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Question:

What is the ideal response of a nursing assistant if a resident wishes to pray before a medical procedure?

A Allow the patient the privacy to pray

explanation

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In the Nursing Care Plan you note it is written; “O2 per N/C @3L, Orthopnea pos. as needed”. As a CNA, you know what does this mean?

Resident has oxygen with a nasal cannula on 3 liters, assist to sit Mrs Fowlers

This nursing care plan means that the customer is receiving oxygen at a constant rate of 3 liters per minute, using a nasal cannula. The CNA can help the customer sit in a Fowler’s (upright) position if the customer has trouble with breathing. The CNA should become familiar with list of approved abbreviations in their facility, for reading care plans and for doing documentation.

What should the nurse aid do when caring for a customer who uses a protective device (restraint)?

Check the clients body alignment

Staff must strictly follow the protocols to maintain the client’s safety when a physician orders a restraint for a client. The nurse aide should become familiar with the policies regarding restraints. The policy will state the defined times to monitor the client, directions for reporting on the client’s status, as well as directions for documenting all observations.

What must a nurse aid do before performing any procedure?

All of the answers

Clinical standards state that all health care professionals must identify the customer by checking the ID band or tag before providing care. They should wash their hands before and after an encounter with a customer. They should also make clear what they are going to do and give the customer an opportunity to ask questions before proceeding.

Out of the following four options, which is an example of a pulse rate that must be reported to the nurse?

45

Any pulse rate outside the range of 60 to 100 should be reported immediately to the nurse in order to ensure the patient’s safety.

What is the most comfortable position for a patient with a respiratory problem?

Fowler's

Fowler’s position can provide relief when a customer is having difficulty breathing. When sitting in Fowler’s position, the customer is upright at 90 degrees, allowing the chest to expand as much as possible. Prone (on the abdomen), supine (on the back), and lateral (on the side) are all flat positions, which can make respiratory distress worse.

For persons who have difficulty talking because of disorders such as a stroke or physical defects, people providing treatment for them are _________.

Speech therapist

A speech therapist can assist in improving problems from strokes, physical defects, and swallowing disorders when a customer is unable to speak clearly or has trouble forming words . Speech therapists who are qualified to evaluate, diagnose, and treat customers work with both adults and children.

Whether a bed is occupied or unoccupied, the last step in making the bed is _________________.

Washing your hands.

Washing your hands is the final step in making a patient’s bed. All the options are a part of the process.

Afebrile means _________.

No fever

Which of the following best describes stage four of a decubitus ulcer?

Open area of skin with damage that reaches to the joint, bone or tendons.

The damage to the joints, bones or tendons is considered as a sign of stage four. Stage one is redness, Stage two would be redness as well as an open sore, and stage three will show signs of blackened skin or a crater-like appearance.

The best way to decrease a swelling is ______________.

Cold compression.

The best method to reduce swelling is cold packs. Heat compressions are more commonly used for back pain. Dry bandage pressure is mostly used to stop bleeding and moist bandages are used on burns.

The term Dyspnea, refers to difficulty with which of the following?

Breathing

Dyspnea is a term that is used when a resident has difficulty breathing.

Of the options below, which one best helps reduce pressure on the bony prominences?

Flotation mattress

A bedridden customer can quickly develop pressure sores if allowed to remain in one position. Repositioning the patient at least every two hours to prevent the skin from breaking down. Utilize pillows to support the customer and to relieve places where skin can rub, such as between the legs or at the tailbone. Always keep the skin clean and dry. Although a sheepskin on the bed or wheelchair provides extra padding, it does not replace repositioning. Observe the skin for reddened areas and mark them to the nurse. Special beds and flotation mattresses are helpful in preventing pressure sores.

Who should the nursing assistant address first when she has four patients to assist?

The patient who needs to be taken to the bathroom

NPO means

Nothing by mouth

NPO is a common medical term that means the customer can not eat or drink anything, including water or ice chips. A doctor orders a patient to be NPO for situations such as before surgery or certain lab work. If a customer is ill or has a gastrointestinal condition, the doctor may write an order to be NPO until the cause is known. The nurse aide can provide mouth care for a customer who is NPO. Placing a “NPO” sign over the customer’s bed will remind all staff members not to give the customer anything to eat or drink.