Questions and Answers
What are the 5 Rights of Delegation?
Who can share information about a patient?
Only the nurse/person caring for that patient who is on duty.
Fraud is giving wrong information on a job application.
True
What should the NA do if the resident cannot read or speak?
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What is the basic unit of body structure?
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What should be checked to correctly identify a resident?
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To prevent pressure ulcers, turn resident at least every ___ hours.
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What is the #1 way to prevent infection?
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Call lights are always put within the resident's/pt's reach.
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What are the major complications of CAD?
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Bradycardia is defined as an abnormally ___ heartbeat.
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Match the following conditions with their definitions:
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What should the NA check first if a resident's hearing aid is not working?
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What position should the resident be in for a rectal enema?
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Study Notes
Licensed Nurses
- Nurse aides operate under the supervision of licensed nurses.
5 Rights of Delegation
- Essential components include Right Task, Right Circumstance, Right Person, Right Supervision, and Right direction and communication.
Patient Information Sharing
- Patient information is only shared by the nurse or the person directly caring for that patient who is on duty.
Fraud
- Defined as providing incorrect information on job applications.
Neglect
- An example of neglect includes leaving urine-soaked sheets unattended.
Delegated Tasks
- If a nurse delegates a task to a qualified nurse aide and it remains uncompleted, it can lead to job loss for the aide.
Chart Recording
- Requires accuracy with correct information to ensure proper documentation.
Brainstem Components
- Includes the midbrain, pons, and medulla oblongata; it is a continuation of the spinal cord.
Purpose of Care Plans
- Care plans are designed to inform healthcare providers about the specific care needs of the resident or patient.
Communication with Non-Verbal Residents
- When a resident cannot read or speak, the appropriate action is to follow the care plan.
Basic Body Structure
- The basic unit of body structure is the cell.
Gerontology
- The study of aging and its associated processes.
Bone Health
- Increased calcium, protein, and appropriate vitamins can help prevent bones from breaking easily.
Resident Identification
- Correctly identifying a resident involves checking their ID against an assignment sheet and verifying with the resident.
Abdominal Thrusts
- Abdominal thrusts are not appropriate for pregnant women, obese individuals, or unconscious individuals.
Risk of Choking in Elderly
- Elderly individuals are at a heightened risk for choking due to dysphagia (difficulty swallowing).
Fall Risks for Residents
- Residents are most at risk for falls during shift changes.
Preventing Falls
- The primary preventative measure is to respond to call lights immediately.
Bed Safety
- Bed wheels should remain locked except when the bed is in motion.
Gait Belt Usage
- Gait belts should be applied over clothing, never directly on bare skin.
Restraint Usage
- Restraints should only be used with a doctor's order and after all other alternatives have failed.
False Imprisonment
- Defined as an unnecessary or unlawful restraint that restricts a person's freedom of movement.
Asepsis
- Refers to the removal of pathogenic microbes, ensuring the absence of bacteria and viruses.
Healthcare-Associated Infections (HAI)
- Can be spread through airborne actions like coughing or sneezing.
Infection Prevention
- Hand hygiene is the most effective method to prevent infection.
Handwashing Technique
- While washing hands, they should always be kept below the elbows.
Good Body Mechanics
- Emphasizes keeping the body's center of gravity aligned, maintaining good posture, and proper lifting techniques.
Fowler's Position
- A semi-sitting position commonly referred to as Fowler's or Semi-Fowler's is vital for certain comfort levels.
Proper Resident Positioning
- For side positioning, use good body alignment with wedges and pillows for support.
Preventing Work-Related Injuries
- Focus on using proper body mechanics and avoid manual lifting when possible.
Pressure Ulcer Prevention
- Residents at risk for pressure ulcers should be turned at least every two hours.
Call Lights Placement
- Call lights must always be within the resident's reach.
Managing Soiled Linens
- Should be handled according to bloodborne pathogen procedures and standard precautions.
Changing Linens without Bedrails
- In the absence of bedrails, seek assistance from a co-worker.
Use of Gloves
- Gloves should not be used for back rubs or during vital sign checks, and can complicate the use of anti-embolism stockings.
Bathing Timing
- Residents should choose the timing of their baths based on personal preferences.
Temperature Measurement for Bath Water
- The water temperature can be assessed using the wrist or elbow.
Perineal Care Frequency
- Perineal care should be done when the area is soiled and during baths.
Hairstyling Choice
- Residents have the right to choose their hairstyles.
Shampooing Supplies
- Use a shampoo tray or basin for shampooing residents' hair.
Cleaning Under Nails
- Best performed during a shower or bath.
Dysuria
- Describes painful or difficult urination.
Catheterization Purpose
- Catheters are used primarily for patient comfort.
Equipment Usage
- Always follow manufacturer's instructions when using facility products such as lifts or splints.
Catheter Bag Placement
- The catheter bag should be hung on a non-movable part of the bed, such as the bed frame.
Hair Sectioning
- When styling hair, part the hair into two sections.
Catheter Cleaning Procedure
- Clean around the catheter tube with specific attention to the area where it exits the body.
Applying a Condom Catheter
- Roll onto the penis after pulling back the foreskin if applicable.
Constipation Characteristics
- Defined as hard, slow stools that are hard to eliminate, often due to insufficient fiber.
Causes of Fecal Incontinence
- Can result from medication, diarrhea, or C-diff, with high fiber diets potentially helping.
Rectal Enema Positioning
- The appropriate position for administering a rectal enema is Sim's position.
OBRA Requirements
- Mandates that food served in care facilities must be appetizing.
Diabetic Dietary Consistency
- Diabetics should eat their meals at the same time every day and have scheduled snacks.
Aspiration Prevention
- Check for pocketing after meals to prevent aspiration.
Servicing Resident Meals
- Meals should be served according to the preferences expressed by the residents.
Hydration in Hot Weather
- Residents should be encouraged to drink more water during the summer months.
IV Monitoring
- Watch for signs of leakage, infection, or unusual behavior and report any concerns to the nurse.
Bradycardia
- Refers to an abnormally slow heartbeat.
Tachycardia
- Indicates an abnormally rapid heartbeat.
Temperature Ranges
- Normal temperature ranges are oral: 97.6-99.6°F, rectal: 98.6-100.6°F, axillary: 96.6-98.6°F.
Irregular Pulse
- Characterized by unevenly spaced beats and an unsteady rhythm.
Pulse and Respiration Counting
- Count apical/radial pulse and respirations for 60 seconds.
Respiratory Counting Discretion
- Do not inform the resident when counting their respirations.
Blood Pressure Cuff Placement
- Place the cuff over the brachial artery, preferably on the left arm.
Muscle Atrophy
- A condition where muscle mass decreases in size.
Hypertension and Hypotension
- Hypertension indicates abnormally high blood pressure; hypotension indicates abnormally low blood pressure.
Lowest Normal Blood Pressure
- Defined as 90/60 mmHg.
Bedrest Complications
- Prolonged bedrest increases the risk of blood clots.
Range of Motion (ROM) Guidelines
- During delegated ROM exercises, avoid moving joints past the point of pain or resistance.
Assisting Unsteady Residents
- Always use a gait belt when assisting residents who are unsteady or require help with walking.
Pain as a Warning Sign
- A resident's complaint of pain signals an underlying issue and requires attention.
Weighing Patients
- Scale must be balanced to zero before weighing.
Consistency in Weight and Height Measurements
- For accuracy, weight and height should be measured on the same scale and at the same time, using similar clothing.
Random Urine Collection
- No special procedures are required for collecting random urine samples.
Stool Collection Procedure
- Wait for stool to be in a bedpan before scooping and disposing of it properly.
Pre-Surgery Communication
- The nurse aide must communicate effectively about care preparations for surgery with the resident.
Post-Surgery Stocking Application
- Apply compression stockings before the patient swells, avoiding letting them dangle.
Pressure Ulcer Repositioning
- Residents at risk for pressure ulcers should be repositioned every two hours.
Avoiding Decubitus Ulcers
- Never position a resident on the side with a decubitus ulcer.
Heat Pad Usage
- Always place a barrier between the resident’s skin and a heat pad to avoid burns.
Breathing Difficulty Position
- Residents with breathing issues should be positioned in Semi-Fowler's.
Assistance with Tracheostomy
- Nurse aides can assist the nurse but cannot perform suctioning on a tracheostomy.
Restorative Care Defined
- Focuses on regaining health and strength for safe, independent living.
Rehabilitation Care Defined
- Aims to restore the highest possible physical, psychological, social, and economic function.
Promotion of Independent Care
- Encouraging residents to perform tasks they can do for themselves promotes quality care.
Hearing Aid Check
- If a resident reports their hearing aid is not working, the first step is to check if it is turned on.
HIV Transmission
- Spread through intravenous drug use, sexual contact, and interactions with infected blood, placenta, or breast milk.
Hip Surgery Precautions
- Prevent external rotation of the hip and avoid crossing legs after hip surgery.
Complications of Coronary Artery Disease (CAD)
- Can lead to angina, irregular heartbeat, myocardial infarction, and sudden death.
Diabetes Overview
- The condition is marked by a deficiency
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