INACE, CNA Practice Exam 4, CNA practice test 2, CNA Practice Test 1, Complete Verified Solution

INACE, CNA Practice Exam 4, CNA practice test 2, CNA Practice Test 1, Complete Verified Solution Reporting & Recording -Check current documentation of resident status & care. -Observe & report resident data (verbal). -Record objective & subjective resident data (written) Communicate need for changes in care plan. - Report unsafe conditions. -Place & receive phone calls Objective Data Things you can see, hear, feel, smell, or measure: Vital signs, weight, open sore on arm, reddened area on hip, swollen knee, wheezing, skin cold clammy, foul smelling urine, etc. -Subjective Data Things a resident tells you that cannot be observed through senses: Complaints of pain (headache, chest pain, stomach ache), nausea, numbness & tingling of fingers, no appetite, etc At the Nurse's Station: 1 st ring. • Identify unit, give name & title. • Take message. • Do NOT give confidential information. Refer caller to nurse The Resident's Personal Phone: Assist resident to answer. • Answer w/ consent. • If resident is unavailable, answer bedside phone (not cell phone) & take a message; do NOT provide any confidential info. Do NOT give your name or title, the name of the unit or facility Answer call signal: Used to signal for help. - Bed, bathroom. - Keep w/in reach. -Strong side. -Instruct on use. -Remind to use when help needed. - Answer promptly - Everyone responsible! Adaptations if limited mobility. 4. Reinforce instructions from other health professionals to resident & family - Not responsible for teaching but for knowing & reinforcing/assisting resident Inventory & label personal property Upon admission, as acquired. Instruct resident in use of body mechanics. Keep body in good alignment; have good posture. Have a wide base of support (feet shoulder-width apart). -Use strongest & largest muscles (shoulders, upper arms, hips, thighs). - Keep objects close to body. - Avoid unnecessary bending & reaching. - Bend knees & squat. Don't bend your back! -Get help from co-worker. -Use proper equipment. - Position feet & body in direction you are moving -Avoid sudden & jerky movements. Count 1-2-3. - Turn whole body when changing direction. Pivot, do NOT twist your back! Calculate, report, & record Food intake (solids): 0%, 25%, 50%, 75%, 100% Fluid intake: All oral fluids. -Foods that melt at room temp. - IV fluids & tube feedings. - CNA only responsible for fluids by mouth. Fluid output: Urine, vomit, diarrhea - CNA only responsible. - Wound drainage, hemorrhage - Nurse responsible. Intake & Output Intake: 1 oz = 30 ml Output: urinals, graduates, bedpans, specimen containers each line on urine container increases by 25 mL Communicate w/ limited English proficient resident. Utilize tools provided by facility Assist w/ unit discharge procedure Collect belongings, compare w/ personal belongings list. - Assist w/ packing. -Transport as indicated. -Wish well. - Return to room; strip bed, straighten, remove wastes & linens. If any additional equipment, take to soiled utility room Measure & Record VS & Weight All VS: Lying or sitting. -At rest for 10-20 min. -Obtain all VS of a resident (TPR & BP) before reporting any abnormal to nurse. Temperature: 98.6 + 1⁰ (97.6⁰ - 99.6⁰ ) Elderly on lower end of range ≈ 97.6⁰ - Do not eat, drink, smoke for 15 min Pulse 60 - 100 beats/min. - Tachycardia 100 - Bradycardia 60 -Count for 30 sec & multiply by 2. If irregular, must count for full min Respirations 12-20/min Do not let know you are counting. Dyspnea = difficulty breathing Blood pressure 90/60 - 120/80 Systolic - top # - Diastolic - bottom # - Hypertension - high BP Wait 1 min before retaking BP Weight SAME Scale - SAME Time of Day (does NOT matter when!) SAME Amount of Clothing (do NOT need to remove) Routine urine specimen anytime, earliest possible time 24-hour urine specimen Keep chilled. -Start w/ empty bladder. -Start over if urine missed or stool/tissue present Clean-catch urine specimen Testing for UTI. -Special cleansing wipes needed, sterile container. - Start to urinate, stop, start again & collect. Sputum specimen Secretions from respiratory system. -May rinse w/ clear water. -Take 2-3 deep breaths, cough, expel. stool specimen Collect about 2 tbsp. Include anything unusual. Collect specimens Assist in preparation of specimen for transfer to laboratory - Follow Standard Precautions! - Place in clear biohazard specimen bag. - Take to appropriate location according to facility policy: - Specimen refrigerator, lab, etc. standard percautions Apply to care of ALL residents. - Presume EVERYONE is INFECTED! Presume ALL may contain germs: Body fluids (blood, urine, saliva, wound drainage, vomit, etc.) Body substances (stool) Open skin Mucous membranes (mouth, eyes, nose, perineum) standard precautions guidelines Wash your hands! #1 in preventing spread of infection. Using FRICTION most important aspect of handwashing.