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?
When a patient consistently ignores the urge to defecate, which of the following can develop?
One of a CNA's responsibilities is to record and total residents' intake and output. How often should this be done?
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:
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When a patient is sundowning, what should a CNA be especially aware of?
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When a doctor orders a patient to be placed in restraints, what should the CNA NOT do?
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Which of these symptoms is a sign that a person is about to die?
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Where do you tape the catheter on a male patient to make sure it stays in place when you turn him over?
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Mrs. Borostein is a resident with Alzheimer's disease. You notice she is confused. What can you do to reduce her confusion?
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The nurse on duty asks you to empty a urinary drainage bag for a resident. What should you do?
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Below are three stages of Alzheimer's disease accompanied by specific symptoms. Which stage is matched with its correct symptoms?
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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?
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When converting ounces to CC, what do you multiply by?
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You are with a female patient who has urinary and fecal incontinence. How should you provide perineal care and hygiene to this patient?
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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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Description
Test your knowledge with these flashcards designed for the Red Cross CNA class. Each card presents real-life scenarios to evaluate your response and understanding of proper patient care and management. Sharpen your skills and prepare for your CNA certification.
