Final Exam Minnesota State CNA

30cc

1 oz

normal feces or bowel movement is

formed, brown, and passes every 1 to 3 days

standard pericare is washing from

front to back or from opening to away from opening

residents who have difficulty swallowing will have the most problems with

liquids

normal adult temperature is

98.6

due to the aging process normal temperature is ________ than the average adult

lower

When counting respirations, you should

count one inhalation and one expiration as one respiration

when measuring pulse and respirations you should always count for

1 full minute

normal adult respiratory rate is

16-22/min

if you need to take vital signs of a person at rest, they should have been _______ or ________ for at least _________ minutes

sitting or lying; 15 min

to be a successful nursing assistant you must

pass the course and test, have a positive attitude, and maintain good health and hygiene

giving residents choices is part of the resident's __________________

Bill of Rights

Good body mechanics

is correctly making the best use of strength to lift or move residents

when lifting a resident, you should stand with your feet about ________ inches apart

18

Standard precautions guidelines recommend

wearing gloves when touching body fluids or items contaminated with body fluids

for effective communication it is important to

speak clearly and slowly

A written outline which identifies a residents need and how health care workers will meet them

A careplan

When recording information you should

use ink and include the date, time, and sign all entries with your name

Hypertension

blood pressure greater than 140/90; high blood pressure

If the resident has a feeding tube and you do not think it is working correctly you should

report it to your nurse ASAP

the primary reason to wear support stockings (TED)

to help circulation to the legs and feet

Dementia

the progressive deterioration that interferes with a person's life activities

A person with mental impairment...

should be encouraged to do as much as possible for themselves

immobility or lack of activity affects ___________ and can lead to ________

all people; problems in all body systems

complications of mobility could be

poor circulation, constipation, respiratory and urinary infections

________ is an essential nutrient

Water

A person lying on their back is in the

supine position

A person sitting up at a 90 degree angle is in

Fowlers position

A therapeutic diet is ordered by a

Dr.

factors such as _________ all affect the person's appetite

level of alertness, the amount of energy the person has to chew, and any sensory losses such as vision, taste, or smell

As people near death the last sense to go is the sense of _______

hearing

areas of the body that are most likely to develop pressure ulcers

ears, hips, and tailbone

oral hygiene includes:

mouth, teeth, and gums

when removing clothing it is important to remove the clothing from the __________ side first

strong

when putting on clothing it is important to start with the ___________ side first

weak

when bathing a resident always........

cover them for warmth and privacy, rinse their skin thoroughly to remove all soap, and pat the skin dry

to prevent pressure sores (bed sores) change the residents position every _________ and use _____________________

2 hours (or according to careplan); devises to relieve pressure

residents with behavior problems are usually a result of

fears and unmet needs

if checking an irregular pulse you should

check it for one full minute and report results to the nurse

respirations are counted ________ counting the pulse

after

if you get a vital sign which is abnormally high or low you should

report it immediately to the nurse

the fifth vital sign is....

pain

if your patient is complaining of pain you could help him/her by...

listening to them, reporting their pain, and offer a gentle back rub or reposition

when a patient is receiving O2 it is important to know what ________ is ordered, be able to _____________ , and _______________

flow rate; read the flow meter; notify the nurse if rate does not math the meter

Daily activities necessary for people to complete needs of personal hygiene

ADLs

factors that increase a patients risk of getting a decubitus ulcer:

incontinence, poor nutrition, and inactivity

the goal of skin care when bathing a patient is to promote cleanliness by:

removing dirt, perspiration, and body odors

When bathing a patient it is important to have the patient...

help as much as possible according to the careplan

peri care should be done while....

bathing, after elimination, and whenever it is needed

peri care includes

the genitals and the rectal areas

the important part of providing personal care is to observe the resident for __________ and _______________________

any changes; report them to the nurse

devices often used to prevent pressure ulcers are:

heel protectors, foot boards, and special mattresses

giving a back rub you should massage the lotion into the residents skin

using gentle strokes and remember to warm up the lotion in your hand before hand

dentures should be stored overnight in water that is

room temperature or tepid

a stage 2 decubitus ulcer is the skin may __________ but a ___________

may not be broken; blister like sore could be present

if you have a patient with a stoma you should never.......

place anything over the stoma, since air or liquids may be prevented from going in or out of the body

prosthetics are devices such as

artificial limbs and dentures

immobility or lack or exercise affects.......

all the body systems

rehabilitation is assisting a resident to reach their highest level of ability..............

physically, mentally, and socially

when moving a resident with a transfer belt you must use an ___________

underhand grasp

without attention from the nursing team, complications may occur such as....

poor circulation, constipation, respiratory difficulties, and incontinency from an inability to get to the bathroom

a residents bed should be in _____________ when the resident is sitting on the side of the bed with _____________________

low position; bottoms of feet in nonskid footwear flat on the floor

position when lying on your back

supine

when a patient is able to do their own range of motion it is called

active range of motion

passive range of motion

is an exercise performed by the nursing assistant for a resident

when raising a patient up in bed always place the pillow ___________

up against the headboard

rehabilitation is

intense, aggressive, and usually completed in several weeks

body alignment has to do with

positioning the patients body correctly

position when you are lying on your abdomen

prone

what is the major concern when lifting or moving a patient

your safety as well as the resident's

A safety concern to remember when transferring, lifting, or ambulating a patient is to

be careful of any tubing the patient may have

when feeding a patient in bed you would need to place them in

fowlers position

psycho-social effects of immobility can lead to ____________

depression

when transferring a patient from the bed to a wheelchair you need to observe and report any...

dizziness or unsteadiness, shortness of breathe or change in vital signs, or skin irritation