Safety
List three safety measures that should always be done before leaving a resident's room.
Tidy area/put away supplies
Bed in lowest horizontal position
Call light within reach
Offer water
Ask if he/she needs anything else
The best way to prevent the spread of illness/infection
Handwashing
The top number of a blood pressure reading which reflects the heart at work
Systolic
This law was passed to protect one's privacy and confidentiality of medical information
Health Insurance Portability and Accountability Act (HIPAA)
When providing oral care to an unconscious resident, the resident should be placed in this position to prevent aspiration
Lateral (side lying) position
List two precautions that should be used when applying ice to the skin.
Make sure there is a barrier between the ice pack and the skin
Frequent checks to the skin- check skin after 5 minutes
Apply for only 20 minutes
Correct order to don personal protective equipment (PPE)
Gown
Mask
Goggles
Gloves
Normal adult respiratory rate and normal adult pulse rate?
12-20 breaths per minute
60-100 beats per minute
How often a nursing assistant's certification needs to be renewed
Every two years
The NA is showering the resident. What measures can the NA take to prevent shampoo from going into the resident's eyes?
Have resident tilt head back if able and provide a washcloth for the resident to hold over their eyes
The nursing assistant is preparing to bathe the resident. List 2 measures the nursing assistant take to prevent the resident from being burned.
NA checks water temperature on wrist before filling the basin
Resident checks water temperature by putting their hand in the basin
List one reason why it is important to follow Standard Precautions.
To protect ourselves, patients, co-workers, families from contracting an illness/disease
Often cannot tell by looking at a person if they have a contagious illness/disease
Many illnesses/disease can be spread before the infected person shows symptoms
Mrs. Johnson was weighed in her wheelchair. The recording was 255 pounds. If the wheelchair weighs 47 pounds, what is the actual weight of the resident?
208 pounds
All healthcare workers, including nursing assistants, are _________________ which means they are legally required to report suspected or observed abuse or neglect because they have regular contact with vulnerable populations.
mandated reporters
Loretta wears both upper and lower dentures during the day and removes them at night. When assisting Loretta with morning cares, which denture should the NA place in her mouth first?
Insert the upper denture first, at an angle.
These are the most common accidents in long-term care facilities.
Falls
List the three types of transmission based precautions.
Airborne precautions
Droplet precautions
Contact precautions
When taking a rectal temperature, the patient should be placed in this position.
Left Sim's position
A federal government agency that makes rules to protect workers from hazards on the job
Occupational Safety and Health Administration (OSHA)
In the normal aging process, the skin loses elasticity, and oil producing glands diminish production. As a result, the elderly have dry, fragile skin. State two measures can be taken to alleviate this issue.
Be gentle during transfers and repositioning
Bath or shower twice a week
Apply lotions to skin
Use of non irritating soaps, rinse off skin after washing
Increase oral fluids
Five principles of good body mechanics
Assess the situation
Use wide base of support (feet shoulder width apart)
Bend at the knees not waist
Keep body in good alignment
Lift with thighs and shoulders not back
Hold objects close to body
Avoid bending/twisting/reaching
Push instead of lift
Get help if needed
The NA has just finished changing a resident's brief after an incontinent episode. The resident's clothing and bed linens were also soiled. What are 3 ways the NA handle and dispose of the soiled linen appropriately?
Wear gloves and hold linen away from uniform
Do not place soiled linen on floor
Fold/roll linen with dirtiest area inside and place in leakproof bag
Bag items at point of origin
Store soiled linen away from resident care areas (dirty linen/utility room)
Mr. Smith's care plan state he needs to be weighed daily. When would be the best time to complete this task?
In the morning before breakfast after Mr. Smith voids
This law, passed in 1987, identified minimum standards for care and instituted training and certification requirements for CNAs.
Omnibus Budget Reconciliation Act (OBRA)
Victor suffered a stroke to the right side of the brain two years ago. As a result, he has residual paralysis and needs assistance with dressing. Following the principles you have learned, how should the NA assist Victor?
Maintain independence- let him do as much as possible
Expect left sided weakness, dress left side first