As the CNA, in assessing your patients, what is your primary role?

When finding out that your resident’s room is on fire, you have managed to get your resident out of harm’s way. The next action that you must take is ___________.

Pull the fire alarm.

When you’re dealing with a fire, getting any of your patients who are anywhere near the fire out of harm’s way is the first step you must take. Pulling the fire alarm so that the remaining patients can be evacuated safely and in a timely manner is the second step. Calling your patient’s family is not something that would make sure their immediate safety. All the remaining options are a part of the fire safety process.

While considering future career options, which of the following would best describe the advantage of being a CNA?

Being a CNA would allow you the opportunity to observe a number of healthcare professions and witness the role that each of them play in the daily medical care of patients.

While all of these choices provide a CNA with many different experiences, having the opportunity to witness nurses, physicians and medical technicians doing their daily work will provide you with the best advantage while you are considering future career options.

When you are asked to do something "STAT" by another medical practitioner. This means that you have to to do it:

Immediately

The medical practitioners use the term “STAT” for emergencies and when the safety of a resident is in jeopardy. The other options are not fast enough to deal with a resident’s immediate safety.

As a nursing assistant, you are caring for a stroke resident and have been asked to assist with the patient's ambulation. What would be the best position to do with this?

On the patient’s side, that was affected by the stroke.

When one of your patients has suffered a stroke, they will need the most support on the side that was affected, during ambulation, because this side will be quite weak.

Of the options below, which one would be incorrect when cleaning a patient’s urinary drainage bag?

You must use peroxide to clean the drain on the urinary bag.

Peroxide should not be used. Firstly, it is not always available and secondly, it is not adequate for cleaning a urinary drainage bag. It is the best to use alcohol for cleaning, and all the other choices are important precautions for conducting this process.

Your shift has just ended, and your fellow nursing assistant comes onto the floor to replace you. You realize that your colleague is under the influence of alcohol while giving your shift’s report. As a member of the healthcare team, what would be the best course of action?

Tell the nurse who is in charge immediately

This would pose an immediate threat to the safety and security of the patients who would be cared for by a CNA, if he/she is coming to work under the influence of alcohol or any other substance. If you choose not to report this, you could also be held responsible for any negligence that occurs. The other choices only conceal the problem and the possible threat to the safety of the patients.

When must you wear gloves once you are performing care duties on any of your patients?

Any time you are performing peri-care

Once you perform duties such as peri-care, the likelihood of exposure to blood and bodily fluids can increase. Therefore you must always wear gloves during these duties. The other options have less of a risk for contamination.

You are unable to clean up a substantially large spill on the floor by yourself. You have already notified someone that you need help. What can you do while you’re waiting for assistant to arrive?

You should block off the spill area from any foot traffic.

At once, you must block the area off, if you are faced with a spill that you are unable to clean up without further help or equipment, so that others are not in danger of slipping and falling. Keeping the patients in their rooms is not a practical option and placing towels can make it even more slippery and dangerous. Involving other vulnerable patients is not a safe option.

Of the conditions below, which one would require extra care when performing a patient’s nail care?

Anti-coagulation therapy and diabetes

There are times when anticoagulation therapy may result in excessive bleeding. Also, diabetes patients are at risk of ulceration from any kind of cut or abrasions. When administering nail care, these two conditions will demand extreme caution. The other conditions listed above are incorrect answers, they pose little or no threat as long as regular and proper nail care procedures are used.

You are the nursing assistant on shift. Which of the following essential actions should you take first when walking in on your patient, who is having a seizure?

You should support your patient’s head and move any objects out of the way that could harm your patient.

While patient are seizing, a nursing assistant must always stay by their resident’s side and try to prevent him or her from getting hurt. Restraining your resident or putting a tongue blade in their mouth could potentially injure your resident. A physician should always be notified when your resident has had a seizure, but it is not your responsibility as a nursing assistant to do so; nor is it the primary action that should be taken.

Of the options below, which one best describes how accurate documentation helps the patient’s entire healthcare team?

Accurate documentation is absolutely crucial in determining if the interventions that are listed in the patient’s care plan, are effective.

Accurate documentation is mainly there for the patient’s benefit. If the patient’s medical care plan is working or if it may need adjustment, it is absolutely crucial for assessing. While accurate documentation can also serve as a record of the CNA’s behaviour, this is not the main reason for it. Accurate documentation is essential, even if this means that you would have a little less time to converse with your patients.

Which member of your patient’s healthcare team is in charge of carrying out your patient’s medical plan?

The registered nurse is responsible.

The patient’s treating physician is in charge of creating the patient’s medical plan, and the registered nurse is in charge of making sure that the plan is executed. The nursing assistant assists in the care duties, which support that medical plan, but he/she is not ultimately responsible for carrying out the plan.

As the CNA, in assessing your patients, what is your primary role?

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