CNA Important Info

A nursing assistant happens to witness a patient fall and is asked to document what happened. Which of the following statements is written correctly for legal documentation?

"The patient slipped and slid down the side of the bed to the floor, landing on their sacrum."

A client is to be assisted out of bed to sit in a wheelchair. How can this procedure be made safe?

- Client safety during transfer begins with the bed in the lowest position. - This allows the client to easily reach the floor when standing and pivoting to sit in the wheelchair. - The brakes of the wheelchair should be locked and the footrests completely out of the way.

Stool:

- The nurse aide should report to the nurse any abnormal stools. Carefully observe the color, amount, consistency, odor, shape, size, frequency of defecation, and complaints of pain.

Perenial care:

-To decrease the risk for infection, wash the penis from the tip the base to reduce the risk for introducing microorganisms into the urethral meatus. - Effective cleaning requires soap and thorough rinsing. - It's also essential to remove secretions that accumulate under the foreskin because they can lead to inflammation and are associated with the development of penile cancer. - The foreskin of uncircumcised men must be retracted for cleaning, then replaced to prevent paraphimosis (capistration).

For most residents, the range of normal respiration is

12-20 respirations per minute.

To convert four ounces (oz) of liquid to milliliters (mL), the nurse aide should multiply 4 by

30 ml. 30ml = 1oz

Choose the observation that should be reported to the nurse STAT. - Temperature of 98.9 degrees F. - A pulse of 72. - 32 respirations per minute. - Blood pressure of 102 over 75

32 respirations per minute. (slightly too fast)

Normal pulse

60-100 bpm

Clean bed linen placed in a client's room but NOT used should be

put into the dirty linen container. Once linen is in a patients room it is no longer considered clean.

To be sure that a client's weight is measured accurately, the client should be weighed

at the same time of day.

What is the FIRST thing a nurse aide should do when finding an unresponsive client?

call for help

The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients?

requires facilities to help their residents achieve their highest points of physical, psychological, and mental functioning, as well as make choices about their lives.

What is hypoxia?

deficiency in the amount of oxygen reaching the tissues.

The nursing assistant speaks with the nursing facility's ombudsman. The role of this position is to:

investigate residents' complaints and bring them to the attention of the correct authorities.

muscle atrophy

loss of muscle bulk due to muscle disease, nervous system disease, age, or lack of use; commonly called muscle wasting

Signs and symptoms of shock may include

low blood pressure; tachycardia; and clammy, pale skin

Hypoglycemia

low blood sugar. sweating, confusion, and tremors are symptoms

Hepatitis B virus

virus that causes inflammation of the liver; transmitted through any body fluid, including vaginal secretions, semen, and blood

oral temperature

For persons age 11 and up, fever is considered a temperature higher than 38 degrees C (100.4°F).

Which of the following is the most comfortable position for a client with a respiratory problem?

Fowlers

What is the difference between Sims position and left lateral position?

In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.

Which of the following diseases does not require airborne precautions?

MRSA. MRSA is a disease transmitted by skin-to-skin contact. It does not require airborne or droplet precautions.

Hypotension

abnormally low blood pressure, if reading is less than 90/60

The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported?

Emesis. - Emesis (vomiting) in the diabetic client can indicate a potential for blood sugar imbalance.

Early signs for hypoxia include:

Restlessness, dizziness, and disorientation.

During a bath, the three most important things for the resident are:

Safety, security, and privacy.

It would be inappropriate to utilize an alcohol-based hand sanitizer in which of the following situations?

The nursing assistant's hands are visibly soiled.

The nursing assistant overhears the nurse say to the patient that he has a "bulging tympanic membrane." What does this most likely mean?

The patient has an ear infection.

Hypertension

high blood pressure

Signs of poor circulation include

paleness, cold skin, and edema

Hemiplegia:

paralysis of one side of the body

Insulin, a hormone, regulates

the amount of sugar in the blood

enema

the placement of a solution into the rectum and colon to empty the lower intestine through bowel activity

Peristalsis:

the process of wave-like muscle contractions of the alimentary tract that moves food along

In the Nursing Care Plan, you note that it is written, "O2 per N/C @3L, Orthopnea pos. as needed". As a CNA, you know that this means which of the following?

the resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowlers Position.