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CNA Preparation - 2

Exam 2

TermDefinition
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
Created by: elianayu
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