Transfer and Mobility
A bedbound pt should be repositioned every ____________ and the resident's skin should be assessed each time they are repositioned.
What is 2 hours?
To avoid the spread of pathogens, soiled linen should never be shaken and must always be held this way by the nursing assistant.
What is away from your uniform?
The number of heartbeats felt per minute, which measures the rhythmic expansion and contraction of an artery as blood flows through it.
What is the pulse?
Unlike a standard bedpan, this flatter piece of equipment is used for residents who cannot lift their hips easily or have a body cast.
What is a fracture pan?
This type of care focuses on providing comfort, dignity, and pain management rather than trying to cure a terminal illness.
What is palliative (or hospice) care?
A medical order that instructs medical professionals not to perform CPR if a resident's heartbeat or breathing stops.
What is a DNR (Do Not Resuscitate) order?
The act of assisting a resident to sit on the edge of the bed with their legs over the side to prevent dizziness before standing.
What is dangling?
These initial vital signs and physical measurements taken during admission are used to compare against all future measurements.
What are baseline vital signs?
This temperature site is considered the most accurate representation of core body temperature but should be avoided if the resident is disoriented.
What is the rectal site?
A temporary, sudden state of severe confusion and disorientation that is often caused by an underlying medical issue like a UTI or dehydration.
What is delirium?
This legal document specifies a person's wishes regarding medical treatment and life-prolonging measures in the event they become unable to make decisions for themselves.
What is an advance directive?
During a physical exam, a nursing assistant's primary role is to provide this to the resident, which includes pulling privacy curtains and keeping them covered.
What are comfort and privacy measures?
When transferring a resident with one-sided weakness, you should place the wheelchair on this side of the resident's body, which allows that side to move first.
What is the stronger (or unaffected) side?
This bed position features the head of the bed raised between 45 and 60 degrees and is frequently used to help a resident eat or breathe easier.
What is Fowler's position?
This force measures the pressure of blood against the walls of the arteries when the heart contracts and relaxes.
What is blood pressure?
This urine collection method requires the resident to urinate a small amount into the toilet first, stop, and then urinate into a sterile specimen cup.
What is a clean-catch (or mid-stream) specimen?
This is widely believed to be the very last of the five senses to leave a dying resident's body.
What is hearing?
This stage of the five-stage grief process involves a resident trying to make a deal with a higher power to prolong their life.
What is bargaining?
When a nursing assistant is helping a resident walk and the resident begins to fall, the nursing assistant should do this rather than trying to stop the fall.
What is widen their stance, bring the resident close to their body, and gently lower them to the floor?
These areas of the body are highly prone to these painful, preventable injuries caused by prolonged pressure and friction.
What are bony prominences? (like heels, elbows, and coccyx)
The normal, average range for an adult's respiratory rate is this many breaths per minute.
What is 12 to 20 breaths per minute?
Creating and strictly following this daily structure can help reduce agitation, confusion, and anxiety for residents living with this disease?
What is dementia or Alzheimer's disease
The natural stiffening of the body's muscles that occurs a few hours after death.
What is rigor mortis?
This type of communication involves using open-ended questions, active listening, and empathy to help a newly admitted resident feel safe and heard.
What is therapeutic communication?
This type of Range of Motion (ROM) exercise is performed entirely by the nursing assistant without the resident's physical help.
What is Passive Range of Motion (PROM)?
When performing perineal care on a female resident, the nursing assistant must always wipe in this direction to prevent infection.
What is from front to back (or clean to dirty)?
This is the specific name given to the blood pressure reading, representing the phase when the heart is actively contracting.
What is systolic pressure?
These 2 behaviors are common with residents living with dementia and they involve collecting or putting things away in a guarded way and going through drawers, closets, or personal item that belong to them or other people.
What is hoarding and rummaging?
Care taken to prepare and clean a resident's body after death, which must always be done with maximum respect and in accordance with facility policy.
What is postmortem care?
Where bedpans, urinals, and fracture pans are usually stored in this location when they are not actively being used or cleaned.
In the Bathroom
When assisting a resident who is ambulating with a cane, the nursing assistant should stand on this side of the resident's body.
This specific type of mechanical force occurs when a resident slides down in bed, causing their skin to move in one direction while the underlying bone and muscle remain stationary or move in the opposite direction, directly causing pressure injuries.
What is shearing?
If a resident has just finished drinking a cup of hot coffee, the nursing assistant must wait this long before taking an oral temperature.
What is 10 to 20 minutes?
This specific type of behavioral symptom causes a resident with dementia to become increasingly confused, anxious, or agitated in the late afternoon or evening.
A decrease in BP, rattling or gurgling sounds with breathing, a weak pulse, and Cheyne stokes respirations are all signs of _________________.
What is approaching death?
(also includes, blurred or failing vision, unfocused eyes, impaired speech, diminished sense of touch, loss of movement, muscle tone, and feeling, change in body temp, mottling of the skin, cold pale skin, perspiration, incontinence, and disorientation.)
Mr. Baldwin tells the NA that he is going to lunch with his wife but the NA knows his wife died many year ago. Instead of correcting him she asks where they are planning to go and suggests that he should eat a little now because the service is often slow. This is an example of ________________.
What is validating or validation therapy?
This range of motion exercise involves touching the pt's thumb to each fingertip
What is opposition of the thumb?
List postions in order:
______________ side lying
______________ flat on back
______________ flat on belly
lateral
supine
prone?
What is <120>90/<80>60?
This behavior management process helps residents with incontinence re-establish a predictable elimination schedule by taking them to the bathroom at specific, timed intervals.
What is bladder retraining?
This specific type of advance directive designates a trusted individual—chosen by the resident—to legally make medical decisions on their behalf if they become mentally or physically incapacitated.
What is a Durable Power of Attorney for Healthcare (or Healthcare Proxy)?
During the admission process, the nursing assistant must legally ensure the resident signs a formal acknowledgment regarding this federal 1996 act, which strictly protects the confidentiality of their baseline health information and medical records.
What is HIPAA (Health Insurance Portability and Accountability Act)?