| Human Needs/ Development | Safety | Good practices | Personal Care | Vital Signs |
|---|---|---|---|---|
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What is ageism
Stereotyping or prejudice toward, and/or discrimination of the elderly
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What is falls, not identifing the resident priorto performing cares/medications, burns/scalds, poisoning, choking, and cuts
Name common accidents in the nursing facility
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What is good body mechanics
Lifting while saving energy, preventing injury, and muscle strain
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What is 105 degrees
Water tempature for bathing should be
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What is temperature, respirations, blood pressure, pulse, oxygen saturation, height, and weight
The vital signs a cna is responsible to know how to perform are
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What is food/water, protection/shelter, activity, sleep/rest, comfort/ freedom from pain
Name the 5 needs of Maslow's hierarchy
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What is encourage fluids, report her symptoms to the nurse (possible UTI), alram may be needed, keep nonskid footwear in place, check on her more often, ensure there is no clutter, keep her glasses close by.
Abigail has fallen from her bed several times recently. She will not wait for staff to answer call light before she gets up to use the bathroom "when I have to pee, I cant wait", Abigail says her back has been hurting alot lately and she doesnt drink all her fluids at mealtime, the last time she fell her glasses were found on the table. What are some ways to prevent her from falling
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What is stand close to object, wide base of support, push or slide if able, use thigh muscles, squat to lift, raise the bed to good working height, avoid twisting, do not lift with only one hand, keep object/person close to your body, avoid bending and reaching
Proper lifting methods
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What is eyes, face, ears, neck, arms, axilla, hands, chest, abdomen, legs, feet, back, perineal area, and buttocks
The order for bathing is
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What is age, stress, exercise, circadian rythm, illness, and enviroment
Name some factors that affect vtal signs
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What is love/affection, acceptance by others, independence/self reliance in ADLs, contact with others, success/self esteem
Psychological needs are
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What is lock the brakes, take the foot pedals before transfers, use a gailt belt and do not lift by grabbing the res arms, get help if the res is too heavy for you
Name safety measures for transfers into or out of a wheel chair
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What is physical and chemical
Types of restraint
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What is when the water is too cool, if becomes soapy, prior to pericare
When do you change the water for a complete bed bath
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What is place Helen in sims (left side) position, insert thermometer 1/2" to 1" in the rectum, STOP if you feel resistance, never force the thermometer into rectum, if not digital keep in place for at least 3 minutes
You are directed by the nurse to obtain a rectal temperature from Helen, you have completed your beginning steps and now what do you do. State 3 steps
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What is listen to the resident as they respond to the cares you provide, ask the nurse about proper care of a res if you are unsure, empathy, respond with acceptance not prejudice
How can you as a cna honor cultures in the nursing facility
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What is 20 minutes
A warm or cold pack can be applied to provide comfort only after a doctor has given an order for use, this method of pain intervention can only be used for _____ minutes
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What is entrapment, ecchymosis, abrasions, pneumonia, reduced circulation, stress on the heart, blood clots, poor appetie/malnutrition, constipation, dehydration, incontinence, UTI, atrophy, contractures, loss of bone mass, nerve injuries, decreased mobility, falls, fx, depression/withdrawl, isolation, loss of self esteem, sleep disorder, loss of dignity, loss of independence, stress/anxiety, agitation, confusion, injuries, death
Name complications from using restraints
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What is halitosis, plaque, tartar, gingivitis, broken teeth/dentures, missing teeth, and sores
Signs of poor oral hygeine
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What is temporal, carotid, apical, brachial, radial, femoral, popliteal, pedal
Where can you find or record a pulse in BPM
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What is when they bathed, mealtime.
What is diagnosis, treatments, and therapies.
What type of questions from a family mamber is it ok to answer, not answer
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What is sit the res upright at 90 degrees with oral intake, assist with feeding slowly/do not rush them, alternate solids and liquids, food needs to be in small pieces, make sure diet is the correct texture, dentures need to be in place with adhesive as needed, and follow and swallowing precautions ST has ordered
Aspiration is a health risk that can be prevented at times, what are some ways the cna can help prevent the resident from aspirating
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What is keep call lights in reach, be prompt to answer lights, come back if you say your are going to, good lighting, body pillows, grab bars, ambulation, therapy/restorative, activities, wandering, frequent toileting, reading materials, continuity of care, food/drink, decrease noise, and back rubs
What are some good restraint alternatives for your residents
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What is lateral
What position does res need to be in to provide oral cares in bed
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What is absence of breaths, normal breathing, difficulty breathing, SOB when lying down, rapid breathing, alternating slow and irregular resp and rapid resp rates/shallow resp/periods of apnea
Explain the following terms apnea, eupnea, dyspnea, orthopnea, tachypnea, Cheyne- Stokes respirations (agonal)
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