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NA1
| Question | Answer |
|---|---|
| 5 rights of delegation | Right task, Right circumstance, Right person, Right direction and communication, Right supervision and evaluation |
| ADL's | Activities of Daily Living |
| Who maintains the NA1 Registry | N.C. Health Care Personnel Education and Credentialing |
| OBRA | Omnibus Budget Reconciliation Act - improve quality of life in nursing home environment |
| PASS ; for fire extinguisher use | Pull, Aim. Squeeze, Sweep |
| RACE; in case of fire | Remove; Activate; Contain; Extinguish or Evacuate |
| BEFAST; stroke / CVA | Balance; Eyes; Face; Arm; Speech; Time (911) |
| CVA | Cerebrovascular Accident or stroke |
| Define Hazard | Anything in the resident's environment that may cause illness or injury |
| OBRA requires that room temp be at what range | 71 to 81 F |
| Leading cause of fatal injury or trauma in the elderly pop. is | Falls |
| Extrinsic Risk Factors would include what | Environmental hazards ; poor lighting, clutter, wet floor, broken equipment, incorrect fitting articles of clothing |
| Intrinsic Risk Factors would include what | Conditions of the patient; over 65 yrs; medical condition; effects of medicine; age; balance and gait |
| Define a Medical Emergency | A dire situation when a person's health or life is at risk |
| Three Way process of communication | Sender; Receiver; Feedback |
| What is the 5th vital sign | Pain |
| Define Criminal Law | Offenses against the public and society |
| Define Civil Law | Laws that deal with person to person |
| Assault | Act of threatening to touch or attempting to touch a person w/o consent |
| Battery | touching a person w/o consent |
| False Imprisonment | Unlawful restraining or restricting a person's movement |
| Invasion of Privacy | Violation of right to control personal information or the right to be left alone |
| Abuse | Willful infliction of injury; unreasonable confinement; intimidation or punishment with resulting physical harm, pain or mental anguish |
| Neglect | A failure to provide goods and services necessary to avoid physical harm, pain , mental anguish or emotional distress |
| Negligence | Actions that result in injury to another |
| Signs and Symptoms of Neglect | Dehydration , malnutrition, untreated pressure ulcers, poor personal hygiene, unclean conditions , resident report of neglect |
| Define Objective Data | Observations using the senses ; Being able to record data |
| Define Subjective Data | Information collected through communication; what is said; how they feel, not able to scientifically measure |
| HIPAA | Health Insurance Portability and Accountability Act; protects private information of health |
| AD+PIE | Assessment, Diagnosis, Planning, Implantation, Evaluation ; Must be done in this order and Assessment is always preformed |
| Nursing Process is | METHOD used by nurses to plan and deliver nursing care to the resident; uses AD+PIE |
| The first step in the Nursing Process | Assessment; Collecting Information about a resident |
| The second step in the Nursing Process | Diagnosis; A health problem that nurses can treat using nursing measures |
| The fourth step in the Nursing Process | Implementation ; Nursing measures carried out during resident care |
| The third step in the Nursing Process | Planning; setting of resident goals that are prioritized |
| The fifth step in the Nursing Process | Evaluation; deciding if nursing measures worked or goal was met |
| The Nursing Care Plan (Care Plan) | INDIVIDUALIZED written plan of care, based on nursing process written by nurse |
| The NA's role in the nursing process is | Assist the nurse in collecting information through interactions with the resident |
| The NA's role when using the Care Plan | Assist nurse with collecting Data |
| TPR & BP | Temperature, Pulse, Respiration and Blood Pressure |
| VS | Vital Signs |
| tid; t.i.d. | Three times a day |
| a.c. | Before meals |
| amb. | Ambulate |
| a.p. ; AP | Apical Pulse |
| bid; b.i.d. | Two times a day |
| c/o | Complains of; in care of |
| CXR | Chest X-ray |
| drsg | Dressing |
| Dx; dx | Diagnosis |
| ETOH | Alcohol |
| FF | Forced Fluids |
| FWB | Full Weight Bearing |
| H/A | Headache |
| HOB | Head of Bed |
| HS; hs | At Bedtime; may be set by facility or may be set by pt. |
| I & O | Intake and Output |
| LOC | Level of Consciousness or Level of Care |
| LE | Lower Extremity |
| MI | Myocardial Infarction |
| NIBP | Non-Invasive Blood Pressure monitoring |
| NKA | No Known Allergies |
| NPO | Nothing by Mouth |
| PCA | Patient Controlled Anesthesia |
| os | Mouth |
| Pt; pt | Patient |
| qam | Every morning |
| qd | Every day |
| qh; qhr | Every hour |
| q2h, q3h | Every 2 hours, Every 3 hours |
| q.o.d | Every other day |
| RF | Restrict Fluids |
| ROM | Range of Motion |
| RR | Respiratory Rate |
| SOB | Short of Breath |
| SP | Standard Precautions |
| S&S; S/S | Signs and Symptoms |
| URI | Upper Respiratory Infection |
| Normal Range of Axillary Temp. | 96.6 - 98.6 ; Baseline is 97.6 |
| Febrile Axillary | Equal or Greater than 100 |
| Normal Range of Oral and Temporal Temp. | 97.6 - 99.6 ; Baseline is 98.6 |
| Febrile Oral or Temporal Temp. | Equal or Greater than 101 |
| Normal Range of Rectal Temp. | 98.6 - 100.6 ; Baseline is 99.6 |
| Febrile rectal temp. | Equal or Greater than 102 |
| Normal Range of Radial Pulse is | 60 - 100 BPM |
| Tachycardia is how many BPM | Greater than 100 BPM |
| Bradycardia is how many BPM | Less than 60 BPM |
| Normal Range of Respiration | 12 - 20 |
| Tachypnea would be | Greater than 20 per minute |
| Bradypnea would be | Less than 12 per minute |
| Normal Range of Systolic BP | 90 - 119 mmHg |
| Normal Range of Diastolic BP | 60 - 79 mmHg |
| Elevated SBP would be | 120 - 129 mmHg |
| Hypertension SBP | Equal or Greater than 130 mmHg |
| Normal Range of Oxygen Saturation Rate | 95 - 99 % |
| Normal Range of Blood Glucose | 70 - 110 mg/dl |
| After taking measurements, would do you do before recording data? | Wash Hands |
| NPO | Nothing by mouth |
| Supportive devices are | Orthotic devices, wheelchair, cane, walker,; Helps with movement |
| Assistive Devices are | Helps in performing ADL's; Pillows. dishes/flatware, tools for clothing , bath and hygiene items |
| Restorative care is | Care after rehab; To maintain functions and increase independence |
| Hemiparesis | Weakness on one side of the body |
| Hemiplegia | Paralysis on one side of the body |
| Quadriplegia | Paralysis to upper and lower body |
| Receptive Aphasia | Difficulty understanding spoken and written words |
| Stasis Dermatitis | Skin condition of the lower legs/ Ankles from fluid build up under the skin. |
| Stage 1 pressure injury | Redness over bony area |
| Stage 2 pressure injury | Blister , closed or open |
| Stage 3 pressure injury | Tissue loss down to the subcutaneous area |
| Stage 4 pressure injury | Tissue loss down to the Muscle and/or Tendons |
| Contracture is | Muscle or Tendons shorten, freeze, or become inflexible |
| UAP | Unlicensed Assistive Personnel |
| UTI | Urinary Tract Infection |
| PROM | Passive Range of Motion |
| POA | Power of Attorney |
| NIDDM | Non-Insulin Dependent Diabetes Mellitus |
| NNAAP | National Nurse Aide Assessment Program |
| NCBON | N.C. Board of Nursing |
| OSHA | Occupational Safety and Health Administration |
| TED / TEDS | Thromboembolism Devices; Compression socks |
| TED Hose / TED hoses | Compression socks |
| RT | Respiratory Therapy / Therapist |
| PT / P.T. | Physical Therapist or Therapy |
| MI | Myocardial Infarction |
| LTC | Long Term Care |
| LPN | Licensed Practical Nurse |
| HIPAA | Health Insurance Portability and Accountability Act |
| HOB | Head of Bed |
| HTN | Hypertension |
| IDDM | Insulin Dependent Diabetes Mellitus |
| DHSR | Division of Health Services Regulation |
| DM | Diabetes Mellitus |
| DNR | Do Not Resuscitate |
| CPR | Cardiopulmonary Resuscitation |
| COPD | Chronic Obstructive Pulmonary Disease |
| CNA | Certified Nursing Assistant |
| CHF | Congestive Heart Failure |
| Prefix Brady | Slow |
| Prefix Tachy | Fast ; swift ; rapid |
| Prefix Dys | Painful ; problem; bad |
| Emesis | Vomiting |
| Penia as a suffix | Lack; as in Leukopenia |
| Phasia | Speaking |
| Plegia as a suffix | Paralysis |
| Pnea as suffix | Breathing |
| SOB | Short of Breath |
| AC/HS | Deals with diabetes; AC= Before Meal and HS= At bedtime |
| POC | Plan of Care |
| Dysphagia is | Painful or Problem eating or swallowing |
| Dysphasia is | Problem with speech |
| 6 links in the chain of infection | 1. Causative Agent; 2. Reservoir; 3. Portal of Exit; 4. Transportation; 5. Portal of Entrance; 6. Susceptible Host |
| Define Reservoir | People that have infectious organisms that live and grow in or on them and |
| Carriers are | People that house the infectious organisms but show no symptoms or signs |
| Standard Precautions | Aim to prevent the spread of infection; All Fluid, Mucous Membrane and Non Intact skin are treated as Infected |
| 5 essential times to preform hand hygiene | 1. Before touching resident; 2. Before performing aseptic procedure; 3. Body fluid exposure; 4. After touching resident; and 6. After touching resident surroundings |
| Person is contagious of the Norovirus | At least 3 days after vomiting and diarrhea have stopped |
| Does Alcohol sanitizer work against Norovirus | No |
| The 2 levels of infection control are | Standard Precautions and Transmission Based Precautions |
| Transmission Based Precautions are | Contact Precautions; Droplet Precautions; and Airborne Precautions |
| Droplet Precautions | Droplets from cough; sneeze; singing; Close proximity |
| Airborne Precautions | Harmful germs that can float in air within moisture or air currents |
| Contact Precautions | Come into contact with, either Direct or Indirect |
| Maslow's Hierarchy of needs | Physiological; Safety and Security; Love and Belonging; Self Esteem; Self Actualization |
| NNAAP is | National Nurses Aide Assessment Program; state test, 5 skills, oral and written test |
| AIIR is | Airborne Infection Isolation Room |
| Benign Tumor | Non cancerous, does not move |
| Malignant Tumor | Cancerous tumor |
| Metastasis | Cancer breaks off and move to other parts of the body |
| Organism | Systems that function together to perform common activity |
| Cancer risks | Female Hormones, Obesity, Environment |
| Deep Tissue Injury | Deep purple; Tissue that is affected will have different consistency, Injury starts at bone area and skin is last to be affected; Necrosis can set in. can occur from shearing. |
| TKR | Total Knee Replacement |
| CHF | Congestive Heart Failure; One or Both sides of the heart does not pump efficiently |
| CAD | Coronary Artery Disease; coronary arteries become blocked |
| PVD | Peripheral Vascular Disease; Poor circulation to Arms, Hands, Legs, Feet from fatty deposits |
| Gastritis | Inflammation of the Stomach Lining |
| GERD | Gastroesophageal Reflux Disease |
| Ulcerative Colitis | Chronic Inflammation of the Colon |
| CKD | Chronic Kidney Disease |
| Hematuria | Blood in Urine |
| Micturition | Urination or Voiding |
| S/S of Renal Calculi | Nausea, vomiting, chills, fever, along with pain |
| Cystitis | Bladder Infection |
| Daily average output of urine is | 1000 mL to 1500mL / 1L - 1.5L |
| S/S Hypoglycemia | Weakness, Shakiness, Sweating, Confusion, Hunger, H/A |
| S/S Hyperglycemia | Weakness, Frequent Urination, Flushed Face, Dry Skin, Thirst / Dry Mouth, Low BP |
| Fowlers Position | Reclined sitting position at 45 to 60 degrees |
| High Fowlers Position | Sitting position at 60 to 90 degrees |
| Supine position | Lying on back and being flat or level |
| Sims position | Lying on Left side, with the right leg bent at the knee, usually for preforming rectal procedures. |
| Prone position | Lying on Abdomen |
| Lateral position | Lying on Left or Right side |
| ABC of body mechanics | Alignment, Base of support, Coordination |
| Term for Breathing substances into the lungs that do not belong there, can cause pneumonia or death | Aspiration |
| Special diets are also called what | Therapeutic or Modified diets |
| The suffix Stomy means | A surgical opening of a body part / region; Gastrostomy |
| The suffix Tomy means | A incision made; Tracheotomy |
| Restraints are ordered by who | Doctor |
| Restraint pt. needs to be checked on at what time intervals | Every 15 minutes |
| Restraints need to be removed at what time intervals and for what | Every 2 hours for a minimum of 15 minutes, to attend to basic needs |
| Term used for blaming others | Projection |
| Term used for making false reasons for a situation | Rationalization |
| Term used for transferring feelings for one person onto another person | Displacement |
| Term used for focusing on assisting pt. to find meaning in day to day life. | Activity- Base Care |
| Term used for a state of confusion that is reversible and has a sudden onset | Delirium |
| The 7 stages of Alzheimer's | 1. No memory problems 2. Minor memory problems 3. Difficult planning 4.Inability to manage finances 5. Significant confusion 6. Incontinence 7. Final stage near death |
| Term used for sudden and temporary pain that can last up to 6 months | Acute pain Duration |
| Term used for pain that last more than 6 months | Chronic pain Duration |
| Chronic pain can slow down the body and cause what to happen to BP | Lowers BP and heart rate |
| Term used for a lack of blood supply to area of tissue and can cause pain | Ischemia ; Can have Ischemic Pain |
| 5 stages of Grief | 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance |
| DOCUMENT THAT OUTLINES the medical care in case pt. can not make decisions | Living Will |
| Signed Document that the pt. APPOINTS SOMEONE ELSE to make medical decisions if pt. can not. | Durable Health Care Power Of Attorney |
| Term used for changing in skin color ( pale/blue) when death is near; usually in the extremities | Mottling |
| A Living Will and Durable Health Care POA are considered what | Advance Directives |
| 2 Acts that allows people to refuse or accept treatment and Advance Directives | Patient Self-Determination Act and OBRA |
| Term for inflammation of the Bladder from an infection | Cystitis |
| Term for Degenerative Joint Disease (DJD) that affects the weight bearing joints | Osteoarthritis |
| Term for Systemic crippling auto immune disease causing stiff, painful, swollen joints | Rheumatoid Arthritis |
| Term for the spongy type of bone that breaks easily | Osteoporosis |
| Term for Inappropriate laughing, crying , or expression of anger | Emotional Lability |
| Term for disease that causes poor circulation to the legs, feet, arms, and hands from fatty deposits in the blood vessels | PVD; Peripheral Vascular Disease |
| Term for difficult in breathing | Dyspnea |
| Term for when one can not completely void bladder | Retention |
| Term for kidney / bladder stones | Calculi |
| Type of DM that is lifelong; Pancreas does not produce insulin or produce too little insulin | Type 1 DM |
| Type of DM that starts around age 35; Pancreas produces insulin, but is not used well to control sugar uptake | Type 2 DM |
| Term for when the bladder drops down into the vaginal canal | Cystocele |
| Term for when the rectum shifts down towards the vaginal canal | Rectocele |
| Term for when a pelvic organ drops into the vaginal canal | Prolapse |
| Term for when the uterus shifts down towards the vaginal canal | Uterine Prolapse |
| Term for the defense mechanism to going back to past behavior | Regression |
| Term for the defense mechanism when blaming others | Projection |
| Term for the defense mechanism when transferring feelings about one person to another | Displacement |
| Term for the defense mechanism when blocking painful events | Repression |
| Term for the defense mechanism for false reason for situation | Rationalization |
| AKA | Above knee amputation |
| ant. | Anterior |
| AROM | Active Range of Motion |
| BKA | Below knee amputation |
| BM | Bowel Movement |
| BR | Bedrest |
| BRP | Bathroom Privileges |
| c | with |
| CHD | Coronary Heart Disease |
| CRF | Chronic Renal Failure |
| DKA | Diabetic Ketoacidosis |
| FH | Family History |
| fld | Fluid |
| f/u ; F/U | Follow up |
| fx | Fracture |
| Hx | History |
| inc | incontinent |
| LUQ | Left Upper Quadrant |
| OOB | Out Of Bed |
| O.D. | Right Eye |
| O.S. | Left Eye |
| O.U. | Both Eyes |
| pc / p.c. | After meals |
| per os | By Mouth |
| p.r.n. / prn | When Neccesary |
| qhs | Every night at bedtime |
| qid / q.i.d. | Four times a day |
| THR | Total Hip Replacement |
| W/A ; WA | While Awake |
| WNL | Within Normal Limits |
| q | Every |
| HOH | Hard of Hearing |
| HS | At Bedtime |
| loss of urine caused by cognitive, physical, or environment reasons | Functional incontinence |
| – loss of urine due to bladder overflow or distention | Overflow incontinence |
| – loss of urine with sneezing or coughing | Stress incontinence |
| – involuntary loss of urine from a sudden urge to void | Urge incontinence |
| CKD can be prevented from advancing into further stages by | controlling diabetes, maintain healthy blood pressure, exercise, and maintain a healthy weight |
| Major cause for HTN is | Atherosclerosis |
| CMS | Center for Medicare Services |
| CMS defines 2 types of pressure injury outcomes | Unavoidable and Avoidable |
| Term for Inflammation of the mouth is | Stomatitis |
| Another name for Pressure Ulcers | Decubitus Ulcers |
| Process of pt. diets are | Ordered by a doctor and planned by a dietician |
| Term for nutrients that enter through the GI tract, either orally or with a NG tube | Enteral Nutrients |
| Term for nutrients that enter through the Veins | Parenteral Nutrients |
| 6 Nutrients are | Water, Fats, Carbs, Protein, Vitamins, Minerals |
| 1 oz. equals how many mL | 30 mL |
| Term for when food is gradually reintroduced to a pt. | Advanced Diet |
| OBRA requires food to be | o Appetizing, smells and looks good o Varied in color and texture o Served at the correct temperature o Served promptly o Prepared to meet individual needs |
| OBRA also requires food to be | • Other foods are offered if food serve is refused • Each person receives at least 3 meals a day, with the offer of a bedtime snack • Assistive devices and utensils provided as needed |
| Clear Liquids | Post-operative, acute illness, infection, nausea/vomiting, prepare for GI procedures |
| Full Liquids | Next step after clear liquids, fever, nausea/ vomiting, resident unable to chew/swallow/digest solid foods |
| Mechanical Soft | Next step after full liquids, fever, nausea/ vomiting, resident unable to chew/swallow/digest solid food |
| Restraints – Risks | Aspiration, skin issues, fx, death from strangulation, constipation, inc. , dehydration, uti., edema, nerve damage, mental issues, depression, pneumonia. |
| Restraints should have how much room | o Should allow 1 finger between |
| Term for the defense mechanism of pretending a problem does not exist | Denial – |
| Term for the defense mechanism of making up for a situation in some other way | Compensation – |
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scones and joe
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