Questions and Answers
How do you promote communication with a resident?
Asking open-ended questions.
What do you do if a resident wants to use the commode but needs help?
Use a gait belt.
What is the temperature of a tepid bath?
80-93 °F.
What is the temperature range for a Sitz bath?
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What is the normal range for oral temperature?
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What should a male resident do with a urinal when he is done?
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What steps should you take when a doctor gives an order for treatment?
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How should you be positioned when applying TED hose?
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What can a CNA do to help a resident who is being discharged?
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What do you do if you see a bottle of disinfectant left behind by housekeeping in a resident's room?
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How do you take a random urine specimen?
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What defines a midstream urine specimen?
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How do you take a 24-hour urine specimen?
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What should you do when you receive a call meant for a different unit?
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How should you respond when a resident with dementia is agitated?
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What do you do to a room when a resident checks out?
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What should you do with the food tray of a resident in isolation after eating?
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How many times do you ambulate a resident when the care plan states ambulate with BID?
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What is the first thing you should do if you walk into a room and find a trash can on fire?
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How should a gait belt be applied?
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What should you do with a person in shock?
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What is the duration for a back massage?
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What should you observe when applying hot and cold applications?
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What is the appropriate action for a resident who continues to call you by their daughter's name?
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What does rehabilitation and restorative nursing care focus on?
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How do you avoid poisoning in residents?
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Study Notes
Communication and Patient Interaction
- Promote resident communication by asking open-ended questions like "How are you feeling?"
- For a resident needing assistance with the commode, always use a gait belt for safety.
- When a resident with dementia feels agitated, reassure them you will help find their lost items.
Temperature Guidelines
- Tepid bath temperature ranges from 80°F to 93°F.
- Sitz bath temperature should be between 93°F and 106°F, focusing on perineal care.
- Oral temperature normal range is 97.6°F to 99.6°F.
Patient Care Practices
- After a resident uses a urinal, advise them to call for assistance and ensure it is placed securely.
- Maintain a supportive position of legs 12-24 inches apart when applying TED hose, checking every two hours.
- When a patient checks out, ensure to thoroughly disinfect their room.
Isolation and Safety Protocols
- Food trays from isolated residents must be double-bagged before sending to the kitchen.
- For a room with fire, follow RACE: Remove resident, Alarm, Confine, Evacuate.
- Use proper personal protective equipment (PPE) for contact precautions.
Urine Specimen Collection
- A midstream specimen requires cleaning the perineal area, starting and stopping the voiding, then collecting in a sterile container.
- For a 24-hour urine specimen, begin with an empty bladder and save all subsequent voids.
- Always ensure urine specimens are collected without contamination, especially when testing for stool.
Nutrition and Dietary Considerations
- A diabetic diet requires consistent intake of carbs, protein, and fats at the same time daily.
- Knowledge of calorie content: fat provides 9 calories per gram, while protein and carbohydrates provide 4 calories each.
Mobility and Movement Assistance
- Assist residents with right-sided weakness by walking on their weak side.
- Use an underhand grasp on the gait belt when transferring patients.
- Patients must shift positions every 15 minutes in wheelchairs for comfort.
Vital Signs and Comfort Measures
- Check and report abnormal vital signs, such as a temperature of 101.2°F to a nurse.
- For a patient in shock, elevate their legs while keeping them lying down.
- Observe patients receiving hot/cold applications every 5 minutes for effectiveness and skin condition.
General Care and Observation
- Residents should not be left alone on the commode, especially those with cognitive impairments.
- Observe patients in restraints every 15 minutes and release them every two hours for a 10-minute break.
- Ensure proper hygiene and safety when handling catheters and providing personal care.
Emergency Protocols
- If a patient is combative, exit the room and return when they are calm.
- Establish correct handling procedures for hazardous materials to prevent poisoning within the facility.
- Monitor and report any signs of skin discoloration during cold compress application.
Additional Care Techniques
- Perform back massages for 3-5 minutes as part of patient comfort care.
- Properly position the call light for a quadriplegic patient, ensuring they can call for help if necessary.
- Remind resident patients with blood thinners about safety precautions during personal hygiene tasks like shaving.
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Description
Prepare for the Illinois CNA state exam with these flashcards covering essential concepts and procedures. Each card focuses on key topics such as resident communication, assistance techniques, and specific bath temperatures vital for patient care. Test your knowledge and get ready for the exam with targeted study materials.
