Chapter 10
How often should bedbound residents be repositioned?
Every two hours
How does dangling benefit a resident?
It helps residents regain balance before standing up and allows blood pressure to stabilize. It helps prevent dizziness and lightheadedness that can cause fainting.
What is one way that nursing assistants help residents make a successful transition to long-term care facilities?
Giving emotional support such as listening
Being kind, compassionate, and helpful
In which position is a resident lying on his side?
Lateral
Describe how a transfer belt is applied.
Place the transfer belt over the resident's clothing and around the waist. Do not put it over bare skin. Tighten the buckle until it is snug. Leave enough room to insert flat fingers/hand comfortably under the belt. Check to make sure that skin or skin folds are not caught under the belt. Position the buckle slightly off-center in the front or back for comfort.
List eight guidelines for nursing assistants to follow to help residents during the admission process.
Prepare the room
When a new resident arrives, note the time and her condition
Introduce yourself and state your position
Don't rush the process
Take the new resident on a tour
Handle personal items with care and respect
Place personal items where the resident wants them
Let residents adapt to new home at their own pace
In which position is a resident lying flat on his back?
Supine
Before helping a resident into or out of a wheelchair, what should a nursing assistant do?
Why is it important for nursing assistants to report any weight loss or gain that a resident has, no matter how small?
Weight changes can be signs of illness
In which position is a resident lying on his stomach?
Prone
If a resident has a weaker side, which side should move first in a transfer - the weaker or stronger side?
The stronger side
How many inches are in a foot?
12
In which position is a resident lying on his left side with the lower arm behind the back and the upper knee flexed and raised toward the chest?
Sims'
When may stretchers be used for residents?
When a resident has serious injuries and illnesses and/or when they cannot or should not walk but need to be transported somewhere
What is one nursing assistant responsibility when assisting a resident with an in-house transfer?
Helping residents pack their personal items
Make sure the resident's clothing is clean and appropriate for the weather before transferring
Introduce the resident to staff members once she is in new location
In which position is a resident in a semi-sitting position (45 to 60 degrees) with the head and shoulders elevated?
Fowler's
List five guidelines for using a mechanical lift.
1. Have another LNA help you
2. Keep the chair to which the resident is to be moved close to the bed so that the resident is only moved a short distance in the lift
3. Make sure the valves are working
4. Use the correct sling
5. Check the sling and straps for any tears or holes
List eight types of information that the nurse may cover with the resident and her family and friends during the discharge process.
What is the purpose of canes?
They help with balance.
What is one benefit of using the toilet rather than a bedpan or urinal?
The bladder empties more efficiently due to a person's position over the toilet
What are two ways that nursing assistants can provide emotional support to residents who are having physical exams?
Being comforting
Listening
Answering questions within their scope of practice
What is a draw sheet?
An extra sheet placed on top of the bottom sheet when the bed is made. They help prevent skin damage caused by shearing.
How many feet does a quad cane have?
4
In which position is a resident lying on her abdomen with her knees pulled up toward the abdomen, with her arms pulled up and flexed, and her head turned to one side?
The knee-chest position
What is shearing?
Which type of adaptive device for walking can be used when a resident can bear no weight on one leg - cane, walker, or crutches?
Crutches
Which position involves placing the woman's feet in padded stirrups and is generally used to examine the vagina?
The lithotomy position
When is logrolling necessary?
When a resident has neck or back problems, spinal cord injuries, or after back or hip surgeries
Which side should a nursing assistant stand near when a resident is using adaptive equipment - the weaker or stronger side?
The weaker side
In which position is a resident lying flat on her back with her knees flexed and feet flat on the bed?
The dorsal recumbent position