Lesson 12 CNA

Personal care?

- Evaluate patients needs -Gather equipment, observations, skill -reporting

Oral care?

-Brushing teeth -Denture care

Safety guidelines for bathing?

-Using grab bars -Keeping the bathing supplies within reach -Keeping the floor dry -Using non-slip mats

Aging and hygiene?

1. Eyesight becomes less sharp 2. Hands may tremble 3. Activities take effort and energy 4. Clothes may be soiled 5. Hair may be unkempt 6. Teeth are not brushed 7. Clothing put on inapporpriately

Number the parts of the body in the order in which they should be bathed?

1. eyes 2. face 3. ears 4. neck 5. arms, axillae, and hands 6. chest and abdomen 7. legs and feet 8. back 9. perineal care 10. buttocks

Additive?

A substance added to another substance, changing its effect

Plaque?

A substance that accumulates on the teeth from food and bacteria

Bridge?

A type of dental appliance that replaces missing or pulled teeth.

When to give a tub bath?

Able to transfer into and out of the tub and has a doctor's order

Dentures?

Artificial teeth

Halitosis?

Bad breath

Partial bath?

Bath that includes washing the face, underarms, hands, and perineal area

A type of dental appliance that replaces missing or pulled teeth?

Bridge

To shampoo hair for a resident on a stretcher the nursing assistant should?

Bring the stretcher to the sink and adjust the height of the stretcher.

What kind of equipment is used to help a resident into a whirlpool bath?

Chair lift

Dentures that are left uncovered can warp, dry out, or do this?

Crack

Things to remember when cutting a persons nails?

Cut straight across

A labeled one of these may be used to store dentures?

Denture cup

Artificial teeth?

Dentures

What should you never do?

Do not recap razors after use

Things to remember about cutting a diabetic patients toenails?

Don't cut

When a person's dentures break, he can no longer do this?

Eat

A safety razor is the safest and easiest razor to use?

Electric razor

If someone is unconscious how often should you brush their teeth?

Every 2 hours

Dandruff?

Excessive shedding of dead skin cells from the scalp.

A NA should style a resident's hair childishly?

False

A NA should trim a residents hair when it's too long or if it becomes matted?

False

All facilities allow NA's to clip residents toenails regularly?

False

All residents need to be shaved?

False

All residents will be bathed in the morning after they wake up?

False

Appearance has very little to do with how people feel about themselves?

False

Back rubs need to be given to all residents?

False

Bras that fasten in the back are easier for female residents to manage by themselves?

False

Helping residents with their activities of daily living is outside of a nursing assistant's scope of practice?

False

It is inappropriate for an NA to give a resident a back rub?

False

Lice do not typically spread very quickly?

False

Most residents who have roommates will share their combs and brushes with each other?

False

Red areas over bony parts of the body should be massaged using long, smooth strokes.

False

Residents should be left alone during bathing to promote independence?

False

The NA will make all the decisions about how to groom a resident?

False

The nursing assistant should insist that residents brush their teeth before eating breakfast?

False

The nursing assistant should let the resident know that he is allowed to use the toilet for only a few minutes?

False

The nursing assistant should perform as much personal care as possible for the resident so that the resident does not become frustrated?

False

The position that is most comfortable for elderly people is lying on their stomachs (prone)?

False

To promote comfort and better sleep, residents should wear pajamas all day long?

False

Grooming is the term to describe practices to keep the body clean, while hygiene includes practices like fingernail, foot, and hair care?

False (switch it)

What must be worn by the NA when cleaning dentures?

Gloves

Tartar?

Hard deposits on the teeth

Residents who are unconscious may still be able to?

Hear

General hygiene?

Helps to maintain a positive self-image and supports good health.

Temperature of water that can warp dentures?

Hot

Pediculosis?

Infestation of lice

Gingivitis?

Inflammation of the gums

What opportunity does bathing a resident give the nursing assistant?

It allows the nursing assistant to observe the skin and report changes.

Edentulous?

Lacking teeth

Water temperature for denture storage?

Moderate

NPO is?

Nothing by mouth

When is a partial bath performed?

On days when a complete bed bath, tub bath, or shower isn't done

Four basic types of baths?

Partial bath, shower, tub, bed bath

What should be washed everyday?

Perineal care

Grooming?

Practices to care for oneself, such as caring for fingernails and hair

Hygiene?

Practices to keep the body clean

How is the decision made about which kind of bath a resident will receive?

Rests first with doctor or nurse, then with the resident.

When do you give a partial bath?

Sensitive skin, unable to shower or tub bath, wants a quick bath before a meal and plans to bathe later.

Edema?

Swelling

What is true of performing eye care for an unconscious resident?

The NA should use gloves when bathing the eye.

Aspiration is?

The inhalation of food, fluid, or foreign material into the lungs

Why does mouth care need to be done frequently for residents who are unconscious?

The mouth becomes dry due to a lack of fluid, breathing through the mouth, and oxygen therapy.

A NA must always wear gloves when shaving a resident?

True

Back rubs help relax muscles and improve circulation?

True

Disposable shaving products should be discarded in the biohazard container for sharps?

True

Fingernails can collect and harbor microorganisms?

True

Hair typically thins as a person ages?

True

If a resident has one side of the body that is weaker than the other, the NA should refer to the weaker side as the involved side?

True

Regular grooming helps keep a person clean and healthy?

True

Residents have the right to choose what they want to wear, including jewelry?

True

Residents may be embarrassed by having someone else provide personal care?

True

The nursing assistant should keep residents covered as much as possible when bathing and dressing them?

True

When dressing a resident who has a weaker side of the body, the NA should refer to that side as the involved side?

True

When helping a resident PUT ON clothes you should begin with the weaker side?

True

When helping a resident UNDRESS, the NA should begin with the stronger side?

True

When to give a bed bath?

Unable to get out of bed to shower or bathe

Axilla?

Underarm or armpit area

One way to prevent aspiration is to?

Use as little liquid as possible during mouth care

When performing perineal care, what is important to remember?

Using a clean area of the cloth for each stroke.

Why would a patient feel dizzy in the shower or bathtub?

Vasodilation (blood vessels become larger)

The general rule for the order if washing body parts during bathing?

Wash from cleanest to dirtiest.

When to give a shower?

When a resident is able to stand and sit safely in the shower chair.

Comatose patient?

unconscious