138 terms

cna notes chpt 28-42

Bathing dressing, and eating are all activities of daily living?
Chronic conditions associated with agin rarely result in a loss of independence?
PhysIcal strenth and agility and assistive devices are areas in which a nursing assistant can help a resident become more independent?
Residents who no longer believe they can do anything for themselves have a condition know as?
Learned helplessness
When dealing with dependent residents, it is helpful if the nursing assistant?
Encourages the residents to do task they are able to do
Special training includes finding other crative ways to accomplish a tassk.
Few assistive devices are available to help dependent residents accomplish otherwise impossible tasks.
Adaptive equipment enables residents to preform bodily functions they
Would otherwise be unable to do
Mr. Lowery is suffering from Alzheimer's disease. How should the nursing assistant care for her.
Be patient and consistent
When trying to help an uncooperative resident, it is best to be firm but pleasant
Long term care facilities do not need to hire an activity coordinator
The activity coordinator is respomsible for recreational and social program in a long-term care facility
Arts and crafts, movies and exercise classes are some of the recreational and social activities offered by a long-term care
It may be the nursing assistant's responsibility to keep the resident informed of current activitie and their dates, times, and locations.
The nursing assistant should not do one of the folllowing things. WHich?
Force the resident to try a new activity
residents who are confined to their eds have the same social and recreational needs as more active residents.
WHen residents are confined to bed, they are unable to take part in activiities.
Since confused residents are unable to concentrate for very long, they dont really need social ctivities
Who is the most familiar staff member for the confused resident.
Nursing Assistant
Recrecational and social activities in a long term care facility are so an important part of a resident's care plan
Mrs. Daniels, a resident, is orgetful and sometimes leaves her gold wedding band on the nightstand in her room. What is appropriate for the nursing assistant
Put it in the safe in a marked envelope
Perdonal belongings should be clearly marked with the resident's name and room number
Who is responsible for cleaning and caring for a residents prosthesis
Nursing Assistant
When a resident has an artificial limb, why shoud a stump sock be worn?
To prevent swelling
Artificial eye should be removed at bedtime and placed in a container of contact lens solution
Before reinserting Mrs. Donley's contact lenses, what action should the nursing assistant take
Clean and rinse them
Whie cleaning eyeglasses, the nurse asistant should inspect them for loose or broken parts
Mrs. Murphy has trouble hearing and wears a hearing aid. What are the nursing asistant responsibilities towards care of the hearing aid
Report the need for repairs or batteries
When not in use, a hearing aid shoud be be stored
In a marked container
Ambulation devices refers to artificial limbs
You should be safety conscious mainly
At all times
The most common hazards facing residents are
Slips and falls
If you see something that does'nt belong on a corridor floor
Pick it ip immediately
If you find someone who has fallen you should
Do not move her before she is check for injuries
to pull out an electrical plug you shuld pull by
The plug only
pure oyygen causes a fire to burn faster than room air
Paper wood and cloth
A resident's belongingd should be stored
within easy reach
If you find an unlabeled container of liquid, you should
Properly dispose of it immediately
The lettter R in the memory aid for fire stands for
Where is the center of gravity
HIp for female and shoulders for men
When lifting heavy objects carry them as far away from the body as possible
The rules of good sitting posture state that you should keep your feet flt on the floor and your knees ankles and hips at right ankles
When moving a heavy object by yourself, what you should do
Pull it or roll it
Your resident, Mrs. Stone, must be turned in bed without bending her ankles, knees, or hips. The technique you should use is called
Log -rollling
When moving a resident in bed, you should not encourage him or her to assist with the move
When lifting and moving residents, always explain to them what you are going to do
When moving a resident with a lift sheet
Roll on the lift sheet as close as possible to th residents body
IN a pivot transfer of a partially paralyzed resident from bed to wheelchair
Position the wheelchair on the resident's nonparalyzed side
The technique for lifting, moving and transfering residents require a lot of practice by the nursing assistant in order to be done properly and easily.
Leg and back braces are worn to limit or assist in movement
When a resident wears a leg or back brace, what should the nursing asistant routinely do
Check the skin under the brace for signs of irritation
Mr. Wilson is very weak and has trouble supporting himself for long. Which type of walker is he most likely to use
Wheeled walker
Mrs. Mills is anxious about ambulating. How can the nursing asistant aid her
Encourage her to set goals and move toward them
Ambulation is beneficial to a residnet because it strengthens muscles and improves circulation, as well as improving self-esteem
Where is a gait belt worn
Around the residents waist
WHen assisting a resident with some paralysis to stand, you should stand either in front of the resident or on the unafected (strong) side
The resident should wear light slippers when walking
It's okay to lift a resident from the floor by yourself
Every employee in a long-term care facility is responsible for the safety of every resident
WHich of the following is true about side rails
INstructions on when to use side rails should be in each residents chart
Few residents in long-term care facilities use wheelchair
The cane is used on which side of the residents body
The weak side
If a resident needs to decrease the weight supported by one or both legs, what should he or she use
Restraints can be used
To protect the resident, under physician order
A vest support
Provides postural support
Application of restraints is considered the last resort-used to protect the resident, or to prevent him or her from harming others
An alternative to restraints is
Constantly observing the resident
UNder which of these conditions should the nuring assistants report to the charge nurse the possible need for a postural support
When a resident cannot sit upright and keeps falling out of the wheel chair
Long periods of inactivity can cause bodily changes which may prevent future movement
What are contractures
Abnormally shortened muscles
What is the name of the procedure in which a nursing assistant helps a residnet perform exercises at many body joints
Passage range of motion
In doing range of motion excercises, you should start with the fet and work your way up the body to the head
To prevent pneumonia, the nursing asistant can encourage the resident to
Do deep breathing andd coughing
Which of the following reduces constipation
Eating more cereals, fruits, and vegetables
The purpose of range of motion exercises is to decrease activity and movement
When a resident is in bed for long periods, uninry infections may result
What can the nursing asistant do to help a resident prevent urinary problems
Increase the residents fluid intake
Lying in one position for long periods of time increases on bony areas of the body, sometimes resulting in pressure sores
Decubitus ulcers, or pressure sores, develp when a resident sits or lies in one position for too long
The body areas most likely to develop pressure sores are
WHere bones are near the skin
Residents at particularly high risk for developing pressure ulcers are those who are immoble
When do air, water or gel mattresses and cushions do
Provide cushioning, air nd light pressure relief
IN what position do immobile, bed-restricted residents spend most of their time
What is the first sign of a beginnning bedsores
Redness or darkened area
What can a nursing assistant do to prevent the resident from getting pressure ulcers
tKeep bedding wrinkle free
Lying on either side is recommended for bedridden residents
It is easier to prevent pressure ulcers than it is to heal them
Immobile residnets should be repositioned at least every two hours
Why arent wrinkles acceptable in bedding
They can cause pressure sores and they make the resident uncomfortable
How can the nursing asistant prevent pressure on the resident's toes from the bed covers
Form a toe pleat across the foot of the bed
The proper step to begin making an unoccupled bed is
Obtain clean linen
When making an occupied bed, always put the side rail up on the side opposite you
The pillow should be removed from under the resident's head when making an occupied bed
A back rub may be ordered when changing the position of immoblize residents to increase circulation and comfort
One advantage of a back rub is
It increase circulation
When giving the resident a back rub, in what order should the procedure be done
Wash your hands, apply lotion, pat resident's back with with a towel
Cleansing the perineal area between showers or bath
Helps prevent irritation and infection
Perineal care is especially important for incontinent residents
Bathing is important because it restores cleanliness, stimulates circulation, and provides movement and exercise
The nursing assistant is responsible for bathing the resident who is confined to bed
OLder residnets are usually given a complete bath no more than once a week
The temperature of the bath water should be about
105 degrees
A residentt should never be asked to check the temperature of the bath water
It is important to protect the resident's privacy when bathing by pulling the curtains or closing the door
Mrs Olsen needs a bath but cannot leave the bed. The nursing asistant should
Provide a full bed bath
Genital areas should be washed from side to side to avoid infection
The different ways to bathe a resident are the complete bed bath, partial bed bath, tub, and shower
When bathing a resident, the nursing assistant should
Look for rashes, bruises, and broken skin
Mrs Smith has a nasogastric tube. What is most important to remember in assisting her with oral hygiene
It should be done every two hour
Residents who wear dentures should take good care of their mouth and gums as well as their dentures
What kind of toothbrush is recommended for residents
A junior-sized soft bristled brush
You should trim the toenails of residents regularly
Mr.Leslie has a cast on his left arm and he is unable to dress or undress himself. In helping Mr :Leslie dress, what procedure should the nursing assistant follow
Dress Mr. Leslie's left side first
It is recommended that mouthwash be used full strength
The nursing assistnt should inspect the resident's mouth, teeth, gums, and tonguefor changes or signs of injury
Mr stanley owns a electric razor. Are there any restictions regarding shaving with his electric razor
1 only safety razors may be used, 2. It can only be used by the nursing asistant 3. It may never be used if he or his roommate is using oxygen
For older residents hair care becomes unimportant and you can ignore it
If the nursing asistant nicks the resident while shaving it should be reported
SIgns of impaired circulation of a bandaged limb include swelling, pain and change in the skin color
What is the most common type of dressing
The nursing assistant is responsible for applying sterelr dressings to open wounds
Tape should be applied parallel to a joint
How many pairs of gloved are necessary to change a dressing
When applying a dressing
Place the used dressing in an infectious waste bag
When applying a elastic bandages
Begin wrapping the part of the limb farthest from the heart
Elastic bandages must be removed at least every 8 hours
Dressing are used to protect the skin from drying out around a wound
A wrapping limb should be observed for signs of impaired circulation an d swelling
An intrvenous infusion (IV) is used to
Put fluid into a resident's vein
Setting up n intravenous infusion is the nursing assistnt's responsibility
If a resident's skin near am IV needle is red or swollen.You should
Tell the charge nurse
If you help change the clothing of a resident on an IV it is okay to detach the tubing briefly
If an IV bab or bottle is nearly empy you should
Tell the charge nurse
An IV bottle must always be
Above the resident
If you are helping replace a gown on a peron with an IV , which arm of the gown do yu remove first?
The arm without th IV
Tube feeding is done thrugh a tube inserted thrugh the residents nose or
A surgical incision into the stomach
If a resident moves nd causes a kink in an IV tube you should immediatley inform the charge nurse
If a resident moves and cause a kink in a feeding tube, you should immediately inform the charge nurse