Questions and Answers
When using a transfer belt, what should the nursing assistant (NA) do?
Where should the wheelchair be placed when transferring a resident from a bed?
On the stronger side
Which of the following is an example of an activity of daily living (ADL)?
What should an NA do if a resident starts to fall?
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What is a good way for an NA to promote respect and dignity when assisting with care?
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How does the skin appear when it first begins to break down?
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Which condition increases the risk of pressure ulcers?
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Pressure ulcers can lead to life-threatening infections.
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Which body part is at a higher risk of skin breakdown?
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How often should immobile residents be repositioned?
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A ___ keeps the covers from resting on a resident's legs and feet.
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Which of the following should be washed every day?
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Mechanical lifts prevent injury.
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What should an NA ensure before bathing a resident?
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When cleaning the perineal area, which direction should the NA work?
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NAs should check residents' skin each time they are repositioned.
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Nail care should be provided only when the nails appear dirty.
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How can an NA help promote independence and dignity while assisting with grooming?
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An NA must always wear gloves when shaving a resident.
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Residents' hair should be handled gently because it can be pulled out when combing or brushing.
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What is an appropriate way for an NA to refer to a resident's weakened side when assisting with dressing?
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If a resident has weakness on one side, the NA should start dressing with the weaker side.
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Oral care should be done at least _ time(s) a day.
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Clean dentures should be returned to the resident or stored in a denture cup.
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What are ways to prevent aspiration during oral care of unconscious residents?
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Dangling means _____ .
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How often should bed-bound residents be repositioned?
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How often should residents in wheelchairs be repositioned?
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A resident who is lying on either her left or right side is in the _____ position.
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A resident who has her head and shoulders elevated and is in a semi-sitting position (45 to 60 degrees) is in the _____ position.
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A resident who is lying on her stomach with her arms at her sides is in the _____ position.
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A resident who is lying on her left side with her upper knee flexed and raised toward the chest is in the _____ position.
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A resident who is lying flat on his back with his head and shoulders supported by a pillow is in the _____ position.
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A _____ is used for residents who cannot assist to raise their hips onto a bedpan.
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A standard bedpan should be positioned with the wider end aligned with the resident's buttocks.
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Unconscious residents may still be able to hear.
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Study Notes
Transfer Techniques
- Transfer belts should be placed over residents' clothing for safety and stability.
- Wheelchairs must be positioned on the stronger side when transferring residents from beds.
Activities of Daily Living (ADLs)
- Activities of daily living include essential tasks such as eating, which reflect a resident's everyday capabilities.
Fall Prevention
- In case a resident starts to fall, the best action is to adjust their stance and bring their body close for support.
Promoting Dignity
- Encouraging residents to perform tasks independently promotes their respect, dignity, and privacy during care activities.
Skin Health
- Initial signs of skin breakdown include pale, white, red, or purple discoloration.
- Restricted mobility significantly increases the risk of developing pressure ulcers, which can lead to severe infections.
Repositioning Protocols
- Immobile residents should be repositioned at least every 2 hours to prevent skin issues.
- Bedbound residents require repositioning every 2 hours, while wheelchair residents need it at least every hour.
Personal Care Practices
- The perineal area requires daily washing to maintain hygiene.
- Mechanical lifts are essential tools that help prevent injuries during resident transfers.
- When bathing, ensure the room temperature is warm to keep the resident comfortable.
Nursing Assistant Procedures
- Always perform perineal cleaning from front to back to ensure hygiene.
- Residents' skin should be monitored for health concerns each time they are repositioned.
Grooming and Nail Care
- Nail care should be performed when nails are visibly dirty, and preference should be given to residents during grooming to uphold their dignity and autonomy.
- Hair should be treated gently to avoid pulling when styling.
Dressing and Positioning
- Refer to residents' affected sides as the "involved side" and dress the weaker side first for residents with limitations.
- Understanding different body positions such as lateral (lying on the side) and Fowler's (sitting up 45-60 degrees) is crucial for care.
Oral Care and Dentures
- Oral care must be provided at least twice a day; use minimal liquid for unconscious residents to prevent aspiration.
- Clean dentures must be returned to residents or stored properly in a denture cup.
Bedpans and Bathroom Protocols
- A fracture pan is designed for residents who cannot raise their hips for bedpan usage.
- A standard bedpan should be positioned with the wider end towards the resident's buttocks for effective use.
Communication and Sensory Awareness
- Unconscious residents may still retain the ability to hear, highlighting the importance of communication even in low-awareness situations.
Studying That Suits You
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Description
Prepare for the CNA Chapter 6 exam with these flashcards that cover essential concepts like transfer techniques and activities of daily living (ADLs). Each card presents a key term and its definition to aid in your understanding and retention of critical nursing assistant knowledge. Boost your confidence and readiness for the exam with these focused study aids.
