Lesson 12 CNA
Personal care?
- Evaluate patients needs -Gather equipment, observations, skill -reporting
Oral care?
-Brushing teeth -Denture care
Safety guidelines for bathing?
-Using grab bars -Keeping the bathing supplies within reach -Keeping the floor dry -Using non-slip mats
Aging and hygiene?
1. Eyesight becomes less sharp 2. Hands may tremble 3. Activities take effort and energy 4. Clothes may be soiled 5. Hair may be unkempt 6. Teeth are not brushed 7. Clothing put on inapporpriately
Number the parts of the body in the order in which they should be bathed?
1. eyes 2. face 3. ears 4. neck 5. arms, axillae, and hands 6. chest and abdomen 7. legs and feet 8. back 9. perineal care 10. buttocks
Additive?
A substance added to another substance, changing its effect
Plaque?
A substance that accumulates on the teeth from food and bacteria
Bridge?
A type of dental appliance that replaces missing or pulled teeth.
When to give a tub bath?
Able to transfer into and out of the tub and has a doctor's order
Dentures?
Artificial teeth
Halitosis?
Bad breath
Partial bath?
Bath that includes washing the face, underarms, hands, and perineal area
A type of dental appliance that replaces missing or pulled teeth?
Bridge
To shampoo hair for a resident on a stretcher the nursing assistant should?
Bring the stretcher to the sink and adjust the height of the stretcher.
What kind of equipment is used to help a resident into a whirlpool bath?
Chair lift
Dentures that are left uncovered can warp, dry out, or do this?
Crack
Things to remember when cutting a persons nails?
Cut straight across
A labeled one of these may be used to store dentures?
Denture cup
Artificial teeth?
Dentures
What should you never do?
Do not recap razors after use
Things to remember about cutting a diabetic patients toenails?
Don't cut
When a person's dentures break, he can no longer do this?
Eat
A safety razor is the safest and easiest razor to use?
Electric razor
If someone is unconscious how often should you brush their teeth?
Every 2 hours
Dandruff?
Excessive shedding of dead skin cells from the scalp.
A NA should style a resident's hair childishly?
False
A NA should trim a residents hair when it's too long or if it becomes matted?
False
All facilities allow NA's to clip residents toenails regularly?
False
All residents need to be shaved?
False
All residents will be bathed in the morning after they wake up?
False
Appearance has very little to do with how people feel about themselves?
False
Back rubs need to be given to all residents?
False
Bras that fasten in the back are easier for female residents to manage by themselves?
False
Helping residents with their activities of daily living is outside of a nursing assistant's scope of practice?
False
It is inappropriate for an NA to give a resident a back rub?
False
Lice do not typically spread very quickly?
False
Most residents who have roommates will share their combs and brushes with each other?
False
Red areas over bony parts of the body should be massaged using long, smooth strokes.
False
Residents should be left alone during bathing to promote independence?
False
The NA will make all the decisions about how to groom a resident?
False
The nursing assistant should insist that residents brush their teeth before eating breakfast?
False
The nursing assistant should let the resident know that he is allowed to use the toilet for only a few minutes?
False
The nursing assistant should perform as much personal care as possible for the resident so that the resident does not become frustrated?
False
The position that is most comfortable for elderly people is lying on their stomachs (prone)?
False
To promote comfort and better sleep, residents should wear pajamas all day long?
False
Grooming is the term to describe practices to keep the body clean, while hygiene includes practices like fingernail, foot, and hair care?
False (switch it)
What must be worn by the NA when cleaning dentures?
Gloves
Tartar?
Hard deposits on the teeth
Residents who are unconscious may still be able to?
Hear
General hygiene?
Helps to maintain a positive self-image and supports good health.
Temperature of water that can warp dentures?
Hot
Pediculosis?
Infestation of lice
Gingivitis?
Inflammation of the gums
What opportunity does bathing a resident give the nursing assistant?
It allows the nursing assistant to observe the skin and report changes.
Edentulous?
Lacking teeth
Water temperature for denture storage?
Moderate
NPO is?
Nothing by mouth
When is a partial bath performed?
On days when a complete bed bath, tub bath, or shower isn't done
Four basic types of baths?
Partial bath, shower, tub, bed bath
What should be washed everyday?
Perineal care
Grooming?
Practices to care for oneself, such as caring for fingernails and hair
Hygiene?
Practices to keep the body clean
How is the decision made about which kind of bath a resident will receive?
Rests first with doctor or nurse, then with the resident.
When do you give a partial bath?
Sensitive skin, unable to shower or tub bath, wants a quick bath before a meal and plans to bathe later.
Edema?
Swelling
What is true of performing eye care for an unconscious resident?
The NA should use gloves when bathing the eye.
Aspiration is?
The inhalation of food, fluid, or foreign material into the lungs
Why does mouth care need to be done frequently for residents who are unconscious?
The mouth becomes dry due to a lack of fluid, breathing through the mouth, and oxygen therapy.
A NA must always wear gloves when shaving a resident?
True
Back rubs help relax muscles and improve circulation?
True
Disposable shaving products should be discarded in the biohazard container for sharps?
True
Fingernails can collect and harbor microorganisms?
True
Hair typically thins as a person ages?
True
If a resident has one side of the body that is weaker than the other, the NA should refer to the weaker side as the involved side?
True
Regular grooming helps keep a person clean and healthy?
True
Residents have the right to choose what they want to wear, including jewelry?
True
Residents may be embarrassed by having someone else provide personal care?
True
The nursing assistant should keep residents covered as much as possible when bathing and dressing them?
True
When dressing a resident who has a weaker side of the body, the NA should refer to that side as the involved side?
True
When helping a resident PUT ON clothes you should begin with the weaker side?
True
When helping a resident UNDRESS, the NA should begin with the stronger side?
True
When to give a bed bath?
Unable to get out of bed to shower or bathe
Axilla?
Underarm or armpit area
One way to prevent aspiration is to?
Use as little liquid as possible during mouth care
When performing perineal care, what is important to remember?
Using a clean area of the cloth for each stroke.
Why would a patient feel dizzy in the shower or bathtub?
Vasodilation (blood vessels become larger)
The general rule for the order if washing body parts during bathing?
Wash from cleanest to dirtiest.
When to give a shower?
When a resident is able to stand and sit safely in the shower chair.
Comatose patient?
unconscious