CNA Chapter 7 Terms & Definitions: Essential Study Guide

_________ is often the first time a nursing assistant meets a new resident

admission

The NA should try to make sure the new resident has a positive ___ of her and her facility

impression

The NA should prepare the ____ before the resident arrives

room

The NA should ask _________ to find out a residents personal preferences and ________

questions; routines

the NA should __ herself to the resident and state her position

introduce

The NA should always call a resident by her ____ name until she tells the NA what she prefers to be called

formal; last

The NA should try to make sure the new resident feels welcome and wanted. The NA should not ____ the process or the new resident

rush

The NA can help the resident by explaining daily life in the facility and offering to take the resident on a ____

tour

New residents must be given a copy of their legal ______

rights

it is important for the NA to ____ the new resident in case something important was missed

observe

a resident has a legal right to have his ___ items that he has brought with him treated carefully

personal

a transfer to a new facility or hospital is normally easy for residents to handle

false

residents should be informed of transfers as early as possible

true

The resident will usually pack her own belongings for a transfer.

false

the nursing assistant should introduce the resident to everyone in the new area

true

One way that a nursing assistant can involve the resident with the packing process is to show the resident her empty closet. True or False?

true

The NA will write the order when it is time for a resident to be discharged.

false

OBRA states that residents have the right to receive advance notice before they are discharged

true

what may changes in vital signs indicate

a residents condition is worsening

what changes should be immediately reported to the nurse

-the resident has a fever

-the resident has a respiratory or pulse rate that is too rapid or too slow

-the residents blood pressure changes

which of the following is the normal temperature range for the oral method

97.6-99.6

which of the following thermometers uses the ear to measure body temperature

tympanic thermometer

which of the following temperature sites is another word for the armpit area

axilla

Which temperature site is considered to be the most accurate?

rectum(rectal)

A rectal thermometer is usually color-coded

red

green and blue-oral

what is the most common site for monitoring the pulse rate

radial pulse

for adults, the normal pulse rate is

60-100 beats per minute

inhaling air into the lungs is called

inspiration

exhaling air out of the lungs is called

expiration

the normal respiration rate for adults ranges from

12-20 breaths per minute

why is it important for the NA to observe respirations without letting the resident know what she is doing

people may breathe more quickly if they know what she is doing

which of the following is considered a normal blood pressure reading

110/79

which of the following pieces of equipment is used to measure blood pressure

sphygmomanometer

The second measurement of blood pressure reflects the phase when the heart relaxes. It is called the ______ phase.

diastolic

a blood pressure measurement is recorded as a

fraction

In the _____ phase of blood pressure, the heart is at work, contracting and pushing blood from the left ventricle of the heart.

systolic

a pulse oximeter measures

Blood oxygen level and pulse rate

If a resident complains of pain, what questions should the NA ask to get the most accurate information?

where is the pain, when did the pain start, how long does the pain last, how severe is it on a scale of 0-10

also look at non verbal skills like facial expressions/actions

list five things that an NA can do to help reduce a residents pain

report complaints of pain or unrelieved pain immediately

give back rubs

ask if the resident would like to take a warm bath or shower

encourage slow, deep breathing

be patient, caring, gentle, and responsive

also ask if they need to use the bathroom

Why must an NA report any weight a resident loses?

weight changes can be a sign of illness

the purpose of restraints is to

to restrict voluntary movement or behavior

An example of a physical restraint is

Raised side rails on a bed

a chemical restraint is

Medication used to control behavior

what is one reason the use of restraints is now restricted

they were abused by caregivers

a restraint can be used

when a doctor has ordered its use

Restraint-free care means that

Restraints are never used for any reason

restraint alternatives are

measures used in place of a restraint

when a resident is restrained, he has to be monitored constantly. The resident must be checked at least every 15 minutes, following facility policy. What care needs to happen at least every two hours

help with elimination needs

offer fluids and food

measure vital signs

check the skin for signs of irritation

check for swelling of body parts and report any sewlling immediately

reposition the resident

ambulate the resident if he is able

report any problems

Fluids come in the form of liquids that a person drinks, as well as semi liquid foods such as soup or gelatin. True or False?

true

The fluid a person consumes is called intake

true

All of the body's fluid output is in the form of urine

false

fluid balance is taking in and eliminating the same amounts of fluid

true

most people need to consciously monitor their fluid balance

false

clean catch/midstream specimen

excludes the first and last urine voided from the sample

hat

A collection container that is sometimes inserted into a toilet to collect and measure urine or stool.

routine urine specimen

Urine sample collected any time resident voids

specimen

a sample that is used for analysis in order to try to make a diagnosis

sputum specimen

Early morning is the best time to collect this specimen

stool specimen

Urine and toliet paper should not be included with this specimen

catheter

A thin tube Inserted into the body that is used to drain or inject fluids

condom catheter

urinary catheter that has an attachment that fits onto the penis

indwelling catheter

Urinary catheter that stays inside the bladder for a period of time

straight catheter

Urinary catheter that is removed immediately after urine is drained

urinary catheter

Thin tube used to drain urine from the bladder

oxygen therapy is prescribed by a doctor

true

nursing assistants are usually responsible for adjusting oxygen settings for residents

false

a flammable liquid like alcohol is fine to have in a room when oxygen is in use, as long as it is covered

false

Smoking is allowed near where oxygen is stored as long as the oxygen is not in use

false

oxygen should be turned off in the event of a fire

true

NA's should check the skin around oxygen masks and tubing for irritation

true

if a resident has skin irritation around a nasal cannula, the NA should use Vaseline to soften the skin

false

IV therapy allows direct access to

bloodstream

what is the NAs responsibility for IV care

documenting observations

If the fluid in an IV bag is nearly gone, the NA should

notify the nurse

A resident's room is his home and must be treated with respect

true

it is not necessary for an NA to knock and wait for permission to enter a residents room

false

while working in a residents room, the NA should adjust temperature to whatever feels comfortable to the NA

false

Urinals and bedpans are normally stored on top of the overbed table

false

Call lights must always be answered promptly

true

Call lights should be placed wherever it is easiest for the nursing assistant to reach them

false

privacy curtains block sight, as well as sound

false

residents have a legal right to have their privacy protected when receiving care

true

Soiled linen should be placed on the overbed table when changing a resident

false

it is best for an NA to wait a couple of hours before removing a residents meal tray

false

If an NA is asked to use a piece of equipment he does not know how to use, he should

ask for help

call lights should be placed

Within reach of the residents stronger hand

List five things that can disrupt a residents sleep

fear, anxiety, stress, noise, diet, medications, illness

List three problems that can be caused by lack of sleep

decreased mental function

reduced reaction time

irritability

why is it important for NAs to change bed linen often

to prevent infection and to promote comfort

Why should bed linen be carried away from the NA's body?

to prevent contamination of clothing

When removing dirty linen, the NA should

Roll it so that the soiled area is inside

When a resident cannot get out of bed

The bed should be raised to a safe height before making it

Soiled linen should be bagged

at the point of origin

A bed made with the bedspread and blankets in place is called a(n)

closed bed

sterile dressing cover new ___ or ___ wounds

Open, draining

a ___ changes sterile dressings

nurse

nonsterile dressings are applied to dry ___ wounds that have less chance of _____

closed; infection

Elastic bandages are also known as

non sterile bandages

One purpose of elastic bandages is to

hold a dressing in place

How soon should an NA check on a resident after applying a bandage?

10 minutes