Comprehensive Final CNA

Dementia

Th loss of of cognitive and social function caused by changes in the brain

Delirium

A state of sudden, severe confusion and rapid changes in brain function

Stages of dying

Denial, anger, bargaining, depression and acceptance

what is myocardial infarction?

heart attack

Angina

chest pains

Are we (CNA’s) allowed to adjust flow rate on oxygen?

No

Ethics and laws focus on PRIDE, pride is?

Person Family and Yourself

Ethics

Knowledge of what is right conduct and wrong conduct

What association has a code of ethics for registered nurses?

American nurse’s association (ANA)

Does stress only occur when you’re awake?

No, stress is normal and it occurs in everything you do, it affects the whole person

When you don’t understand a medical term a nurse uses with you, you?

Ask. Don’t pretend to understand or fake it till you make it

Where does the nurse describe the nursing care given?

Progress notes

Ex. Daily weight of patient measured is recorded in progress notes

Flow sheets

Used to record frequent measurements or observations

Ex. a person’s vital signs are measured every 30 minutes. A vital signs flow sheet is used. The bedside intake and output record is another flow sheet

Kardex

A type of card file that summarizes info in the medical record- drugs, treatments, diagnoses, routine care, measures, equipment and special needs

What do you include when charting?

What you observed

What you did

The persons response

Coma

A state of being unaware of one’ s setting and being unable to react or respond to people, places, or things

Prevention of suffocation

Cut foods into small pieces and do not feed while lying down

MSDS is?

Material safety data sheet

What is MSDS for ?

Chemical: spills, exposure, poisonings

What are the steps of using fire extinguisher?

P.ull safety pin A.aim low S.squeeze lever S.sweep back and forth

Carrier

A human or animal that is reservoir for microbes but does not develop the infection

Microbe

A small living thing seen only with a microscope

healthcare-associated infection (HAI)

An infection that develops in a person cared for in any setting where health care is given; the infection is related to receiving health care

Who is at risk for healthcare-associated infections?

Patients/residents

Preventing the spread of microbes you?

Wash your hands

When do you get hep b vaccination?

Before or after exposure

Lateral

Away from the mid-line; at the side of the body or body part

Prone

Lying on the abdomen with the head turned to one side

Supine

The back-lying or dorsal recumbent position

Shearing

When skin sticks to a surface while muscles slide on the direction of the body is moving

Friction

The rubbing of one surface against another

Ergonomics

The science of designing a job to fit the worker

Logrolling

Turning the person as a unit, in alignment, with one motion

Dangling a patient is?

Having a patient sit at the edge of the bed for a min to make sure they’re not dizzy

How many people does mechanical lift need to use?

Atlesst two

When using mechanical lift remember ?

Follow manufacturer instructions

Should urine stink?

No

What keeps a catheter in the bladder?

A small balloon

Arterial ulcer

An open wound on the lower legs or feet caused by poor arterial blood flow

Circulatory ulcer

An open sore on the lower legs or feet caused by decreased blood flow through the arteries or veins

Stasis ulcer/venous ulcer

An open sore on the lower legs or feet caused by poor venous blood flow

Full-thickness wound

The Demi’s, epidermis, and subcutaneous tissue are penetrated; muscle and bone may be involved

Partial-thickness wound

An open wound that breaks the skin and enters a body area, organ, or cavity

What is the biggest threat when patient gets wounded?

Infections

Wedge pillow

Keep the hips abducted

Prevent bony areas from contact with bony areas

Bed cradles

Keep the weight of top linens off the feet and toes

To prevent pressure ulcer

Heel and foot elevator

These raise the heels and feet off of the bed

Prevent foot drop

What do we not do when you see redness on a person’s skin that could be developing into an ulcer?

Do NOT massage or put pressure

Dressing changes we use if patient need frequent (2-3 times a day) changes?

Montgomery ties

Bradypnea

Slow breathing; respirations are fewer than 12 per min

Hypoventilation

Breathing is slow, shallow, and sometimes irregular

Respiratory arrest

When breathing stops

How do you apply a non sterile dressing?

A normal pulse oximeter reading for blood oxygen is?

95% to 100%

What are the different devices in which we use to administer oxygen?

Nasal cannula, simple face mask, partial-rebreather mask, non-rebreather mask, Venturi mask

Nasal cannula

Prongs inserted into the nostrils and band goes behind the ears and under chin to keep the device in place

Simple face mask

It covers the nose and mouth

Venturi mask

Precise amounts of O2 are given

Non-rebreather mask

Exhaled air and room air cannot enter the bag, exhaled air leaves through holes in the mask

Partial-rebreather mask

A bag is added to simple face mask, bag is for exhaled air

What can hypertension lead to?

Heart attack or stroke

What standards do we follow for post mortum care?

Standard precautions and blood borne pathogens