Review questions by RCP's
what temperature should hand be washed in? why
cooler water
after counting the pulse, how are respirations taken without the resident knowing what you are doing
dont tell them what you are doing so they dont change breathing pattern
what procedures are used in fowlers position
eating, oral care, hair brushing
why and when is a mask changed
every 30 minutes the dampness of the mask will reduce its ability to protect you
list the body parts that are washed in a bed bath IN ORDER
eye arm chest leg perineal anal
To measure a residents height while standing which way does the resident stand on the scale
facing away from the scale
what position should the bed be when moving the resident to the head
flat
what is done to the skin before denture care
moisturize lips
what areas are checked during brushing teeth
mouth, tongue teeth and lips for odor, cracking, sores, bleeding and discoloration
list each area of hand that need to be washed
- rub hands together to create friction -rub hands palm to palm -right palm over left palm -palm to palm -backs of fingers -rational rubbing of left thumb
when should a resident be instructed on how and when to use a cane
...
initial steps
1. Ask nurse about residents NEEDS, ABILITIES and LIMITATIONS, if necessary. 2. KNOCK and IDENTIFY YOURSELF before entering residents room. WAIT for permission to enter residents room. 3. Greet resident by NAME per resident preference. 4.Identify yourself by NAME and TITLE. 5. Explain what you will be doing. Encourage resident to help as able. 6. Gather supplies and check equipment. 7. Close curtains, drapes and doors. Keep resident covered, expose only the area of residents body necessary to complete procedure. 8. Wash your hands 9. Wear gloves as indicated by standard Precautions. 10. Use proper body mechanics. raise bed to appropriate height and lower bed rails (if raised)
final steps
1. Remove gloves, if applicable, and wash hands. 2. Be certain resident is comfortable and in good alignment. Use proper body mechanics. 3. Lower bed height and position side rails as appropriate. 4. Place call light and water within patients reach. 5. Ask resident if anything else is needed. 6. THANK RESIDENT. 7. Remove supplies and clean equipment according to facility procedure. 8. Open curtains, drapes and door according to residents wishes. 9. Perform a safety check of resident and environment. 10. REPORT unexpected findings to nurse. 11. DOCUMENT procedures according to facility procedure.
when turning the resident to the chair or wheelchair, how far apart should your feet be
18 inches apart
how high is the BP cuff pumped up if the BP is KNOWN
20 mm/hg
how many fingers do you use to take a pulse
3
how long should a back rub last
3-5 minutes
What is semi-fowlers?
30-45 degrees
how many pillows are needed for lateral position
4
how far is catheter cleaned
4 inches
how many towels and washcloths are needed for a bed bath
4 towels 6 washcloths
What is Fowler's position?
45-60 degrees
how far ahead should the resident walk with the walker
6-10 inches
how long is a pulse taken for
60 seconds
what is offered after the residents hair is combed
a mirror
how tight should a gait belt be
a snug fit but not too restricting
what position should the bed be to sit on the edge of bed
adjust to lowest posistion
where is the thermometer placed for an axillary themp
armpit
where should a gait belt be placed
around the wait ontop of clothes, buckle is always in the front
how often are swabs changed for oral care on an unconscious patient
as much as i need
after sitting a resident up what do you ask
ask for dizziness
after checking for dizziness what is done next
assist with putting on shoes
at what pace should a resident be walked
at the residents pace
after calling for the nurse and staying with the resident, what 3 things should be done next during a seizure
place padding under head, loosen clothing along neck and note duration of seizure
if a resident is choking where should hands be placed in order to do abdominal thrusts
place your fist with thumb side against abdomen midway between waist and ribcage
how should a gown be removed
pull away from neck and shoulders, touching inside of gown only
how is the neck shaved with a safety razor
pull skim down and shave up
how is the face shaved with a safety razor
pull skin up and shave down
define PASS
pull the pin aim at base of fire squeeze the handle sweep back and forth
what vital sing is checked first when a resident falls
pulse and respiration
what is the normal rate for pulse and respirations
pulse- 60 - 100 respiration- 12- 20
what is done with s safety razor when it is done being used
put in sharps container
where is a thermometer placed for an oral temp
put on disposable sheath and place thermometer under the tongue and to one side
what is done to protect th eresidents head during moving them up to the head of the bed
put the pillow at the head so they dont hurt it
what happens to the 1st glove when it is removed
quickly ball up in hand
what 3 things are noticed about a pulse
rate, rhythm and force
what 3 things are noted for respirations
rate, rhythm and sound
define RACEF
remove resident activate fire alarm close doors and windows extinguish follow facility policies
how are tangles removed in hair
sectioning hair, brushing upwards from the bottom of hair
how are lower dentures removed
side to side
how is a wheelchair weight measured
subtract weight of wheelchair from the total
what position should a resident be in for a bed shampoo
supine
what 2 parts of the stethoscope are cleaned before using
the earpieces and diaphragm
when should a mask been worn
to help prevent pathogens
which teeth are brushed first or an alert and awake patient
top teeth then bottom
how is a resident in a wheelchair transported through an open door
transport resident forward looking for traffic
what areas need to be dried adequately
under breasts, between skin folds, perineal area and between toes
where are the pillows placed in lateral posistion
under head, under upper arm, behind the back and between the legs
where is hand placement for assisting sitting on bed
under shoulder blade and thighs
where is the placement of fingers to remove 2nd glove
under the cuff
how long are abdominal thrusts
until object is expelled
how are upper dentures removed
up and down
where does the resident put their hands on a transer to chair
upper arms
what is the normal range for an axillary temp
96.6 - 98.6
what is the normal range for an oral temp
97.6 - 99.6
how long should hands be washed
At least 20 seconds
for a 2 person life, where do people place their hands
back and forearm
what is done to a scale before weighing a new person
balence scale/ set back to 0
when assisting with a walker, how the the caregiver brace the walker
brace leg of walker with foot and place your hand on topof walker
what is the first thing you do if you find a resident on the floor
call nurse and stay with resident
how does a resident move the cane and the legs
cane forward 4-6 inches, use affected foot then unaffected foot
what should be done after applying gloves
check for tears and holes
how does the resident know when to move
count to 3
how is height measured if resident cant stand
flatten bed and place resident in supine position then put a mark on the sheet at the top of the head and another at the bottom of the feet
if wearing mask, when should gloves be removed
gloves must be removed before mask
when donning a gown what is put on first, gloves or gown
gown first because the gloves go over the gown wrist
where does the resident put their hands on the walker
grasp both arms of walker
where is hand placement of transferring to a chair
grasp gait belt on both sides
after turning the water on for a shower what should be done next
have the resident check the water
why is hot water not used while washing hands
hot water causes pores to open which may cause irritation
what are two things you should ask to determine if a resident is choking
if they can speak or cough
how high is the BP cuff pumped up if the BP is NOT known
inflate to 160 mm/hg
what is the position for a back rub
lateral
what position should teeth be brushed for an unconscious patient
lateral
if a resident has a catheter what is checked before providing perineal crae
leakage, secretions and irritation
what is done to a wheelchair upon reaching the destination
lock wheels
what strokes are used going up the spine
long
What is the supine position?
lying down, face up
what must the caregiver do to ensure safety during a transfer
make sure wheels are locked
how is a resident in a wheelchair moved through a closed door
move up to closed door, open door and back wheelchair through doorway
when transferring to a chair where is the chair placed
on residents unaffected side
where does a cna stand when walking a resident
on the affected side, you are the strong leg
where do you place your fingers to take a pulse
on thumb side of wrist
when can an electric razor not be used
pacemaker, oxygen and water POW
what is done with the extra lotion
pat it off with a towels
what is done to prepare the resident before placing the the axillary thermometer
remove residents sleeve from gown, wipe down armpit to make sure it is dry
in order to move a resident to a stretcher or shower bed, what position is the stretcher
same level as bed
what kind of strokes are used on upper arms/ shoulders
small circular
how is height mesured if resident has contractures
use a tape measure and follow the curves of the spine and legs measuring to the base of the heel
what can be added to make supine position more comfy
use supportive padding and/ or float heels
how is the beard or hair softened before using a safety razor
warm washcloth
what should idrty water in a bed shampoo go in
water basin
