(3) FTCC CNA 1 Modules J-L

Advancing a diet

food is gradually reintroduced to the resident due to surgery, in preparation for a procedure, or illness

aspiration

accidental breathing in of food, fluid, vomit, or other object into lungs

calcium

a mineral that keep bones and teeth strong

carbohydrates

a nutrient that supplies energy and helps body use fats (breads, fruits, candy, sugary soft drinks)

dehydration

serious situation when a person does not take in enough fluid for the body causing a decrease in amount of water in tissue

dysphagia

difficulty swallowing (these residents may require food thickener to prevent aspiration)

fats

a nutrient that is a good source of energy and gives flavor to food (butter, oil, fatty meat)

fluid balance

when fluids taken in equal the fluids eliminated

force fluids

medical order for person to drink more fluids

graduate

a measuring device for fluids

intake

amount of fluids taken in each day

iron

a mineral that helps blood carry oxygen to all the parts of the body

malnutrition

the lack of proper nutrition because of a lack of food intake, improper diet, or impaired use of food by the body

minerals

a nutrient that helps the body function normally

NPO

nothing by mouth

nutrients

substance found in food and fluids that are used by the body for growth and maintenance of health

nutrition

when the body takes in and uses foods and fluids to maintain health

nutrition facts label

simple tool from the FDA found on all packaged foods and beverages and serves as a guide for making choices that can affect health

output

amount of fluids eliminated each day

proteins

a nutrient that is needed by every cell to help grow new tissue and help with tissue repair (meats, cheese, beans)

restrict fluids

medical order for person to limit fluids taken in

special diet

also know as therapeutic or modified diet

vitamins

a nutrient that helps the body function normally; body gets majority of these from certain foods

Six basic nutrients

water, fats, carbohydrates, proteins, vitamins, minerals

Water

most essential nutrient

Characteristics of poor nutrition

changes in weight, poor skin color/appearance, dull hair/eyes, poor sleep patterns, fatigue

Calorie

the energy value of a food or beverage

Signs and symptoms of dysphagia

eating slowly or avoids eating, pockets food, difficulty swallowing

Nurse Aide's role in preventing aspiration

upright position to 90 degrees while eating and for 30 minutes after eating, feed slowly, cut food, offer small bites

How many mL equals 1oz of fluid?

30ml

chemical restraint

any drug used to control actions of a resident for convenience of staff

physical restraint

any physical or mechanical device, material or equiptment which restricts freedom of movement or normal access to one's body (only used to protect resident from injury)

restraint

A physical or chemical way to restrict voluntary movement or behavior

restraint alternative

measures used instead of physical or chemical restraints

restraint-free care

an environment in which restraints are not kept or used for any reason

types of physical restraints

mittens, soft limb ties, seat belts, vest, wrist restraints, siderails, over-bed table

What do restraints ALWAYS require before placing on a resident?

a physician's order and a nurses' instructions

What is the frequency in which the nurse aide is responsible for monitoring and documenting a patient with restraints?

Observation every 15 minutes/restraints removed and needs met for 10 minutes every 2 hours

HIPAA

Health Insurance Portability and Accountability Act (developed to protect health information)

Medical record

a legal document that organizes all the information about care of a single resident in one document and allows each discipline involved in the care to know what all the disciplines are doing

objective data

observations using the senses; information that can be measured

subjective data

information told to the Nurse Aide

reporting

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

recording

the written account of care done by the nurse aide and observations noted, in pen and paper form or electronic form

The correct way to document an error

draw a single line through the incorrect information and sign with initials

Signs and symptoms of fluid overload

weight gain (1-2 pds in a day); fatigue; shortness of breath; swelling of ankles, feet, fingers, or hands; coughing; increased heart rate

What is the definition of Enteral Feeding?

Liquid nourishment that feeds the resident through a feeding tube that is surgically placed into the resident's gastrointestinal tract, or a feeding tube that is placed into the resident's nose and goes directly into the stomach.(Nasogastric or NG tube)

Clear diet

Water, jello, coffee, tea, broth

Full liquid diet

Foods that melt at room temperature (orange juice, tomato soup, yogurt)

2300 in military time coverts to what standard time?

11:00 PM

Vital Signs ordered every 8 hours last obtained at 0100. What would be the next time they should be obtained?

0900

While giving a bath to a client, a nurse notices that the client's back appeared to have raised reddened marks. This is what type of data?

Objective

What action should the Nurse Aide take when a resident complains of sudden, severe pain?

Report the statement to the Nurse immediately.

What is considered to be a Normal range for Blood Pressure?

90-119/60-79

Does a Blood Pressure reading of 112/68 fall within Normal Range?

Yes

Normal Range for Pulse is?

60-100 Beats Per Minute

Six Pulse sites listed in Module AA are?

Temporal, Carotid, Apical, Brachial, Radial, and Pedal

Normal Respiratory rate range is?

12-20 Respirations per minute.

Pulse and Respirations may be measured in 10 seconds. True of False?

False. Must be measured for this course and at State Testing for a full 60 seconds.

What is the process that supplies oxygen to the cells and removes carbon dioxide from the cells?

Respiration

Does a change in a resident's vital sign measurements indicate that their condition worsening? For example, Respirations at 0800 were 16, at 1200, respirations were 24.

Yes. Document and notify the nurse immediately

Pain is considered the 6th Vital Sign. True or False?

False. It is considered the 5th Vital Sign.

The definition of Systole is what?

The working phase of the heart when the heart is pumping blood to the body.

Pain is described by whatever the Nurse Aide says for the resident. True or False?

False. Pain is described however the resident chooses to.