Advanced CNA Final

Advanced CNA Final Exam

systemic infection involves the

whole body

what type of environment do bacteria need to grow

Warm

dark

moist

when should you change hospital gowns and clothing

when soiled

daily

or as needed

what is your role in discharging a patient

gather their things, wheel them to the car, check the belonging list, help patient get dressed, NO DISCHARGE TEACHING, report the time of discharge

NPO

nothing by mouth

Enteral nutrition

nutrients by the gi tract through a feeding tube 

When a patient is receiving TPN and starts complaining of chills what should you do 

total parental nutrition, report STAT

How do you remove a gown from a patient that has an IV 

Arm out the IV first putting it on is the opposite 

Why is protein important in our patient’s diet?

helps w growth, heal wounds and muscle

Why should a surgical patient wear elastic stockings? 

prevent swelling, thrombi, and blood clots 

When applying an elastic bandage, start at the _________ part of the extremity 

distal

What gland secret insulin? __________________

Pancreas

What causes hyperglycemia 

          too much sugar or not enough insulin 

Signs and symptoms of hypoglycemia 

sweaty, confusion, light-headed, change in vision, cold clammy, weak, hard to understand, dizzy, clumsy, hungry 

When my patient has renal calculi every time he voids I need to 

strange his uring, kidney stone 

After the nurse gives the patient preoperative medicine what should your patient do? 

stay in bed

Jaundice means

yellowish skin, severe white eyes white parts turn yellow

Hemiplegia is 

paralysis on one side of the body Stroke

What is osteoporosis 

Porus and brittle bones chalk-like 

Artieries bring blood ——— from the heart

AWAY

Veins bring blood ——- from the heart

TO

What does the urinary system remove 

wastes products from the blood 

Hysterectomy is

removal of the uterus

What is a cataract

clouding of the lens less transparent

What is angina pectoris

chest pain from reduced flow from part of the blood muscle 

What does a PCA pump do for a patient

Control IV pain medicine 

What is melena

black tarry stool 

Acute pain is 

rapid onset and doesn't last long sharp or severe suddenly felt 

After a patient receives pain medication what considerations should you take when getting a patient out of bed? 

dizzy light headed 

What diseases are considered to be a chronic obstructive pulmonary disease 

emphysema and chronic bronchitis 

Post mortem means

care after death 

The last sense to leave the dying person may be

Hearing

How often do you reposition a post-op patient

every 2 hrs 

What are the signs and symptoms of postpartum complications 

depression, excessive bleeding fever leg pain 

How can you tell if an infant has an infection in the cord stump 

Painful to touch, redness on the skin, discharge, and odor 

List circumcision care  

petroleum jelly on gauze wrap around the head of the penis

List the warning signs of cancer 

fatigue, weight loss, cough, hoarseness, difficulty swallowing, sore that doesn't heal, indigestion 

Considerations for a diabetic diet 

low carbs or count carbs and eat at regular times 

Diet for a patient who is on dialysis includes 

fluid restrictions, low sodium, low salt, low potassium 

A benign tumor is a 

not cancerous doesn't spread  

Another name for a cancerous tumor?

molignate

What are the common causes of chronic renal failure 

diabetes, high blood pressure hypertension measure weight daily

What is the definition of compulsion

repeating an act over and over 

Schizophrenia involves _______

severe mental impairment __________

Definition of Anxiety 

the vague uneasy feeling in response to stress

when should you empty a Jackson-Pratt (JP) 

when it's half full, end of the shift, or whenever you need to 

A laryngeal mirror is used to examine

mouth

A otoscope is an instrument used to examine

ears

A colostomy is a surgical opening between

____colon___ &_____bodys surface____

What is dehiscence 

the wound opens up the separation of the wound incision 

A laceration is 

open wound with torn tissue and jagged edges 

Purulent drainage is

yellow__, brown, ___green__ or ___thick___

List the signs of a pressure ulcer

reddened skin, open skin, pain and tenderness, skin that doesn't blanch, blister

What does an NA observe a wound for? 

infection, redness, swelling, drainage, size, appearance, drainage, odor 

What do hot applications do for a patient? 

dilate blood vessels, increase blood flow

The lithotomy position is when the patient is

lying on their back w hips on the edge of the table legs flexed and feet in stirrups ___

How much water would an NA add when preparing a soap suds enema 

500-1000

What sites can you use for the placement of a pulse oximetry sensor

finger, nose, toe, earlobe, foot, forehead 

Incentive spirometry is used to measure what

lung capacity, the amount of air inhaled with inspiration 

What considerations are there with pulse oximetry 

no nail polish, no fake nails, no blood pressure, cold hands, tremors, bright lights

What type of razor should you use when shaving a patient on O2

nonelectric

What does blood pressure measure 

force exerted against the walls of an artery 

What are artificial airways used for 

keep airway open

How can an NA promote comfort during deep breathing and coughing

place a pillow on the stomach or blanket for support 

Hemothorax is 

blood in the pleural space 

If you find a person lying on the floor, as a NA what would you do? 

call for help check their pulse EMS checks for a pulse if no pulse start CPR

What does one treat hyperthermia with?

cooling blanket, nothing to drink, cool clothes to head neck armpits 

• When reporting pain NA should report the patient’s exact ______.

words

Definition of vertigo 

dizziness

What is shock

when the organs and tissues do not get enough blood 

mastectomy

removal of breast tissue

if the patient has a mastectomy removal of breast tissue

no IV or blood pressure in that arm, blood pressure in the thigh

stool specimen

1-2 tablespoons from two different areas of the stool

when measuring orthostatic blood pressure

first blood pressure taken after been lying down for 5 minutes

filth vital signs

pulse

respiratory

temperature

blood pressure

pain

TIA transient ischemic attack

mini-strokes

8 hr shift ambulate

2 times a shift

hypertension

 140/90 is considered greater than that

narrowed arteries or high blood pressure cause

causes arterial ulcers, diabetes, lack of circulation

most common endocrine disease

diabetes

if a patient on fluid restriction given extra fluid,

edema, or the body affects their kidney and their heart 

complication of dysphagia

aspirations

contact precautions

remove the ppe inside remove the gown and gloves and hand hygiene

ambulation after surgery prevents

blood clots, phenomena, pressure sores, atelectasis urinary retention, and constipation