Chapter 10 cna

What is a draw sheet ?

An extra sheet placed on top of the bottom sheet when the bed is made; used for moving residents

List guidelines for using proper body mechanics .

Assess the load, Think ahead, plan, and communicate the move, Check your base of support and be sure you have firm footing, Face what you are lifting, Keep your back straight, Begin in a squatting position and lift with your legs, Tighten your stomach muscles when beginning to lift, Keep the object close to your body, Push when possible, rather than lifting

How often should residents who are bed bound be repositioned ?

At minimum every 2 hours

List five guidelines for using a mechanical lift

Be careful, have another person assist you when transferring a resident with these lifts, Keep the chair/wheelchair to which the resident is to be moved close to be, so the resident will only move a short distance in the lift., Check that the valves are working on the lift before using it., Check the sling and straps for any fraying or tears, Open the legs of the stand to the widest position before helping the resident into the lift.

resident can bearing can be used when a Which type of assistive device for walk no weight on one leg - cane , walker , or crutches ?

Crutches

In which position is a resident in a semi sitting position ( 45 to 60 degrees ) with the head and shoulders elevated ?

Fowler's

Lateral

Laying on either side

Before helping a resident into or out of a wheelchair , what should a nursing assistant do ?

Lock the wheelchair

Prone

Lying face down

Sims'

Lying on left side of the

Which side should a nursing assistant stand near when a resident is using assistive equip ment - the weaker or stronger side ?

On the weaker side

lying on his In which position is a resident on his stomach ?

Prone

In which position is a resident lying on his left side with the lower arm behind the back and the upper knee flexed and raised toward the chest ?

Sims position

When may stretchers be used for residents ?

Stretchers may be used for serious injuries and illnesses and/or when a person cannot or should not walk but need to be transported somewhere

If a resident has a weaker side, which side should move first in a transfer - the weaker or stronger side ?

Stronger side

What is one benefit of using the toilet rather than a bedpan or urinal ?

The bladder empties more efficiently when a person is able to use the toilet

ergonomic

The science of designing equipment.

Describe how a transfer belt is applied .

The transfer belt is placed over the resident's clothing and around the waist. The buckle is tightened until it is snug. Then the buckle is positioned slightly off-center in the front or back for comfort.

How does dangling benefit a resident ?

This helps resident regain balance before standing up and allows blood pressure to stabilize. Especially useful for residents who are unable to walk.

Dangle

To sit up in side of the bed with

When is logrolling necessary ?

When turning residents' that have neck or back problems, spinal cord injuries, or back or hip surgeries. These residents' require that their spinal columns are kept in alignment.

Walker

a device used to assist with walking

Transfer belts

a safety device used to transfer residents who are weak, unsteady, or uncoordinated

C cane

a straight cane with a curved handle at the top

Slide board

a wooden board that helps transfer people who are unable to bear weight on their legs; also called a transfer board.

Functional grip cane

cane that has a straight grip handle

Quad cane

cane that has four rubber-tipped feet and a rectangular base.

How many feet does a quad cane have ?

four

What is the purpose of canes ?

help with balance

What is positioning ?

helping residents into positions that promote comfort and good health

In which position is a resident lying on his side ?

lateral

Supine

lying on the back

Logrolling

moving a person as a unit, without disturbing the alignment of the body

What is shearing ?

rubbing or friction resulting from the skin moving one way and the bone underneath it remaining fixed or moving in the opposite direction

Fowler's position

semi-sitting position

In which position is a resident lying flat on his back ?

supine

Define ambulation .

the act of walking