When bathing a resident, the nurse assistant sees a swelling around the knee that is tender to touch. The nurse assistant should:
What is REPORT TO THE NURSE?
To better assist a person with Dementia, to get dressed, the CNA will do this.
What is STACK THE CLOTHES IN THE ORDER THEY ARE PUT ON?
A foley catheter drainage bag should always be hung to the __________ when the patient is in bed.
This is the alternating contraction and relaxation of intestinal muscles, which allows feces to move through the intestines.
What is PERISTALSIS?
This term is used when there is sugar (glucose) in the urine.
What is GLUCOSURIA?
Perineal care of a male patient should be done in this order.
What is START AT THE MEATUS (urethral opening) AND CLEAN IN CIRCULAR MOTION, DOWN TO SCROTAL AREA?
Note: RETRACT and REPLACE FORESKIN (if uncircumcised)
When assisting a person with right sided weakness to dress, the CNA will put clothing on this side first and remove clothes on this side.
What is THE WEAK SIDE FIRST and remove from the STRONG SIDE?
The CNA ensures that urine can flow freely through the catheter to the drainage bag, by taking these actions. (name TWO).
What is
1. ENSURING THE TUBING IS FREE OF KINKS
2. POSITIONING THE DRAINAGE BAG BELOW THE BLADDER
A CNA observes that a patient’s stool is black in color and has a tarry consistency. Apart, from assisting the patient back to bed, the CNA will also take this action.
What is SAVE (Do not flush)THE STOOL AND REPORT TO NURSE SO SHE CAN ASSESS
A CNA should do this before collecting a specimen.
The CNA is preparing the bath for the dependent resident, the nurse assistant should:
Adjust the water temperature to 105 degrees F
Garments are often changed besides morning and bedtime during these circumstances times.
What is AFTER BATHING, WHEN WET OR SOILED, AND ON ADMISSION AND DISCHARGE?
A CNA should be familiar with these four types of catheters.
What is a INDWELLING CATHETER, EXTERNAL CATHETER, SUPRAPUBIC CATHETER, STRAIGHT CATHETER?
The CNA knows to follow the patient's care plan during bowel training. These are the two main purposes for bowel training a person. (Name both purposes).
What is
• TO GAIN CONTROL OF BOWEL MOVEMENTS.
• TO DEVELOP A REGULAR PATTERN OF ELIMINATION. Fecal impaction, constipation, and fecal incontinence are prevented.
This would need to be done if you forget to save one of the samples for a 24-hour urine specimen.
A partial bath would include bathing the following body areas:
What is: Face, hands, underarms, back buttocks and genital area
A CNA can promote patient independence when assisting with dressing, by doing this. (NAME TWO THINGS)
What is ENCOURAGE THE PERSON TO DO AS MUCH AS POSSIBLE AND LETTING THE PERSON CHOOSE WHAT TO WEAR?
The risk for UTIs is high with urinary catheters. For this reason CNAs ensure to do these things during their care, to help prevent UTIs and risk for infection. (Name 2)
What is: Any of the following are acceptable answers-
• Prevent urine from flowing back into the bladder when moving the drainage bag
• Use a clean area of the washcloth for each stroke during catheter care
• Keep the drain from touching the graduate or other surface
• Use a clean, separate graduate to empty each person's drainage bag
• Always wear gloves
The CNA knows to empty ostomy pouches when they are _____ to _____ full to help prevent the pouch from leaking stools or flatus.
What is ONE-THIRD TO HALF FULL
This is normally done to check for stones in the urine.
What is STRAINING URINE?
These would be the supplies needed for perineal care
Supplies needed for this skill include
Gloves
Basin of warm water
Two washcloths (minimum)
One towel (minimum)
Bath blanket
Bed protector
Soap or peri-cleanser
Barrier creams, if indicated on the care plan
In what position should an unconscious resident be placed when performing oral care?
What is Lateral (side-lying, head to side) position
The bedpan shown below is a:
Fracture pan
The nurse assistant should know that incontinent residents:
Cannot control their bladder or bowels
before sputum specimen
rinse mouth with clear water