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CNA Final Part 2 Flashcards | StudBud
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CNA Final Part 2
CNA Final Part 2
50 terms
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1
Being a mandated reporter means
Reporting any suspected abuse to the chain of command
You are in charge of documenting intake after a meal
Not reporting abuse until you have evidence recorded
Documenting care after it is performed
2
Perineal care includes
Using a new piece of washcloth with each stroke
Wiping from dirtiest to cleanest
Wiping from back to front
Doffing gloves beforehand
3
Patient anxiously performing hand washing rituals might have...
Schizophrenia
Dementia
OCD
Hallucinations
4
Appropriate use of PPE
Wearing goggles to brush a residents hair
Wearing mask when emptying a colostomy
Wearing gloves to empty a urinal
Wearing gloves to gather clean linen from closet
5
ALZ patient lost her stuff animal she believed was her pet
Bring a different one to replace the lost one
Tell her you saw it run away
Reorient patient to person, place, and time
Help patient look for stuffed animal and reassure
6
After total hip replacement, what equipment will you NOT see
Sequential device or TED hose
Incentive spirometer
Traction
Walker
7
Patient drank 120 ML and 4 OZ
240 ML
300 ML
124 ML
180 ML
8
Responding to a seizure
After, encourage patient to drink for a faster recovery
Restrain patients limbs to decrease chance of injury
Attempt to move the patient to a soft surface like bed
Move objects away and protect head
9
Use of a cane guidelines
Instruct patient to lead with weaker side
Encourage patient to attempt walking without cane to gain confidence
NA should stay on patients stronger side when ambulating
Instruct patient to hold cane on stronger side
10
Normal change to REPRODUCTIVE system
Prostate enlarges in men
Estrogen and progesterone decreases in men
Decreased circulation and poor wound healing
Decreased cough reflex leading to aspiration
11
Complications of restraints include (choose all that apply)
Pressure sores
Insomnia
Pneumonia
Constipation
12
Can a patient's culture affect how comfortable they are with eye contact and touch?
True
False
13
Oxygen use guidelines
Ambulate patient to bathroom without oxygen
If patient SOB, adjust levels up
Use petroleum based moisturizer
Use water based lip balm
14
BEST option for patient who speaks very little English
Communication boards
Use an interpreter
Have family try to translate
Gestures
15
Shaving guidelines
Disposable razors can be tossed in trash as long as you recap
Do not use water or shaving cream with electric razors
Gloves not necessary for electric razors
It is okay to share electric razors between patients
16
Patient gained 4 pounds within the last day may be experiencing...
Dehydration
Obesity
Malnourishment
Fluid overload
17
Example of a positive open ended question
Did you have a good breakfast?
Why are you so grumpy?
Would you like apple juice or cranberry?
How are you feeling today?
18
Patient ordered restorative care will include all EXCEPT
Allowing enough time for patient to perform ADLs independently
Performing ADLs for resident so it goes quicker
Allowing resident to use adaptive devises
Praising successes no matter how small
19
What can ROM exercises help prevent
Osteoporosis
Rheumatoid Arthritis
Hypertension
Contractures and atrophy
20
BEST way to communicate to patient who speaks a different language
Write down what you need to say
Talk facing patient so they can read your lips
See if there is a translator available
Try to teach the patient some English
21
Hearing impaired patient guidelines
Face patient when speaking and have proper lighting
Shout loudly in patient's good ear
Approach patient from behind
Walk slightly in front and describe environment
22
Which fluid order might be ordered for patient with dehydration?
Thickened Liquids
RF
NPO
FF
23
Resident was not informed how much her perm at the beauty shop was, which resident right was violated?
To be informed about rights and services
To refuse treatment
To complain at residents council meeting
Privacy and confidentiality
24
General rule for bathing
Gently trim toenails
Wash cleanest to dirtiest
Ensure water temperature is at least 120 F
Wash perineal back to front
25
Resident exhibiting aggressive behavior
Report to nurse and ensure safety of all residents
Reprimand and take dessert away
Give resident extra dessert so please him
Ignore poor behaviors
26
Professional grooming for CNA: Select 2
Wear whatever you want to show your personality
Have hair tied back
Bathing daily
Avoid wearing deodorant to avoid asthma flare ups
27
Expected symptom of diabetes
Sweating profusely
Excessive thirst
Chronic headaches
Excessive fatigue
28
Symptoms of extreme hypertension, slurred speech, and excruciating headache could mean which medical emergency
CVA
MI
Hemorrhage
Hypoglycemia
29
Patient tries to tip you with $5 for your services
Take it and add it to patient's account
Take it, since she has dementia and won't remember
Politely decline
Report to charge nurse
30
Charge nurse asks you to take out patients IV
Look up the procedure on the internet
Politely refuse and explain why
Ask for guidance on how to remove
Gather supplies and take IV out
31
Patient becomes combative while providing care
Add temporary restraints until they calms down
Hold residents arms down to prevent them from hurting themselves
Give fast acting medication to sedate patient
Step back and report to nurse
32
Suspected poisoning FIRST action
Call poison control hotline
Report to nurse immediately
Put gloves on and find the source
Give patient something to drink to dilute substance
33
Psychosocial needs
Bathing resident per the bathing schedule
Praying with resident that shares the same belief
Ensuring the resident is given the appropriate diet
Encouraging resident to participate in activates
34
Patient with edema and orders for RF and daily weights may have...
Parkinson's Disease
MI
CHF
CVA
35
When should gloves be worn?
Brushing residents hair
Passing lunch trays
Pushing patient in wheelchair
Brushing residents teeth
36
Glove ripped, no more in room
Put tape over rip and continue care
Remove gloves, make sure to wash with soap and water after is given
Continue performing task
Go to supply closet to get more after making sure patient safe
37
Focus of hospice care
Help find access to curable treatments
To increase ability to perform ADLs
Maintaining function of abilities
Promoting comfort and rest
38
Which position do women at gynecologists usually have to get into?
Lithotomy
Dorsal recumbent
Knee chest
Supine
39
Patient with COPD will...
Be expected to fully recover after treatment
Loose function to one side of their body
Be anxious about not being able to breathe at times
Be unable to swallow solid foods
40
How to use validation therapy with ALZ disease
Tell them they are being silly
Let resident work through memory
Reorientat to person, place, and time
Ignore harmless confusion
41
No urine in catheter bag within 6 hours, you would
Encourage resident to drink fluids
Check for kinks, report to nurse
Disconnect tubing and check for leaks
Gently press on lower abdomen
42
Which is considered NOT a contagious body fluid
Feces
Sweat
Urine
Sputum
43
CNA scope of practice with CPR includes (Select all that apply)
Suctioning
Breathing with bag mask device
AED
Compressions
44
Oral care on unconscious patient supplies do NOT includes
Towel or wash cloth
Sponge swab
Gloves
Dental floss
45
Describe how to accurately document care
Use pencil just in case you make a mistake, it can easily be erased
Be subjecting and put your opinions into the chart
Document care before it is done to save time
Be factual and descriptive
46
Total hip replacement guidelines include
Performing ROM on surgical hip to prevent contractors
Instruct patient to cross legs while turning on side
Push past resistance to increase mobility
Dressing weaker side first
47
ROM that involves some assistance to client
ROM
AAROM
AROM
PROM
48
Patients with Alzheimer's may change their minds about desires frequently.
True
False
49
Best place for the call light
Placed on the bed
Within the reach of the patient
Attached to patients pillowcase
Next to the toilet in the bathroom
50
Helping resident with severe cerebral palsy
No need to speak to client since they won't be able to understand you
Encourage independence and be patient
Since intellect was affected, talk to them like a child
Perform all ADLs so it goes faster