Cna nurse aide 1 exam 1 (test handout) wake tech

recording

the written account of care and observations

systematic infection

Infection that affects the body as a whole, or a body system

localized infection

an infection that is limited to a specific location in the body and has local symptoms

OBRA

Omnibus Budget Reconciliation Act of 1987. Purpose is to improve the quality of life of nursing center residents.

OBRA room temp and water

71-81 degrees, 105 degrees

Norovirus

a contagious gastrointestinal illness, dehydration is an issue, symptoms clear up 1-2 days but still contagious minimum 3 days after vomiting and diarrhea

Reporting

is the oral account of care done and observations noted, given to other members of health care team

Sign

objective evidence of disease such as a fever (what you can test for)

Symptoms

what patients report as their problem or problems

3 types of communication

Sender, receiver, feedback

Who maintains the registry

DHSR

North Carolina board of nursing administrative code

defines range of function for nurse aides in North Carolina

Delegation

transferring responsibility to a person for a specific task

Ombudsman

a legal advocate for residents in long-term care facilities

ADL

activities of daily living

5 rights or delegation

Right task right circumstance right person right direction/communication right supervision/evaluation

6 chain link of infection

1.) infectious agent, 2.) reservoir,3.) portal of exit, 4.) mode of transmisson,5.) portal of entry, 6.) susceptible host

Nursing Process

assessment, nursing diagnosis, planning, implementation, evaluation

Maslow's Hierarchy of Needs

(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization

3 types of consent

written, verbal, implied

Nurse aides role during seizure

- Note time of start and stop of seizure

- Send for supervisor, but do not leave resident alone

- Put on gloves

- Cradle head to protect it

- Loosen clothing to assist with breathing

- Do not attempt to restrain resident

- Do not force anything in resident's mouth between teeth

- Do not give resident food or liquids

- If no injuries are suspected (head, neck, spine), turn resident on side when seizure is over to prevent aspiration (choking on saliva or vomitus)

Respiratory infection symptoms

Fever and chills

Coughing and sneezing

Hacking up green and yellow mucus

Urinary infection

Fever and chills

Foul smelling urine

Pain with urination

Gastrointestinal infection

Stomach cramping

Vomiting

Diarrhea

tort

a wrongful act or an infringement of a right (other than under contract) leading to civil legal liability.

BE Fast

Balance, Eyes, Face, Arms, Speech, Time to call 911

every morning

qam; QAM

everyday

QD

Every hour

qh; QH

every night at bedtime

qhs; QHS

Wide awake

W/A

wheelchair

w/c

within normal limits

WNL

Elopement

When a patient or resident leaves the agency without staff knowledge

AC

Before meals

PC

After meal

HS

Hour of sleep

PRM

As needed

NPO

nothing by mouth

RW

rolling walker

BSC

bedside commode

Rom

range of motion

QH

every hour

HOB

head of bed

tid

three times a day

qid

four times a day

QD

every day

SOB

shortness of breath

Oral temp

98.6

Axillary temp

97.6

Rectal temp

99.6

tympanic membrane temp

98.6

normal pulse

60-100 beats per minute

Normal respiratory rate

12-20 breaths per minute

normal systolic blood pressure

90-120

Normal diastolic pressure

60-80

high blood pressure (hypertension) stage 2

140/90

Stage 1 hypertension blood pressure

130-139/80-89

hypotension

90/60 or lower

Tachycardia

more than 100 bpm

Brachycardia

less than 60 bpm

even number (blood pressure always even )

0, 2, 4, 6, or 8, 90

Odd numbers

1, 3, 5, 7,9

Criminal Law

offenses against the public and society

Civil law

Deals with relationships between people

invasion of privacy

violating a person's right to control personal info or be left alone

Malpractice

giving care for which you are not allowed legally to perform

Negligence

Failure to provide service of care , often resulting in injury

Neglect

Failure to provide the person with the goods or services needed resulting in injury or harm pain mental anguish or emotional distress

False Imprisonment

unlawful restraint or restriction of a person's freedom of movement

Residents rights

rights identified in OBRA that relate to how residents must be treated while living in a long-term care facility; they provide an ethical code of conduct for healthcare workers