CNA Exam Chapters 11-15

Draw sheet:

Placed under someone who is unable to assist with turning, lifting, or moving up in bed.

During a physical exam, the NA can help the resident by?

Providing support.

What is the most accurate way to take a temp?

Rectal

Axillary

Relating to armpit.

Tympanic

Relating to ear drum.

Conditions that can cause pressure ulcers:

Restricted mobility.

Trochanter roll:

Rolled towels or blankets used to keep hips and legs from turning outward.

Trendelenburg

Semi sitting Fowler's Position.

What position helps prevent aspiration?

Sitting at a 90-degree angle.

Examples of plant-based proteins:

Beans, peas, and soy products.

NAs duties with tube feeding?

-Assemble equipment and give to nurse. -Position resident for feeding. -Discard and clean used equipment and supplies. -Observe, report, and document.

How can an NA help control odors?

-Change soiled briefs and dispose properly. -Promptly clean after episodes of incontinence. -Empty and clean bedpans, urinals, comodes, and emesis basins promptly. -Change soiled bed and clothes ASAP. -Give regular oral and personal care.

What you can do during discharge?

-Collecting the resident's belongings and packing them. -Be positive and reassuring.

Lack of sleep can cause:

-Decreased mental function, reduced reaction time, and irritability. -Decreases immune system function.

Why may a resident have trouble adjusting to life in a care facility?

-He may be used to loving alone. -Worried or scared at the new atmosphere. -Angry or depressed about moving somewhere and with people he doesn't know. -It'll be so different from what they are used to.

Color code for oral and rectal temp:

-Oral- green or blue. -Rectal- red.

Your responsibilities during resident's admission?

-Prepare their room. -Note the time and their condition. -Introduce yourself and your position. -Never rush the process. -Explain day-to-day life and give a tour. -Handle personal items. -Put items where they want them. -Observe the resident during this time.

Types of disposable equipment:

-Razors -Nitrile gloves.

First signs of skin breakdown:

-Skin is intact, but may look red. -Partial-thickness skin loss. -Full-thickness skin loss. -Full-thickness skin loss through out all layers of skin.

What is a bedside table used for?

-Storing items. (Wash basins, emesis basin, soap and dish, bath blanket, toilet paper, personal hygiene items.) -To set water pitcher on.

What does sleep do for the body?

-The mind and body's energy restored. -Vital functions performed repairing and renewing cells, processing information, and organizing memory.

How do you handle dirty linens?

-With gloves. -Hold away from you and place in proper container.

Formula: ounces to mLs

1 oz = 30 mL 1/4 Cup = 60 mL 1/2 Cup = 120 mL 1 Cup = 240 mL

When should you change the sheets?

After personal care procedures. (Bed baths, or when damped, soiled, or in need of straightening.)

Reposition every (?) hours for immobile resident.

2

Normal pulse rate:

60 to 100 beats per minute (bpm).

Rectal

Buttocks area.

What areas are at a higher risk of skin breakdown?

Elbows, shoulder blades, the butt, hips, and knees, ankles, heels, toes, and back of head.

What do you wash every day?

Face, hands, underarms, and perineum.

Why and when do you use a rectal temp?

For resident's who are unconscious, residents with poorly fitting dentures or missing teeth, and anyone having trouble breathing through their nose.

USDA MyPlate icon:

Fruits, grains, protein, vegetables, and diary.

Benefits of a well-balanced diet:

Helps the body grow new cells, maintain normal body functions, and have energy for activities.

What do you do before weighing a resident?

Identify yourself, the resident, and wash your hands.

Baseline Vital Signs

Initial values that can then be compared to future measurements.

Most common place to take a pulse?

Inside the wrist. The radial artery.

Hand roll:

Items that keep the hand and/or fingers in a normal position.

How do nursing assistants enter a room?

Knock and wait to receive permission to enter.

What does an NA do before leaving a room?

Make sure Call Light is within reach.

Why might a resident be afraid during an exam?

May fear what the examiner will do or what he or she will find.

What can an overbed table be used for?

Meals and personal care ONLY!

Good source of protein:

Meat, seafood, eggs.

Nutritional problems of elderly:

Metabolism slows, loss of vision, weakened senses of smell and taste, less saliva, digestion takes longer, poor dental health making chewing difficult.

Oral

Mouth, teeth, and gums.

What information is on a diet card?

Name, special diets, allergies, likes and dislikes, and other dietary instructions.

Tympanic thermometer is inserted in the ear how far?

One-quarter to one-half an inch.

What nutrient is most essential for life?

Water.

When do you not take an oral temp?

Unconscious, had (recently) facial or oral surgery, younger than 5, confused/disoriented, heavily sedated, likely to have seizure, coughing, using oxygen, facial paralysis, injury to face/neck, has sores, redness, swelling, or pain in mouth, has a feeding tube.

Dorsal recumbent

Used to examine the breast, chest, abdomen, and perineal area. Flat on back with knees flexed and feet flat on bed, drape covering body.

Knee-chest

Used to examine the rectum or vagina. Lying on their abdomen, knees pulled towards abdomen, legs separated, arms pulled up and flexed, head turned to one side.

Lithotomy

Used to examine the vagina. Lies on back, hips brought to the edge of the table, legs flexed, feet in stirrups, drape over resident.

Bed cradle:

Used to keep the bed covers from resting on legs and feet.

How do you measure a bedbound resident?

Using a tape measure and making two pencil marks on the sheet sheet that is underneath the resident.