NA 4 TEST

What would you do if you notice your patient’s toenails need trimming?

Tell the nurse, she may be able to get a podiatry consult

Why is it important to dry between the toes?

Moisture helps harbor microorganisms

The diabetic resident often has decreased circulation and sensation (called peripheral neuropathy) that increases their risk for:

Injury

Nails ____ and _____ with age, but can be softened by _____ in ____ _____

Thicken and harden, soaking in warm water

It is important to keep fingernails clean because they can ____ and ____ microorganisms

Collect and harbor

Bathing helps stimulate:

Circulation

Never cut nails of the ____ patient

Diabetic

It is important to check nails for breakage, as jagged nails may cause:

Injury

There is a _____ in feeling or sensation in fingertips as part of the aging process

Decrease

Nails are cleaned after soaking by using an

Orangewood stick

Water temperature for denture care is?

Cold/Moderate

____ helps rub off germs

Friction

When using soap and water, hands must be washed for a minimum of __ _____

20 seconds

When you put on PPE, it protects you and the patient by breaking the _____ link in the chain of infection

Transmission

You are providing care and your glove becomes torn. You should immediately:

Remove gloves, wash hands, put on new gloves

You are providing care to a resident on contact precautions. The gown protects you because it is made of

Liquid resistant material

Standard precautions means?

Treating everyone as if infectious and wear gloves when working with body fluids, non-intact skin and mucus membranes

Vital signs are used to ___ ____ __ ____ of a patient’s organs

Monitor conditions and function

If the NA fails to refrigerate the urine specimen and realizes her mistake 4 hours later, what must the NA do?

Report to the nurse and collect a new specimen

When working with a patient with an in-dwelling catheter, it is important for the NA to do all of the following except:

Place the catheter bag on the floor while the patient is in the chair

You are to collect a urine specimen, what are the 5 rights to specimen collection?

Right resident, specimen, container, date/time, storage/delivery

A fracture pan is used for a resident who has:

A fractured pelvis

When placing the patient on the bedpan, the HOB must be:

Flat

After placing the patient on the bedpan, the HOB is raised:

After removing gloves and washing hands

If resident’s skin is wet from urine at any time, this is considered to be?

Incontinence

Is incontinence a normal part of aging?

No

When reading the amount of urine in a graduate, it is measured in increment of

25 mL/cc

When measuring urinary output, prior to recording, the NA must:

Wash hands

Why should the resident have 2 pair of TED’s?

So one can be washed while the other is worn

What is the opening of the TED stocking used for?

Check for circulation, skin color, skin temperature so that changes can be reported to the nurse

The resident is to get OOB and is wearing TED stockings. What must the resident have on his feet prior to getting OOB?

Shoes or non-skid shoes

The purpose of an anti-embolism stocking is:

Increase blood circulation, prevent blood clots, promote venous return of blood to the heart

Urinary tract infections are more likely to happen to females because:

Their urethra is shorter than a male, its closer to the rectum

Resident’s with Alzheimer’s may be easily distracted and may need assistance from the NA. The NA may find this useful when working with the Alzheimer’s resident at meal time:

Assist the resident in a quieter part of the dining room, stroke the resident’s throat to stimulate swallowing

Your patient is on intake and output. The following items are consumed from the meal tray: 4 oz chicken, 6 oz tea, 8 oz tomato soup, 3 oz vanilla ice cream and 4 oz mashed potatoes. Document the amount of fluid the patient consumed.

510 mL

ROM must always have a:

Doctor’s order

The most frequent complication in transferring a resident from bed to wheelchair is:

Falling

Activity improves muscle tone, and

Increases venous return to the heart

To reduce possible abuse and neglect charges, turn and position residents per the:

Nursing care plan

When using a cane, the resident should be instructed to:

Position the cane on the strong side

Restraints must be tied using which type of knot?

Slip Knot / Quick release knot

Long term care facilities are ____ ____ environments

Restraint free

Afebrile

Without a fever

Brachial pulse

pulse points located in the crooks of the elbows typically used during blood pressure

What does teds prevent?

Blood clots

CNA is usually on which side of the patient?

The weak side

Water Temperature Range

100 to 109 F

Elderly have?

Difficulty learning motor skills

What type of diet does liver disease have?

Low sodium diet

Center of Gravity

Pelvis

Base of support

feet

Parkinsons

Progressive incurable disease that causes a part of the brain to degenerate

Bradycardia

less than 60 beats/minute

Tachycardia

more than 100 beats/minutes

Hypertension

High Blood Pressure, arteries harden due to plaque build up 130 or higher or 80 or higher

Hypotension

90 or less over 60 or less

Orthostatic hypotension is

Low blood pressure that occurs when resident stands up, can be dizziness, seeing spots, and or complication from bed rest

Bradypnea

a respiratory rate less than 12 breaths per minute

Dyspnea

Difficulty breathing

Tachypnea

a respiratory rate more than 20 breaths per minute

normal fluid intake

2000-2500 ml per day

Least accurate temp

axillary temp

No BP where?

Dialysis shunts, iv’s, medical devices, mastectomy

Manometer Long Line

10

Manometer short line

2

Pericare

Navel to spine

Stroke or CVA

vessels leak or break

Muscle to bone

tendons

bones to bones

ligaments

Nephritis

inflammation of kidney due to infection

Rigor mortis

2 to 4 hours after death

Hand mitt

Least restrictive

Walker handgrips

Have to be at hip level

Urinary system

the filtering system of the body, responsible for ridding body of
waste products from blood

Osteoarthritis

degenerative joint disease affecting the elderly and may occur with
aging or joint injury, usually involving weight-bearing hips and knees

Dorsiflex

bending the toes and foot upward at the ankle

Plantar flex

bending the foot downward at the ankle

Supination

turning upward

Pronation

turning downward

Pulse rhythm

the regularity of the heart beats (pulses) and should be the same
interval between beats

Objective

information collected by the nurse aide’s senses.

Subjective

information provided by the resident.

Cerebellum stroke

Affects balance