Podcast
Questions and Answers
You are about to bathe Mr. Potter, but he begins screaming and refuses to take his evening bath. What should you do?
You are about to bathe Mr. Potter, but he begins screaming and refuses to take his evening bath. What should you do?
- Call for another CNA to help you get Mr. Potter to bathe.
- Be firm and insist that he bathe.
- Stop trying to get Mr. Potter to bathe and wait until he calms down. (correct)
- Tell him that he is disturbing others and threaten to restrain him.
When a patient consistently ignores the urge to defecate, which of the following can develop?
When a patient consistently ignores the urge to defecate, which of the following can develop?
- Constipation (correct)
- Hemorrhoids
- Incontinence
- Diarrhea
One of a CNA's responsibilities is to record and total residents' intake and output. How often should this be done?
One of a CNA's responsibilities is to record and total residents' intake and output. How often should this be done?
- Every 24 hours
- Five times a day
- Once during each shift (correct)
- Every 12 hours
A resident has left side weakness as a result of a stroke four years ago. She is ready to be transferred from her bed to a wheelchair. The wheelchair should be positioned at:
A resident has left side weakness as a result of a stroke four years ago. She is ready to be transferred from her bed to a wheelchair. The wheelchair should be positioned at:
When a patient is sundowning, what should a CNA be especially aware of?
When a patient is sundowning, what should a CNA be especially aware of?
When a doctor orders a patient to be placed in restraints, what should the CNA NOT do?
When a doctor orders a patient to be placed in restraints, what should the CNA NOT do?
Which of these symptoms is a sign that a person is about to die?
Which of these symptoms is a sign that a person is about to die?
Where do you tape the catheter on a male patient to make sure it stays in place when you turn him over?
Where do you tape the catheter on a male patient to make sure it stays in place when you turn him over?
Mrs. Borostein is a resident with Alzheimer's disease. You notice she is confused. What can you do to reduce her confusion?
Mrs. Borostein is a resident with Alzheimer's disease. You notice she is confused. What can you do to reduce her confusion?
The nurse on duty asks you to empty a urinary drainage bag for a resident. What should you do?
The nurse on duty asks you to empty a urinary drainage bag for a resident. What should you do?
Below are three stages of Alzheimer's disease accompanied by specific symptoms. Which stage is matched with its correct symptoms?
Below are three stages of Alzheimer's disease accompanied by specific symptoms. Which stage is matched with its correct symptoms?
It is the end of your shift. You just measured the 8-hour urinary output of your patient and there are 21 ounces of urine. What is your next step?
It is the end of your shift. You just measured the 8-hour urinary output of your patient and there are 21 ounces of urine. What is your next step?
When converting ounces to CC, what do you multiply by?
When converting ounces to CC, what do you multiply by?
You are with a female patient who has urinary and fecal incontinence. How should you provide perineal care and hygiene to this patient?
You are with a female patient who has urinary and fecal incontinence. How should you provide perineal care and hygiene to this patient?
A nurse has discontinued the use of a Foley catheter for a patient. What is the proper way to dispose of this equipment?
A nurse has discontinued the use of a Foley catheter for a patient. What is the proper way to dispose of this equipment?
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Study Notes
Patient Interaction and Behavior
- When a patient refuses care and becomes agitated, allow them to calm down instead of insisting on the care immediately.
- Consistently ignoring the urge to defecate can lead to constipation, highlighting the importance of regular monitoring.
CNA Responsibilities
- Recording residents' intake and output should occur during each shift to maintain accurate health records.
- Proper transfer technique for a patient with side weakness involves positioning the wheelchair at the head of the bed on the affected side.
Special Conditions and Awareness
- Be observant of increased confusion and potential agitation at night in patients experiencing sundowning.
- Avoid over-tightening restraints when they are necessary. Regular checks for circulation are essential.
Signs of End of Life and Care
- Irregular and shallow breathing may indicate that a person is nearing death, necessitating appropriate comfort measures.
- Secure catheter placement for male patients should be on the upper thigh to ensure it stays in position when turning.
Managing Cognitive Impairment
- To help a resident with Alzheimer's reduce confusion, minimize sensory stimulation and avoid overwhelming situations.
- In the management of urinary drainage, CNAs should perform tasks as directed, including emptying the drainage bag.
Alzheimer's Disease Stages
- Alzheimer’s disease is categorized into three stages, each with distinct symptoms: mild (recent memory loss), moderate (need for assistance), and severe (loss of coherent communication).
Unit Conversion
- The conversion factor from ounces to cubic centimeters (CC) is 30, crucial for accurate fluid measurement in patient care.
Perineal Care
- When providing perineal care, always clean from the labia towards the rectum to maintain hygiene and prevent infection.
Catheter Disposal
- Proper disposal of a discontinued Foley catheter involves wearing gloves and placing it in a designated hazardous waste container.
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