Urinary
You assist the dependent person with peri care in bed. You notice a foul odor during peri care. What could cause this? What is your best response?
Infection (urinary or vaginal). Tell the nurse.
A person is not eating or drinking as much as they normally do. What is something that could cause this?
Behavioral problems (depression, anxiety, etc.) or other symptoms or illness (nausea, pain, altered level of consciousness, etc.)
A person tells you they have pain in their chest. What could be causing this? What should you do?
Heart attack (MI), blood clot in lung (PE), irregular heart rhythm, etc. Tell the nurse.
Stage 1 pressure injury. Tell the nurse. Use pillows or other support devices and reposition the person often.
You find a person sweaty and breathing deep, fast breaths. They have a hand on their chest and are not able to speak in more than two word answers. What could cause this? Your best response?
Heart attack (MI), arrhythmia, or some other emergent lung or heart problem. Get help right away.
You have instructed the independent patient to collect a clean catch urine specimen. The person gives you the sample and you correctly label it. You note the urine is pale yellow and cloudy. What could this indicate?
Infection/ UTI
You are assisting a person who is actively vomiting. You provide an emesis bag and sit the HOB up for comfort. You note coffee-ground appearing emesis in the bag. What could this indicate?
GI bleed
You round a patient to see how they're doing. They tell you they have 10/10 pain. What should you do?
Tell the nurse.
A person has new weakness and seems confused. What could cause this?
Infection
Stroke
A person is having a difficult time forming words. Normally they speak with ease. What could be happening? What should you do?
Stroke. Tell the nurse immediately.
Name three potential signs/ symptoms of a UTI
Foul odor, pain/ burning/ with urination, difficulty with urination, cloudy urine, hematuria, low back pain, pelvic pain, urinary frequency
A person has abdominal cramping/ pain and is frequently having episodes of diarrhea. You note that the stool is green/ yellow and very loose/ watery. What could be causing this?
A person tells you they can't see in one eye all of a sudden. What should you do?
Tell the nurse ASAP
The nurse has just left a person's room after treating them for severe pain. You enter the room to put the person on continuous pulse oximetry. You notice a rash near the IV site. What could cause this?
Allergic reaction.
You enter the room and the person appears blue. What is this called? What could cause this? What should you do?
Cyanosis
Lack of oxygen
Call for help ASAP and check for responsiveness, breathing, and a pulse. Continue with CPR guidelines as indicated.
You are caring for an independent client who normally voids on the toilet. Lately, the client hasn't been feeling well. Today, you went into the room to perform VS at the scheduled time and noticed urine-soaked sheets. What is this called? What is your best response?
Urinary incontinence. Tell the nurse.
A person is having infrequent bowel movements. The stool is hard and small in appearance. What could this indicate? What are three actions that could help?
Constipation.
Hydration, activity, increased fiber intake, medication, rectal suppository, enema
You notice swelling in one leg. The other leg appears normal. What could cause something like this?
DVT (deep vein thrombosis)
Infection
Suicidal ideation. Tell the nurse.
A person tells you they are feeling SOB (short of breath). You check the pulse oximetry which is 95%. What should you do? What is one thing that could cause SOB?
Tell the nurse ASAP.
Pneumonia, chronic illness (asthma, emphysema, etc.), pulmonary embolus (blood clot in lung), heart attach (MI), etc.
A person has bilateral (both sides) low back pain accompanied with a fever. What could possibly be causing this?
A urinary/ kidney infection (potential for sepsis)
A personal is newly defecating themselves in the bed. What is this called? What is the CNA's best action?
Bowel incontinence. Tell the nurse.
A person's pulse oximetry drops frmo 94% to 87% while sleeping, but only for a few seconds ast a time. What could cause this?
Sleep apnea
You go to perform a scheduled BG check. You enter the room and find the person sleeping. You encourage them to wake and try to introduce yourself and explain the procedure but the person has difficulty waking. What could cause this? What should you do?
Medication reaction, low BG, or other neurological problem. Tell the nurse right away.
A person's cough was nonproductive, and now they are producing green/ yellow phlegm. What could this indicate?
A respiratory infection/ pneumonia