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CNA- Block 1
Terms in this set (64)
The temperature scale on which water freezes at 32 degrees and boils at 212 degrees
temperature is often lower int he morning and higher in the afternoon/evening
Factors that affect a person's vital signs:
-Time of day
-Illness or medical conditions
-Weight of patient/resident
-Age / Gender
Recording vital sign order:
measured by listening over the apex (lower tip) of the heart with a stethescope
breathe out air from the lungs in a deliberate manner
temperature measurement on the temple or forehead
-Follow specific instructions
-Maintain direct contact with skin
Rectal: route and procedure
a. Most accurate route
b. Inappropriate if the resident has bleeding hemorrhoids, diarrhea, or is combative. Most
frequently used for infants and toddlers, not adults.
-Leave in place until it beeps.
-Lubricate thermometer and insert 1/2-1 inch (do not let go of thermometer or plastic sheath).
-Privacy is important. Expose only the buttock/anus.
-Thermometer has a stubby tip, red in color
-Patient position is Sims' or Left Lateral
100/60 or lower
Blood pressure (BP)
the pressure of the blood in the circulatory system, often measured for diagnosis since it is closely related to the force and rate of the heartbeat and the diameter and elasticity of the arterial walls
measured in mm of mercury (mmHg)
Factors that can increase blood pressure:
aging, exercise, physical or emotional stress, pain, medications, and the volume of blood in circulation
instruments for listening to the action of someone's heart or breathing
Students in the state of Utah must demonstrate competency in Nursing Assistant-related knowledge in this exam offered by the UNAR to obtain certification.
second measurement of blood pressure, phase when the heart relaxes or rests
1. last beat you hear
2. bottom number
3. pressure when the heart is resting and the chambers are filling with blood
4. normal is below 80 mmHg at rest
the process of breathing air into the lungs and exhaling air out of the lungs 12-20/min
-resident must not be talking to get the most accurate count
-they tend to change breathing pattern if they know you are counting their respirations (go more rapidly)
-if rate is abnormal take respirations for a full minute
How often do you need to renew a NA certification?
every two years
Department of Health (DOH)
is a department of the U.S. federal government and the state with the goal of protecting the health of all Americans and providing essential human services
first measurement of blood pressure; phase when the heart is at work, contracting and pushing the blood from the left ventricle of the heart
1. first beat you will hear
2. top number in taking BP
3. contraction phase of the heart
4. normal range below 120mmHg at rest
includes names of persons who have abused, neglected, exploited or misappropriated the property of vulnerable adults
are temperature-sensing instruments that are easily portable, have permanent probes, and a convenient digital display
is the major blood vessel of the (upper) arm
relating to, conforming to, or having a thermometric scale on which the interval between the freezing point of water and the boiling point of water is divided into 100 degrees
a. Inappropriate if the resident has an ear infection
b. Has fewer microbes than the mouth or rectum
-Place new probe cover on.
-Pull up and back on the ear and insert the probe into the ear canal
-Only takes a few seconds
Inappropriate to take oral temperature if resident is:
1. Is unconscious
2. Has recently had facial or oral surgery
3. Is younger than 5 years old
4. Is confused or disoriented
5. Is heavily sedated
6. Is likely to have a seizure
7. Is coughing
8. Is using oxygen
9. Has facial paralysis
10. Has a nasogastric tube (feeding tube inserted through the nose)
11. Has sores, redness, swelling, or pain in the mouth
11. Has an injury to the face or neck
make sure to wait 15-30 minutes after they have eaten something cold/hot or has just smoked.
Oral procedure for temperature:
a. Leave in place until it beeps.
b. Place under tongue.
c. Thermometer has blue, clear, or green tip
For digital thermometer do it until the machine beeps
For glass wait 5-10 minutes
physical suffering or discomfort caused by illness or injury
not even or regular in shape or pattern
high blood pressure, measuring 130/80 or higher
artery at wrist where the pulse can be felt
The rhythmical throbbing caused by the regular contraction and alternate expansion of an artery.
60-100 beats per minute
factors affecting pulse:
Students in the state of Utah must pass this practical assessment offered by the UNAR intended to measure a test-taker's competence in specific Nursing Assistant-related skills
an inflatable rubber cuff that is applied to the arm enabling the determination of systolic and diastolic blood pressure; blood pressure cuff
a. Least accurate
b. Useful only if all other alternatives are inappropriate
c. Wait 15 minutes if the resident has just bathed.
-Leave in place for 10 minutes if glass, or until it beeps if digital
-Skin to skin and must be dry
-Cover the thermometer
-Thermometer has blue, clear, or green tip
-Is held in place by bringing the person's arm over the chest
How long is an approved Nurse Assistant program in utah?
I will perform best on the exams if I take them within three months of completing the program. T/F
In order to be certified, a nurse assistant candidate must successfully complete an approved Nurse Assistant Program. T/F
In order to be certified, a Nurse Assistant Candidate must pass three state exams
In order to be certified, a Nurse Assistant Candidate must: learn 70+ skills and test on 22 skills T/F
In order to be certified, a Nurse Assistant Candidate must attend at least 32 hours in a clinical setting
The name of the testing organization for CNAs in Utah is Utah Nursing Assistant Registry. T/F
To become a CNA after the course, I will need to complete my tests within one year after I complete my program. T/F
I will have three attempts to pass the knowledge and skills examination with UNAR T/F
There are serious consequences for misconduct in the treatment of patients/clients/residents. One consequence for misconduct is: permanent loss of certification. T/F
Certification as a CNA is good for two years. T/F
A renewal notice will be MAILED to me so I must keep my address current with the UNAR.
Certifications expire at the end of the month of issue
In order to renew I must have completed 500 paid hours of nursing assistant related work T/F
Volunteer hours may also count toward my renewal hours T/F
Paid hours worked out of state can count toward my renewal hours T/F
Anyone over the age of 18 can sign off on the 200 hours necessary for renewal T/F
I can only mail the renewal form to the UNAR - it can't be emailed T/F
Missing a shift without notice or a good reason can be considered abandonment T/F
The abuse registry keeps track of CNAs who had had a substantiated allegation of abuse, neglect or misappropriation of property as determined by the Department of Health
There are 75 questions on the state knowledge exam T/F
I will be tested on 22 skills by the state T/F
The Test Prep Courses are included with my CNA program
Body temperatures (most effective to least effective)
Rectal (rectum) 98.6° - 100.6° F (37-38 C)
Oral (mouth) 97.6° - 99.6° F (36-37 C)
Tympanic (ear) 97.6° - 99.6° F (37 - 38 C)
Temporal (forehead) Average Temperature for an Adult is 98.6° F
Axillary (armpit) 96.6° - 98.6° F (35 - 36 C)
not a normal part of aging
signs and symptoms:
-squeezing eyes shut
-holding or guarding a body part tightly
-change in behavior and emotions
used to measure pulse rate and oxygen levels in the blood
measures the percentage of oxygen in the capillaries
also called oxygen (O2) saturation or sats
Barriers to managing pain:
1. Fear of addiction to pain medication
2. Feeling that pain is a normal part of again
3. Worrying about constipation and fatigue from pain medication
4. Feeling that caregivers are too busy to deal with their pain
5. Feeling that too much pain medication will cause death
Questions to ask a resident about their pain:
1. Where is the pain?
2. When did the pain start?
3. Is the pain mild, moderate, or severe? To help find out, the NA can ask the resident to rate the pain on a scale of 0 to 5 or 0 to 10, with 5 or 10 being the worst pain.
4. Can you describe the pain?
5. What were you doing before the pain started?
6. How long does the pain last, and how often does it occur?
g. What makes the pain better? What makes the pain worse?
How to help a resident reduce pain:
1. Report complaints of pain or unrelieved pain promptly to the nurse
2. Gently position the body in proper alignment. Use pillows for support. Help in changes of position if the resident wishes.
3. Give back rubs
4. Ask if the resident would like to take a warm bath or shower.
5. Help the resident to the bathroom or commode or offer the bedpan or urinal.
6. Encourage slow, deep breathing
7. Provide a calm and quiet environment. Soft music may distract the resident.
8. Be patient, caring, gentle, and responsive.
Answer the following questions about the procedure when measuring and recording blood pressure (one-step method) by filling in the blanks:
a. Position the patient's arm with _______ up. The arm should be level with the ________.
b. The position of the blood pressure cuff on the resident's arm should be on the _________ arm with the _________ of the cuff w/the sensor/arrow placed over the __________ artery (1-1 ½ inches above the __________, toward inside of _________)
c. At first, inflate the cuff to between ______ mmHg to ______ mmHg.
d. When measuring systolic pressure, you are listing for the ________ ________ ________.
e. For the diastolic pressure, continue listening for ____ _______ ________ of the pulse sound. The point at which the sound ____________ is the diastolic pressure.
a. palm, heart
b. upper, center, brachial, elbow, elbow
c. 160, 180
d. first pulse sound
e. the last sound, disappears
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