cna state test

-itis

inflammation

-phagia

swallowing

1gm fat

9 calories

1gm protein

4 calories

1gm carbohydrate

4 calories

Amount for stool collection

1/2 cup and not contaminated

Let the doctor speak to the nurse….

when there is an order for a new treatment

What do you tell a male resident when he is done with the urinal?

use call light/call for help promptly or while waiting for help - place in side rails

a resident asks you for her blood pressure readings after you check it, what do you do?

provide the reading

a resident that is playing bingo receives a phone call. What do you do?

Bring them back to their room and close door for privacy or bring the phone to them

a resident with hip injury would use what type of bed pan?

fracture bed pan

a resident continues to call you "Sally", his daughters name, what do you tell him?

ask him to tell you about his daughter sally

what do you do with the isolated resident's food trays when they are done eating?

double bag outside the room and send it to the kitchen

a resident wants to use the commode, but she needs help. what do you do?

use a gait belt

a resident with dementia is getting agitated and thinks they lost their keys, what do you do?

tell him you will help him find his keys

Abduction

movement away from the midline of the body

Adduction

Movement toward the midline of the body

after providing the urinal for a patient…

ask them to close tightly to prevent spills and call for help.

Amount of time that pain relief drugs take effect

30 min

Apical pulse count for

1 minute, located under your left nipple

Subjective data

things a person tells you about that you cannot observe through your senses; symptoms

objective data

information that is seen, heard, felt, or smelled by an observer; signs

what can you do to help a resident who is being discharged?

help in packing resident's things away

at what point the bacteria disappears in hand washing?

During friction from rubbing

Axillary (armpit) temp

96.6-98.6 (97.6)

back massage

3-5min

before helping a patient stand, you raise the head of the bed and let the patients legs dangle, why?

prevents orthostatic hypotension (low blood pressure when person stands up)

Before shaving a resident, what do you check first?

if they are on blood thinners

Normal systolic pressure

90mm Hg or higher but lower than 120mm Hg

Normal diastolic pressure

60mm Hg or higher but lower than 80mm Hg

Brady

slow

Calculate the resident's total INTAKE for the 3-11 shift

there will be an illustration for this question

1 oz = 30ml

Can a urine contaminate a stool sample?

yes

cleansing enema

takes effect in 10-20 min / cleans the bowel of feces and fluids

Cold

50-65

Cool

65-80

Cyst

bladder or sac

Deep breathing and coughing

1-2 hours while awake

Compensation : Defense Mechanism

the person makes up for or substitutes a strength for a weakness

Conversion : defense mechanisms

an emotion is shown as a physical symptom or changed into a physical symptom

Denial : defense mechanisms

the person refuses to face or accept unpleasant or threatening things

Displacement : defense mechanisms

an individual moves behaviors or emotions from one person, place or thing to a safe person, place or thing

Identification : defense mechanism

a person assumes the ideas, behaviors and traits of another person

Projection : defense mechanism

an individual blames another person or object for unacceptable behaviors, emotions, ideas, or wishes

Rationalization : defense mechanism

the person provides self-justifying explanations in place of the real, more threatening, unconscious reasons for one's actions

reaction formation : defense mechanism

a person acts in way that is opposite to how they feel

Regression : defense mechanism

the person retreats or moves back to an early time or condition

Repression : defense mechanism

the person keeps unpleasant or painful thoughts or experiences from the conscious mind

dorsflexion

Bending the toes and foot up at the ankle

Feet Soak Duration

5-20min

Finger Soak Duration

5-10min

Shower Tub/Bath Duration

No more than 20 min

During rehab, where do you focus:

on patients abilities - what they can do

Dys

Bad, difficult

Dementia

is the permanent and progressive loss of mental functions (thinking, reasoning and remembering)

Delirium

a temporary state of confusion

Alzheimer's disease

an irreversible, progressive brain disorder, characterized by the deterioration of memory and causing unusual behaviors

Vascular Dementia

mental functions are lost because multiple areas of the brain tissue die due to lack of adequate oxygen and nutrients

Lewy body dementia

caused by the build-up of abnormal protein deposits (called Lewy bodies) in areas of the brain that are responsible for thinking and movement

Frontotemporal Dementia

Frontal and temporal regions degenerate, resulting in badly impaired emotional stability, decision-making and language use

The 4 A's of Dementia

amnesia, aphasia, apraxia, agnosia

amnesia

loss of memory

aphasia

inability to speak

Agnosia

difficulty recognizing information obtained using the five senses

Apraxia

difficulty coordinating the steps needed to complete a task

validation therapy

protects the feelings and beliefs of the person with dementia by responding to their reality instead of correcting them

reminiscence therapy

the person with dementia is encouraged to remember and share experiences from his past with others

-emia

blood condition

enema onset

10-20 min

Enema tubing insertion

2-4 inches

Enema volume

750-1000 mL : given over 10-15 min

Extension

Straightening of a joint

external rotation

turning the joint outward

Flexion

Bending a body part

Fowler's position

The head of the bed is raised between 45 and 60 degrees

Gluc(o)

sweetness

Glyc(o)

Sugar

Hem, Hema, Hemo

blood

High-Fowler's Position

The head of the bed is raised 60 to 90 degrees

Hot

98-106

Hot & cold application observe every

5 min

Hot & cold compress apply no more than

15-20 min

How do you apply TED hose?

Wide base of support

Legs between 12-24 inches apart

check every 2 hours

remove every 8 hours for 30 min

How do you avoid poisoning?

Label all toxins and poisonous materials

How do you help a resident participate with activities on time?

make sure they have an activities schedule and work the patients routine care around the activities schedule

How do you promote communication with a resident?

asking OPEN ENDED questions- "How are you feeling?" (ch.6)

How do you take a 24-Hour urine specimen?

Start with an empty bladder

1). Person voids to begin the test with an empty bladder---discard it

2). Save all the voiding for the next 24-hours.

Tes is restarted if:

-a voiding was not saved

-toilet tissue was discarded into the specimen

-the specimen contains stools

How do you take a random urine specimen?

Used for routine urinalysis

No special measures are needed.

Collected any time during a 24-hour period.