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CNA Preparation - 2
Exam 2
| Term | Definition |
|---|---|
| what nutrient/macromolecule is needed to grow tissue, as in a burn? | protein |
| what are the steps to making an unoccupied bed? (1) | collect clean linen, carry linen, place linen on clean surface, flatten bed, loosen soiled linen rolling it from head to foot, fanfold bottom sheet to center and fit corners on one side, fanfold top sheet to center, |
| what are the steps to making an unoccupied bed? (2) | fanfold blanket over top sheet, tuck top linen under foot of mattress and miter corner, move to other side of bed, fit corners of bottom sheet, unfold top linen, tuck it under foot of mattress, miter corner |
| what are the steps to making an unoccupied bed? (3) | fold top of sheet over blanket to make cuff. pillow case: inside out over arm, pull pillow case over it with free hand, place pillow at head of bed with open edge away from door. for open bed: toe pleat and fanfolded top linen. |
| what are the steps to making an unoccupied bed? (4) | closed bed: pull bedspread over pillow and tuck bedspread under lower edge of pillow, make toe pleat |
| normal range for VS - blood pressure | 100-140/60-80 |
| normal range for VS - temperature | oral 97.6-99.6, axillary 96.6-98.6, aural/tympanic 98.6-100.6 |
| normal range for VS - respirations | 12-20/min |
| normal range for VS - heart rate/pulse/BPM | 60-100 bpm |
| what you're observing for on heartrate and respirations | RRF - rate rhythm force for heartrate, RRC - rate rhythm character for respirations |
| head of bed elevated 45 to 60 degrees with legs straight | fowler's position |
| head of bed elevated 30 to 45 degrees with legs straight | semi-fowler's position |
| two instances it's unsafe to use gait belt | should not be used if resident has had recent abdominal surgery or has difficulty breathing |
| how often to give a partial bath? | at least daily |
| how often to give a full bath? | at least twice weekly |
| where does the CNA stand when the resident uses a walker? | stand to side and slightly behind resident |
| what is a draw sheet and when should it be used (3 instances)? | small sheet over the middle of the bottom sheet to keep mattress and bottom linens dry; (1) turn and move the person in bed (2) resident needs assistance with turning/repositioning (3) incontinent persons should have ONE pad |
| why do residents wear compression socks (thromboembolic deterrent stockings)? and why post-surgery? | prevent swelling, prevent blood clots, prevent pooling in feet |
| definition of compression socks/ TED hose | specialized hosiery designed to help prevent occurrence of swelling and blood clots by compressing the limb and reducing the diameter of swollen veins so that blood does not pool in the lower extremities |
| why can't a CNA adjust a walker/cane/crutch? | such assistive devices are specifically fit to each resident; measurements are obtained by PT or the nurse |
| where to place the chair when transferring resident from bed to chair? | brace chair against bed on the resident's UNAFFECTED side / STRONG SIDE |
| what is the measurement of the number of times a person inhales per minute | respirations/respiratory rate |
| what factors affect respiratory rate? | age, sex, emotional distress, medication, lung disease, heat and cold, heart disease, and physical activity |
| what is the term for a sudden drop in blood pressure when a person quickly rises from a lying to a sitting or standing position? | orthostatic hypotension |
| what are some symptoms caused by orthostatic hypotension? | dizziness, weakness, spots before the eyes, fainting |
| on what 2 different occasions is height of a resident measured? | on admission and yearly |
| what is the term for when you turn/roll resident without changing good alignment | logrolling |
| what 2010 law prohibits people under the age of 18 from doing mechanical lift? | Hazardous Occupations Order No. 7 (HO 7) under the Fair Labor Standards Act (FLSA) |
| which is done first, catheter care or perineal care? | catheter first |
| list of 9 bony prominences | ear, back of head, shoulder blades, elbows, hips, coccyx, knees, ankles, heels |
| list of 9 friction areas | armpits, under breasts, skin folds, groin, inner thighs, between buttocks, between toes, around contracted areas, under tubing |
| 4 stages of pressure sores/ decubitus ulcers | redness; broken area surrounded by redness with superficial depth; skin over wound is gone with underlying tissue exposed (may be covered with necrotic tissue or contain purulent exudate); extensive tissue damage with muscle and bone visible |
| which end of the Braden scale is high and which is low? | on a scale of 6-23, 6 is the highest |
| what does mitering the corners of the sheets do? | prevents resident's feet from being restricted by or tangled in linen when getting in or out of bed. it also prevents pressure on feet which can cause pressure sores |
| why make toe pleats on a bed? | prevent skin breakdown on the top of the toes and promote comfort |