Safety
The client's call light should always be placed...
within the client's reach
Should a blood pressure of 140/90 be reported to the nurse and why?
Yes. A BP of or over 140/90 is considered hypertension. Uncontrolled hypertension can lead to many other health issues as well as a stroke. The CNA has a very important role in assisting the nurse in their patient's care.
How many seconds should the CNA lather and wash their hands?
20 seconds
Should soap be used when washing a patient's face?
No, it might get in the eyes and burn.
When providing perineal care for the female patient how should the CNA wash?
Front to back, using a clean area of the washcloth for each stroke.
Why should a patient be turned every two hours?
To prevent bedsores/pressure ulcers.
60-110
After properly positioning the patient on the bedpan what must be left with the patient?
Toilet paper, hand wipe, and signaling device (call bell).
When should the CNA practice hand hygiene?
Before assisting a patient to stand up from a wheelchair, what must the CNA do?
Before assisting to stand, the CNA must lock the wheels on the wheelchair.
Before getting a patient out of bed the CNA should make sure that....
the bed is locked and in the lowest position.
What is more dangerous to a patient's health, a low blood sugar of 38 or a high blood sugar of 226?
A low blood sugar of 38 is more dangerous and should be reported to the nurse immediately.
How many minutes should the CNA count the radial pulse and respiration rate?
One minute each.
At what level should the CNA measure urine output?
Eye-level.
What is the purpose of applying Ted Hose/elastic stockings on a patient's legs?
To prevent deep vein thrombosis/blood clots.
What other personal items must the CNA make sure the patient has near or on their person?
Glasses, hearing aids, dentures, cell phone
What is the range for normal respiration? Should a respiratory rate of 34 be reported to the nurse and why?
12-20. Yes, an increased respiratory rate can indicate respiratory distress which may advance to failure.
How should the CNA remove a PPE gown?
Before removing the gown, with one gloved hand, grasp the other glove at the palm and remove the glove. Then slip fingers from ungloved hand underneath the cuff of the remaining glove at the wrist, and remove glove turning it inside out as it is removed.
How often should the CNA perform catheter care?
Once a shift and every time the catheter comes in contact with feces.
What must the CNA do if the patient is asking for a sugary drink?
Check the patient's diet orders or nurse. Typically patients who are diabetic are on a diabetic diet and not allowed sugary drinks for meals.
Before assisting walking your patient the CNA must make sure...
that the patient is wearing non-skid footwear and has a walker or cane if indicated.
What temperature is considered a fever and reportable to the nurse?
Any temp over 101 orally.
What should the height of the bed be at when feeding a patient?
75-90 degrees.
Before providing mouth care what should be placed on the patient?
A cloth towel is laid across the patient's chest before providing mouth care.
When emptying a urinary bag, the CNA notices that the urine is dark brown, red, has sediment, or has clots; what should the CNA do?
Report the finding and amount immediately to the nurse. CNAs are vital in assisting the nurse in providing excellent patient care.