CNA chapter 11-15 study guide #2

Something a NA should watch for when using warm and cold applications?

Excessive redness, pain, blisters, numbness.

How can a NA help control odors in a facility?

Promptly clean up after episodes of incontinence. Change incontinence briefs ASAP. Empty and clean bedpans, urinals, commodes, and emesis basins. Change soiled linens and clothing ASAP. Give regular oral care and personal care.

During a physical exam, a NA can help a resident by__________________________

Providing support during the process by being comforting and by listening and answering questions within the scope of practice.

Truths about pain?

Referred to as the fifth vital sign. Must be observed and reported carefully. It's uncomfortable. Can drain energy and hope. It's a personal experience. Not a normal part of aging. Can lead to withdrawal, depression, and isolation. Must be taken seriously.

What measures can help reduce pain?

Report complaints immediately. Position body in proper alignment. Assist in frequent changes. Gie back rubs. Give warm baths or showers. Assist to the bathroom or commode. Encourage slow, deep breathing. Provide a calm and quiet environment. Be patient, caring, gentle, and responsive.

Signs of unintended weight loss that should be reported?

Resident needs help eating or drinking. Resident eats less than 70% of meals served. Resident has mouth pain. Resident has dentures that don't fit properly. Resident has difficulty swallowing or chewing. Resident coughs or chokes while eating. Resident is sad, has crying spells, or withdrawals from others. Resident is confused, wanders, or paces.

True things about oral care?

Should be performed at least twice a day. Includes teeth, gums, tongue, flossing, caring for lips, and caring for dentures. Must wear gloves and follow Standard Precautions. Proper care can help prevent disease and bad breath. Also promotes a healthy appetite. People with oxygen and those taking certain medications need care more often.

The bedside stand is used for _______________________.

Storing smaller items such as water pitchers, cups, telephones, radio, photos, etc.

How will a NA measure the height of a resident who cannot get out of bed?

The NA makes a mark at the top of the resident's head and one at his feet and measures the distance between the marks.

What does the abbreviation NPO mean?

nothing by mouth

If a resident refuses to wear a clothing protector, the NA should _________________

respect the resident's wishes.

Blood pressure is measured by using a ________________________

stethoscope and blood pressure cuff (sphygmomanometer)

Oral care should be done at least ____ time(s) a day.

two

In which type of environment do microorganisms thrive?

warm, moist environments

When should sheets be changed?

whenever they are soiled, wrinkled, or damp

Before weighing a resident, the scale should be balanced at

zero

What is an appropriate way for an NA to refer to a resident's weakened side when assisting with dressing?

"weaker", "involved", or "affected"

What is the normal blood pressure range?

100-119/60-79

According to OBRA, what temperature range must a long-term care facility maintain?

71-81 F

Name types of dry applications.

Aquamatic K-pad (warm or cold), electric heating pad (warm), disposable warm packs (warm), ice bags (cold), disposable cold packs (cold)

At what angle should residents be positioned for eating?

As upright as possible.

Residents who are unconsious may still be able to ___________________________.

Aspirate

Residents who need some assistance with eating may benefit from ______________

Assistive or adaptive utensils

What describes a bed that is completely made, with the bedspread and blankets in place?

Bottom sheet free of wrinkles.If using a flat sheet, tuck in hospital corners. Bottom edges of the top sheet and blanket tucked under the bottom of the mattress. Top linens loosened over resident's feet.. Bed left in lowest position.

Reasons why a resident might be placed on a special diet?

Certain illnesses. Certain medications may interact with certain foods. Residents who do not eat enough may be placed on a special supplementary diet. Weight control and food allergies.

A sitz bath is used to

Clean perineal wounds and reduce inflammation and pain. Also increases circulation in the area.

When a resident is being discharged, a NA should______________________

Collect the resident's belongings and personal care items and pack them carefully. They should know the residen'ts condition at the time of discharge. They should remain positive and reassuring.

Symptoms of dysphagia?

Coughing during or after meals. Choking during meals. Dribbling saliva, food, or fluid from the mouth. Having food residue inside the mouth during and after meals. Gurling during or after meals or losing voice. Eating slowly. Avoiding eating. Spitting out pieces of food. Swallowing several times per mouthful. Etc. List on pg 273

Lack of seep can cause __________________________

Decreased mental function, reduced reaction time, and irritability. It also decreases immune system function.

What is true of helping a resident dress?

Follow the resident's preferences. Encourage them to wear regular clothes instead of night clothes. Let them dress as much as possible. Provide privacy.

How can cold applications benefit a person?

Help stop bleeding. They can prevent swelling, reduce pain, and bring down high fevers.

What should a NA do during a residen't's admission?

Identift yourself by name. Wash your hands. Explain the procude to the resident. Provide privacy. If part of the facility's policy, take measurements. Show the resident the room and explain controls. Introduce resident to their roommate. Make sure the resident is comfortable. Place call light within reach. Wash your hands. Document.

What is true of hair care?

It's an important part of cleanliness. Shampooing removes dirt, bacteria, oils, and other materials from the hair. You can shampoo in the sink, tub, or shower. For residents who can't get out of bed, you can use dry shampoo or a trough in the bed.

How can an NA best help with eating?

Only giving assistance as specified, when necessary, or when residents request it.

How can a NA help promote independence and dignity while assisting with grooming?

Let residents make as many choices as possible. Be sensitive. Remain professional and respectful with assistance.

What is a NA's responsibilty during an in-house transfer of a resident?

NAs help by packing the resident's belongings during a transfer. They should be available to answer any questions the resident has about the transfer. They should make the resident feel welcome, settled, and comfortable.

Why might a resident need emotional support during a physical exam?

The resident may fear what the examiner will do or find. Exams can cause discomfort and embarrassment.

Correct way to write a blood pressure reading?

The systolic reading on top and the diastolic reading on bottom (120/80)

What is the reason that new residents may have trouble adjusting to life in a care facility?

They might feel worried or scared because they have never known any other home. They might feel worried or depressed about moving into a new place filled with people they don't know.

Statements true of linens?

They should be changed after personal care procedures. Damp, wrinkled, or bunched sheets are uncomfortable . Microorganisms thrive in moist, warm places so wet linens encourage infection and disease. Sheets that don't lie flat may cause pressure ulcers because they cut off circulation.

What should be done with soiled bed linens?

They should be rolled up with the dirty side in. Never shaken. Bagged up promptly and placed in the proper container or area immediately.

Ways to prevent aspiration during oral care of unconscious residents include________________

Use as little liquid as possible. Turn them on their sides before performing care. Only swabs soaked in small amounts of fluid should be used to clean the mouth.

When serving meal trays, the NA should ________________

Wash your hands. Identify the residents before serving. Check tray closely for the correct food and beverages. Serve all residents at one table before moving to another one. Prepare food based on the needs of the resident (cut food, open cartons, etc)

During what procedures should a NA wear gloves?

bathing, perineal care, toileting, mouth care, shampooing and combing the hair, nail care, shaving, dressing, eating, walking, and transferring.

In which position is the resident placed for examination of the breasts, chest, and abdomen?

dorsal recumbent

Hypertensian is the medical term for ______________

high blood pressure

Baseline vital signs are ____________

initial values that can be compared to future measurements