack DUE TO BLOCKAGE OF CORONARY ARTERIES |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| fatty deposits on the walls of arteries that reduce blood flow |
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Term
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Definition
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Term
| observation of the following should be reported with regards to blood pressure |
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Definition
1. pain
2. edema
3. immobility
4. limited range of motion and movements
5. weakness
6. sensory changes |
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Term
| the narrowing and hardening of blood vessels causes |
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Definition
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Term
| what is considered hypertension |
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Definition
140/90 or higher is hypertension
(120/80- 139/89 are pre hypertension) |
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Term
| normal blood pressure values |
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Definition
100/60 to 119/79
100- systolic
60- diastolic |
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Term
| signs and symptoms of heart attack/ myocardial infarction |
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Definition
1. crushng chest pain
2. nausea/vomiting
3. perspiration
4. shortness of breath
5. fainting
6. irregular pulse/respirations |
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Term
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Definition
| occurs when blood vessels narrow and the supply of blood heart muscle is deprives of oxygen and nutrients. over time fatty deposits build up in the arteries and the artery becomes blocked causing a heart attack or stoke. |
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Term
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Definition
caused when the heart muscle is not receiving enough oxygen . (requires more when exercising, under stress, or eating a heavy meal)
signs: pain and tightness in the center of the chest behind breastbone, pain moving down the left arm or the neck and left side of jaw
they need rest, meds, avoid heavy meals, avoid intense exercising and cold/hot weather |
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Term
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Definition
congestive heart failure- blood backs up into heart and doesn't circulate
signs: spitting up blod, coughing, difficulty breathing, neck swelling, fatigue, confusion, unable to lie flat at night, high blood pressure |
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Term
| peripheral vascular disease |
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Definition
legs, feet, arms or hands to don't have enough blood circulation. the cause is from fatty deposits in the blood vessels,
symptoms: cold hands or feet, skin pale or blue, nails blueish, and ulcers of legs or feet.
ANTI EMBOLIC STALKINGS aid in circulation and should be put on resident before they get out of bed |
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Term
| anti embolic stalking do what |
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Definition
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Term
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Definition
| due to intterference in the electrical current through the heart. an electrical device called a pacemaker is implanted under the chest muscles. the electrode carries electrical current directly to the heart muscle to replace lost control |
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Term
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Definition
| loss of covering around nerve fibers interfering with nerve impulses to and from the brain |
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Term
| report the following in regards to respiratory system |
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Definition
1. coughing up of a discolored sputum, which is mucus can be green, yellow, blood tinged or gray. the best time to take this sample is the MORNING.
2. nail beds and or lips are blue |
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Term
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Definition
| inflammation of the gallbladder |
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Term
normal daily output of urrine
pH of urine |
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Definition
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Term
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Definition
| inflammation of the bladder due to infection |
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Term
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Definition
| inflammation of the kidneys due to infection |
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Term
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Definition
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Term
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Definition
| accumulation of urea in the blood due to kidney disease |
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Term
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Definition
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Term
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Definition
| the inability to completely empty the bladder |
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Term
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Definition
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Term
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Definition
| excessive amounts of urine upon voiding |
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Term
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Definition
| excessive urination at night |
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Term
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Definition
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Term
| carcinoma vs sarcinoma cancers |
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Definition
carcinoma- affects the skin and lining of organs
sarcinoma- affects the bones, muscles, lymph system, and cartilage |
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Term
| 7 warning signs of cancer CAUTION |
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Definition
C- change in bowel or bladder habits
A- a sore that does not heal
U- unusual bleeding or discharge
T- thickening or lump in the breast, testicles or any body part
I- indigestion of difficulty swallowing
O- oblivious change in a wart, mole or skin condition
N- nagging cough or hoarseness |
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Term
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Definition
| technique used to remove or destroy pathogens and prevent them from spreading |
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Term
systemic infection
localized infection
generalixed infection |
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Definition
systemic infection- pathogen in blood stream causing fevers, chills, confusion
localized infection- occur at specific part such as a cut
generalized infection- pneumonia in the lungs |
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Term
| when removing a mask..... |
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Definition
| when removing a mask first untie the bottom ties than the top ties then dispose of mask holding the top ties into an appropriate waste can(biohazard) |
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Term
| look for the biohazard sign it is what color |
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Definition
| RED WITH BIOHAZARD SYMBOL (if it has contacted blood or body fluids) |
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Term
| avoid touching what with linens |
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Definition
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Term
| things to remember for hand washing |
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Definition
1.keep hands lower than elbows and pointing down
2. don't touch sink with body
3. wash nails on opposite palm
4. use brand new dry paper towel to turn off the faucet
5. dont crumble the towel up before throwing it away
6. take watch off before hand and put in pocket |
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Term
| things to remember about put-on on PPE gown and gloves |
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Definition
1. put on hands and make sure it covers neck to feet
2. tie the gown at back of neck first (overlap gown so it def covers your back!!)
3. then tie th gown at back or on side
4. put on gloves overlapping your sleeves at least an inch
5. REMOVE GLOVES FIRST, grasp one just below the cuff making sure the glove touches only glove. pull glove off making it INSIDE OUT
6. hold this removed glove with your other gloved hand
7.now REACH INSIDE other glove with two fingers of ungloved hand
8, remove and dispose gloves
REMOVE GOWN
9. untie gown at neck, then waste DONT TOUCH FRONT OF GOWN
10. pull down from each shoulder toward and over hands without touching the outside of gown
11. turn the gown inside out by holding at the inside shoulder seams and bringing hands together, hold and roll up the gown away from you keeping it inside out
12. discard
13. wash hands
* SLIP FINGERS OF ONE HAND INSIDE CUFF OF THE OTHER HANDAND PULLing it over the hand then use this covered hand to pull off PPE |
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Term
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Definition
material safety data sheet
- any dangerous chemical used has one and it tells the ingredients, chemical dangers, emercenty response actions and safe handing |
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Term
| point to which part of fire |
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Definition
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Term
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Definition
R- remove residents
A- alarm sound
C- contain the fire, close windows and doors
E- extinguish the fire or evacuate
P- pull the pin
A- aim at base of fire
S- squeeze the handle
S- sweep back and forth at the base of fire |
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Term
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Definition
| accidental entry of food, liquid, or a foreign object entering the windpipe causing choking. (they will put hands over throat) |
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Term
| if someone is choking and turns blue and non responsive do what |
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Definition
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Term
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Definition
| 1.move furniture way from the resident to prevent injury, loosen clothing around neck, place a pillow under the heat and not time of seizure. then provide bed rest |
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Term
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Definition
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Term
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Definition
jewish fath- no pig, camel, hare, or combination of meat and dairy
muslims- no alcohol or pork
7th day adventist- don't drink coffee, tea, or alcohol, caffeine and don't eat pork or some meats. |
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Term
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Definition
| balance between liquid intake and liquid output |
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Term
| fresh ice water every ____ hours |
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Definition
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Term
| for what reasons are intake and output records kept for fluids |
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Definition
1. dehydration
2. receiving intravenous infusion
3. recent surgery
4. using a urinary catheter
5. prfusely vomiting or perspirng
6. diagnosed with congestive heart failure or renal disease |
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Term
| every 1 ounce equals how many ml or cc |
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Definition
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Term
| how to describe location of each food item |
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Definition
- compare with position on face of a clock
- 12 o clock water, 6 o'clock meat |
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Term
supine
prone
lateral
sims
fowlers |
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Definition
supine- lying flat on back
lateral-on side
prone- lying on stomach
fowlers- partially reclined
sims- lies on left side with one leg drawn (left side with right leg up_ |
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Term
| on which side do you lay for sims |
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Definition
| on your left side with your right leg up |
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Term
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Definition
| someone who has lost functional abilities due to injury or illness is assisted to reach optimal ability |
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Term
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Definition
| nursing responsibility carried out with the help of therapists and other health professionals (rehabilitation is more aggressive and intense than restorative care) (must be given in skilled care facility) |
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Term
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Definition
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Term
| before raising the resident from the bed to walk what must you do |
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Definition
allow them to sit up on the side of the bed for several minutes to avoid the resident from becoming dizzy
dangling residents legs over the side of the bed is done to prevent orthostatic hypotension |
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Term
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Definition
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Term
canes are used to help with _______________
they are held by the arm on the ________ side of body
they are fitted properly with the elbow flexed at _______ degree angle and shoulders level
types of canes? |
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Definition
balance
held on strong side of body
15-30 degree
single tipped, tripod, or quad |
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Term
walkers are for what
patient should have use of what
what type of operations need this |
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Definition
general weakness in BOTH legs
patient should have strength in both arms to pick up the walker
back or hip operation |
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Term
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Definition
resident has stability in one leg and none in the other
person puts pressure on the hand grips |
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Term
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Definition
- armrests should support arms without pushing the shoulders up or forcing them to hang
- enough space between the resident's hip and chair to slide your hand between the patients hips on each side of chair
-there should be 2-3 inches clearance between the front edge of the seat and the back of the residents knee
- 2 inches between bottom of footrests and the floor
-90 degree angle between feet and legs
-when going downhill guide wheelchair backwards
-wheel chair is pulled backwards over raised areas like entrance to elevators
- feet on footrests during transport
- instruct patient to not bend over to get anything off floor |
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Term
| how much space should be between the front edge of the wheel chair seat and the back of the residents knee |
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Definition
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Term
| how many inches between bottom of wheelchair foot rests and flor |
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Definition
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Term
| when moving a patient, using a lift, make sure the hook are what? |
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Definition
| facing away from the patient |
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Term
alzehimers caused by
stages? |
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Definition
tangled nerve fibers and protein deposits the a form in the brain
results in death 3-20 years later
happens between 50-69
stage 1: mild: remain at home, short term memory loss, disorientation of time, carelessness, anxiety, and depression.
stage 2: moderate: complete disorientation, wandering and pacing, sundowning is a confusion and restlessness in late afternoon and evening.
stage 3: severe: patient becomes totally dependent, verbally unresponsive and may have seizures, may result in death. |
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Term
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Definition
| confusion and restlessness in late afternoon and evening (stage 2 of alzehimers) |
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Term
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Definition
| used to help disoriented residents connect to their environment, to time, and to themseves. this technique can decrease anxiety in a person. (one approach would be telling patient what day it is_ (work in stage 1 and 2 of alzheimers, not 3) |
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Term
| CVA (cerebral vascular accident) |
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Definition
a STROKE
occurs when there is interference with the normal blood circulation to the brain. it can be caused by a blood clot or a blood vessel that has ruptured. |
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Term
| signs of stroke... also known as? |
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Definition
CVA (cerbral vascular accident)
-loss of consciousness
- difficulty breathing
- paralysis can occur on one side of the body
- headache or dizzy
- memory loss
- difficulty speaking
- loss of sensations |
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Term
| when someone has had a stoke how should you help them walk |
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Definition
| use a gait belt and stand on the weaker side (support weaker side and lead with the stronger side) |
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Term
| stages of death acceptance |
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Definition
1. denial- begins when they are told they will die and they do not accept this
2. anger-they can no longer deny, they may blame other people
3. bargaining- tries to bargain for a chance to live
4. depression- a patient realizes that they will die soon, overwhelming despair, withdrawn
5. acceptance- final stage where they accept the fact and try to complete unfinished business |
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Term
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Definition
a document put in place when a patient becomes unable to make decisions.
living will- request from patient not to extend their life by artificial means and states the care they want or do not want if they become unable to make decisions
power of attorney- someone else has the responsibility |
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Term
| signs of approaching death |
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Definition
- impaired speech
- burred and falling vision
- loss of movement, muscle tone, feeling
- rising or below normal body temp
- decrease blood pressure
- breathing becomes irregular or shallow
- rattling or gurgling sound when breathing
- incontinence
-less responsive
-jaw tends to drop
- disorientation of confusion
- cold pale skin
- hearing seems to be the last sense to be lost. |
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Term
| hospice care means they have how long |
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Definition
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Term
| what is the last sense to leave body |
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Definition
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Term
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Definition
- permanently dilated pupils
- no pulse or respirations
- heat loss from body
- blood pools in the lower areas of the body
- within 2-4 hours the body becomes rigid (rigor mortis) |
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Term
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Definition
GO GET NURSE FIRST
- wash body with warm water and wash discharge away
- put dentures back in mouth if instructed
- close the eyes carefully
-follow facility procedures
- respect the wishes of family and friends and be sensitive to needs
- document according to facilities policy
- strip the bed after body has been removed |
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Term
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Definition
| temp, pulse, respirations, blood pressure |
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Term
rectal temp
axillary temp
and oral temp
tympanic temp |
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Definition
oral- 98.6
axillary- 97.6 (AX) (least accurate, only when oral can't be done)
rectal- 99.6 (RT)
tympanic temp= fastest and most easiest from ear |
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Term
| wait how long after person has eaten or drank to take tempo |
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Definition
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Term
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Definition
the radial artery (wrist) if conscious
carotid artery on neck if unconscious |
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Term
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Definition
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Term
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Definition
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Term
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Definition
-illness
-age
-positions
-drugs
-emotions
-activites
-temp |
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Term
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Definition
| counting heart contractions with stethoscope |
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Term
how many respirations per minute is normal for adults
what is considered high
what about infants? |
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Definition
12-20
>25= accelerated
infants normal breathing rate is 30-40 per minute |
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Term
hypertension occurs when values
hypotension occurs when values |
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Definition
hypertension bp > >140/>90
bp hypotension < <100/<70
(normal= less than <120/<80 )
(prehypertension= 120-139/ 80-89 ) |
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Term
each small line on top of scale indicates
if it reads a number plus two notches do what |
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Definition
a quarter pound
round down if number +2 notches
if it is a number + 3 or 4 notches it rounds up! |
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Term
| what is important when weighing |
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Definition
THEY NEED SHOES
- BALANCE TO ZERO |
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Term
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Definition
-start with empty bladder, first urine thrown away to start test
- all urine is saved in a LABELED CONTAINER AND SURROUNDED BY ICE
- if you miss sample- call the nurse so test can be voided and restarted |
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Term
foley catheter
vs
condom catheter |
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Definition
foley- has a balloon surrounding the neck and inflates when entered into the bladder (also known as an indwelling catheter) (if it is surgically inserted through abdominal wall into the bladder it is called a suprapubic catheter)
condom catheter- external and used by males. it is applied over the penis and attached to a drainage bag |
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Term
| suprapubic catheter vs indwelling |
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Definition
suprapubic is surgically inserted through abdominal wall
indwelling is inserted through urethra
CNAS NEVER INSERT CATHETERS |
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Term
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Definition
NURSE
-when alternatives to restraints fail, only a physician can order restraints.
you can check for skin irritation
RESTRAINTS CAN BE PHYSICAL OR BY MEDICINE
USED ONLY WHEN NECESSARY, they cause incontinience, pressure sores, and death.
- acceptable restraints inclue: handmits, soft ties for wrist and ankles, vests and safety belts, lap trays, lap cushions
unacceptable: bed rails up to keep a resident from voluntarily getting out of bed, tucking in the top sheet so tightly that a resident can't move, using a wheelchair safety bars to prevent resident from getting out of chair, never place a resident in a wheelchair and leave it floe to a wall, so the wall prevents the resident from getting out of chair
REASONS TO USE RESTRAINTS: temporarily used in medical threatening conditions, brief periods to allow treatment, used to protect resident and not to aid staff, need for restraints should be apparent, when using restraints have enough help to apply the restraints, to keep resident from pulling out medically needed tubing, restrain a dementia patent from wandering. |
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Term
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Definition
a diseased part of the bowel requires a sectional removal of part of the colon producing an artificial opening called ostomy.
a coolstomy or ileostomy discharge stool and the opening is called a stoma |
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Term
what do you call an colostomy or ileostomy opening
what is the difference |
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Definition
stoma
colostomy- partially solid
ileostomy- liquid |
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Term
how to clean stoma
how do you prevent odors
what foods to avoid |
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Definition
- clean away from stoma using mild soap
- rinse and dry using toilet tissue
- dispose in toilet or biohazard bag
-when replacing bad to opening seal around the opening with medication cream or what is stated in the care plan
- be careful it doesn't leak
- wash hands before and after procedure
to prevent odor:
avoid gas forming food!! |
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Term
common abbreviations
b.i.d.
NPO
OBRA
q.i.d
qod
RT
t.i.d
ADL
ADT
amb
ADT
CBB
CPR
CVA
DNR
DON
Dx
FE
FF
FU
FWB
g/c
OOB
O, OS
p.r.n
qh
SOB
stat
std prec
TPR
Tx
URI
V.S
W/c
WB
CC
CS
EEG
FH
H&P
ICCU
MH
MRD
SNU |
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Definition
b.i.d (two times a day)
NPO (nothing by mouth
OBRA( omnibus budget reconciliation act)
q.i.d- four times daily
qod- every other day
RT- rectal temp
T.i.d (three times daily)
ADL- activités of daily living
amb- ambulatory
ADT- admission, discharge, transfer
CBB- complete bed bath
CPR- cardiopulmonary resuscitation
CVA- cerbrovascular accident, stroke
DNR- do not resusitate
DON- director of nursing
Dx- diagnosis
FE- fleet enema
FF- forced fluids
FU- follow up
FWB- full weight bearing
g/c- geriatric chair
LVN- licensed vocational nurse
OOB- out of bed
O,OS- oral, mouth
p.r.n- whenever necessary
qh- every hour
SOB- short of breath
stat- immediately
std prec- standard precaution
TPR- temp pulse respiration
Tx- treatment
URI- upper respiratory infection
V.S- viral signs
w/c- wheel chair
WB- weight bearing
CC- chief complaint
CS- central supply
EEG- electroencephalogram
FH- family history
H&P- history and physical
ICCU- intensive coronary care unit
MH- mental history
MRD- medical record department
SNU- skilled nursing unit |
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Term
| what is the blood pressure cuff called |
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Definition
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Term
| who is likely to develop decubitus ulcer/bed sore |
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Definition
| poorly nourished, incontinent, or paralyzed patients |
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Term
| a walker may be used if a client can what? |
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Definition
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Term
| how can you explain to clients how to use waker? |
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Definition
| pick up walker and place firmly, then step |
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Term
| why would you give a massage to a patient |
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Definition
| increase blood flow, relax, and increase one on one time |
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Term
| the preferred way to get bedpan from patient that cannot move buttocks is |
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Definition
| hold bedpan and turn to side |
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Term
| if there is emergency such as lack of breathing |
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Definition
| always call for help first |
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Term
| when making an occupied bed what is important |
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Definition
- make half of bed at a time, keeping rail up on other side and then switching
-make a toe pleat in top covers (just make extra space by loosening sheets) |
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Term
| decubitus ulcers can be prevented by |
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Definition
- changing position frequently
-egg crate on top of mattress
(NO EVIDENCE OF VITAMIN C HELPING!) |
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Term
| the first step of getting a client up to walk is? |
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Definition
| CHECK ACTIVITY ORDER (ALWAYS CHECK IF PATIENT IS ALLOWED TO GET UP) |
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Term
| the patients TPR is 98.8-80-30, which should be reported immediately? |
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Definition
| the respirations (30) because it is higher than average |
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Term
| what causes inaccurate temp reading |
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Definition
-eating or drinking 10-20 mins before
- exercise
-failure to shake down a mercury thermometer |
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Term
| the first step in any procedure is always |
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Definition
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Term
| which of the following procedures best destroys all bacteria? |
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Definition
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Term
| in the event of a fire in a clients room FIRST ACTION IS |
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Definition
| move client to a safe place |
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Term
safe use of oxygen therapy includes
a- setting flow 2-3 liters
b- using wool blankets
c- cleansing nasal prongs each shift with alcohol
d- posting a no smoking sign on door |
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Definition
d-posint no smoking sign
(flow is set by doctor, wool causes sparks, alcohol dries out) |
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Term
| when performingCPR client should be |
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Definition
|
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Term
|
Definition
| a written set of instructions on how to perform a procedure |
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Term
| if client doesn't speak english |
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Definition
| ask charge nurse to arrange interpreter |
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Term
| which best describes nail care? |
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Definition
| all patients need nail care and you should check with the nurse for instructions |
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Term
| when providing perineal care for males |
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Definition
| retract foreskin if uncircumcised |
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Term
| if client has dry elbows do what |
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Definition
| show nurse before applying any lotion (it could be due to a medication) |
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Term
| causes of decubitus ulcers include |
|
Definition
-poor circulation
- poor nutrition
- pressure on skin |
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Term
|
Definition
-clients well being
- appearance
-circulation to the scalp |
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Term
| when removing soiled linens what should u do first (if patient has IV) |
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Definition
| remove from arm with no iv first |
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Term
| if a patient has not eaten food first |
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Definition
| ask why? they may just not like it |
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Term
| client states mistake has been made when they give him salt you should |
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Definition
| check with charge nurse for diet order |
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Term
| the main safety factor when transferring client is |
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Definition
| to secure adequate assistance |
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Term
| alzehimer patents show what symptoms |
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Definition
-wandering and frequent pacing
- physical and mental wasting
(dimentia is just the symptoms not a disease) |
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Term
| how a client reacts to illness and disability is most dependent on |
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Definition
| support system and life history |
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Term
| when an 87 year old says her mother is coming say |
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Definition
| are you wishing you could see your mother? |
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Term
| if family member brings in clothes you should |
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Definition
| label them with clients name |
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Term
before dressing an ECF resident the nurse assistant should
-close door and pull curtain
-check the proper clothes
- check doctors order
-all the above |
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Definition
-close door and pull curtain
(doctors don't make clothing orders, and they may be able to choose their own clothing) |
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Term
| reporting something you can see in plain sight is ________ information |
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Definition
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Term
| failing to raise the sir rails on the bed of a confused client is |
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Definition
| negligence- causing unintended injury |
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Term
| during a job interview it is important to tell interviewer about your |
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Definition
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Term
| when you are unable to work |
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Definition
| CALL FACILITY AS EARLY AS POSSIBLE |
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Term
| first step of any lost belonging is |
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Definition
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Term
| if a coworker states she will need help in lifting a heavy client |
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Definition
- offer to get a hoyer lift
- locate additional coworkers |
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Term
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Definition
health insurance portability and accountability act
OR
health information privacy and portability act |
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Term
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Definition
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Term
|
Definition
| omnibus budget reconciliation act - establishes minimum standards for nursing assistant training |
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Term
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Definition
the occupational safety and health administration
-makes regulations to protect works from hazards on the job |
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Term
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Definition
| personal protection equipment |
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Term
|
Definition
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Term
| radial pulse is on which side of wrist |
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Definition
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Term
|
Definition
| slightly closer to body on arm/ elbow crease |
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Term
| if a patient tells you he isn't getting enough oxygen through tubing what should you do? |
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Definition
| ONLY CHECK TUBING FIRST (only can straighten the tubing) (then you can get head nurse) |
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Term
| what should CNA do with visually impaired patient |
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Definition
| help them become familiar with the room and furniture |
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Term
| a resident has had a stoke and has weakness of her right side where should yu stand? |
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Definition
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Term
| clothes are applied on which side first |
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Definition
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Term
| when weighing patient always |
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Definition
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Term
| what skills require you to pull rail up |
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Definition
- peri care (take down after)
-catheter care (take down after)
- positioning on side (leave up) |
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Term
| when do you need blue pad? |
|
Definition
- peri care
- catheter care |
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Term
| when do you have to crank bed up? |
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Definition
- bath
- peri care
- catheter care |
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Term
| when do you not have to introduce yourself? |
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Definition
- dentures
-urine output
- PPE |
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Term
| WHICH ARM IS STRONG FOR TEST??? |
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Definition
LEFT ARM IS STRONG meaning you dress the right arm first, and stand on right weak side while walking
you undress the weak arm last |
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Term
| for feeding patient you must sit where |
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Definition
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Term
| if peri care includes catheter |
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Definition
|
|
Term
| make sure the crank is at the |
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Definition
| END OF BED (wheel chair must be facing end of bed ) |
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