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CNA Preparation - 1
Exam 1
| Term | Definition |
|---|---|
| is alcohol rub sufficient for C-diff? | no, handwashing is a must |
| VS | vital signs |
| OOB | out of bed |
| AMB | ambulate |
| long-term care federal government agency law passed to establish minimum standards for nursing homes and the training of nursing assistants | OBRA (Omnibus Budget Reconciliation Act) |
| each resident being an individual with needs, abilities and limitations | psychosocial needs |
| what are the activities of daily living? | bathing, dressing, toileting, grooming |
| reason for state surveys | review care and safety of residents |
| what are we coming into contact with all the time? | microorganisms |
| what to do on the exam if it says it's worth 3 points | select 3 items |
| why are long nails/ fake nails bad | pathogens, may scratch residents, they fall off and make certain care difficult. NOT reasons: may not match uniform, residents may eat them |
| chain of command from lowest to highest (list of superiors/authority in facility) | QMAs/CNAs, charge/staff nurses (licensed), nurse managers, ADON (assistant DON), DON (director of nursing), administrator (exec) |
| when do you use or not use gloves? | use for bodily fluids contact, shaving (exposure to blood), any potential time blood will be present; NEVER use for feeding residents, don't use gloves for sheets on unoccupied beds |
| airborne precautions | special precautions when someone has a disease transmitted by microorganisms that remain suspended in air or trapped in dust and move with air currents |
| what are the 3 common infections transmitted by airborne droplets? | measles, chickenpox, tuberculosis |
| what are the additional precautions in addition to standard precautions when a disease is airborne? | private room with door closed, respiratory protection (TB: respirator), masks for those employees who have not had chickenpox/measles, limited movement of resident from room (or mask up if moving) |
| signs and symptoms of abuse | conditions: suspicious marks/bruises, bite marks, fractures, dislocations, burns, scalp tenderness, nose bleeds, swelling, welts. observations: fear, pain, withdrawal, mood/behavior changes, anxiety, self-protective mechanisms (guarding) |
| types of abuse | physical, sexual, mental, verbal, financial |
| resident rights | see page 18 of book--too long to list (16-plus items) |
| know "which is not" for symptoms of influenza | symptoms: chills, fever, sore throat, muscle aches, pains, cough, weakness/fatigue, malaise. NOT: loss of appetite, weight loss, nausea, dark urine, jaundice (those would match hepatitis) |
| true or false, you should fluff the bedsheets when changing them | false. also do not hold sheets close to body or let them touch your uniform |
| difference between C-diff, MRSA, VRE, scabies | C. diff = antibiotic-associated diarrhea/colitis; MRSA = methicillin-resistant Staph. aureus (skin/wound); VRE = vancomycin-resistant Enterococcus (GI/urinary/wounds); Scabies = contagious mite infestation causing intense itching, especially at night. |
| true or false, report chronic confusion | false |
| true or false, report mild chronic pain | false |
| true or false, report change in skin condition | true |
| report refusal to drink water? | eventually/ end of shift |
| HAIs | hospital acquired infection AKA nosocomial |
| what are the 2 most common HAIs? | respiratory, urinary |
| clean vs dirty areas | clean: back of chair, head of bed, on overbed table, top of bedside cabinet. there wasn't a list of dirty areas but dirty linens should be placed in designated linen barrels, seat of chair, foot of bed, NEVER on floor |
| who is in charge of LTC activities? | activities director |
| what is the term for the written plan of action for a resident | care plan. care plans should offer staff a current reflection of the resident's condition at all times |
| term for the misuse or theft of funds or property belonging to a resident (also considered financial abuse) | misappropriation, which also includes destruction or borrowing of items belong to residents as well as personal property of one person to care for another |
| know initial steps in order | 1. needs, abilities, limitations 2. knock etc 3. greet 4. ID again 5. explain procedure 6. gather supplies 7. close curtains, maintain privacy 8. wash hands 9. wear gloves (standard precautions) 10. use proper body mechanics/ raise bed appropriately |
| PPE donning/doffing order | DONNING: gown, mask/respirator, goggles/face shield, gloves. DOFFING: gloves, goggles/face shield, gown, mask/respirator |
| what are some precautions should you know for PPE? | use safe work practices to protect self and limit contamination - keep hands away from face, limit surfaces touched, change gloves when torn or heavily contaminated, and perform hand hygiene as needed. don't touch front of mask/respirator |
| what is the agency that regulates safety hazards on the job? | OSHA |
| symptoms of a heart attack | crushing, pressing, smothering sensation in chest which may travel down left arm, into neck, jaw, or shoulder blade. shortness of breath, dizziness, cyanosis, heavy sweating, N/V, severe anxiety |
| first thing to do with resident having seizure | padding under head; also note areas involved |
| fire needs what 3 things | fuel, heat, oxygen |
Created by:
elianayu
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