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124 Cards in this Set
- Front
- Back
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ongoing illness that can be controlled person will not recover |
chronic |
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sudden illness in which the person will recover |
acute |
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illness in which person will not likely recover |
terminal |
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team of nursing staff that is led by an RN who decided the amount and kind of care each person needs |
team nursing |
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an RN is responsible for the person's total care |
primary nursing |
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each nursing team member has certain tasks and jobs |
functional nursing |
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services are moved from departments to the bedside |
patient focused nursing |
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Purpose of health care |
health promotion,disease prevention, detection and treatment of disease, and rehabilitation |
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Makers of policies for health care agencies |
Board of Trustees and Board of Directors |
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Health care agencies must have what to provide care? |
license |
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Who diagnoses and treats disease and injury? |
physicians |
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Goals of rehabilitation |
to get a person to their highest level of physical, psychological,social, and economic function |
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What is Medicare? |
65+ |
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What is Medicaid? |
low income, children, some older blind and disabled persons |
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What is OBRA and why is it important to a CNA? |
Omnibus Budget Reconciliation Act of 1984sets standards for care |
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How many attempts to pass the competency exam? |
3 |
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What are important about 24 months and CNA’s? |
2 years without working lose CNA license |
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What are the role limits of a CNA? |
can’t give medicine or feeding tubes or any tubes |
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What do you do when asked to go outside of those limits? |
politely decline and explain that it is out of your limits |
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Delegation: what is it? |
assigning care to someone else |
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who can delegate? |
RN’s |
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What is assault? |
intentionally attempting/threatening to touch person’s body w/o consent |
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What is battery? |
touching person’s body without consent |
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What is ethics? |
knowing right conducts from wrong conducts |
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How do you protect a person’s privacy? |
close door and curtains, cover up their body |
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What is negligence? |
unintentional wrong, a person didn’t act in careful manner of person and person or property was harmed |
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What is malpractice? |
negligence by pro. person |
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What is neglect? |
failure to provide person with goods/ services to avoid physical harm , mental anguish, and mental illness |
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What are the types of abuse? |
verbal/nonverbal |
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What do you do if you witness or suspect abuse? |
report it |
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What is communication? |
exchange of information |
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How do you communicate? |
verbally, nonverbally, body language |
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What is reporting? |
oral account of care / observation |
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What is reporting? |
written account of care / observation |
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What do you need to remember about reporting/recording? |
reporting is oral recording is written |
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dys |
painful |
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tachy |
fast |
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poly |
Many |
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arthro |
joints |
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cyano |
blue |
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gastro |
stomach |
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hydro |
water |
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myo |
muscle |
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osteo |
bone |
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pnea |
lack of |
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phagia |
eating |
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phasia |
speaking |
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stomy |
opening |
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plegia |
paralysis |
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ADLS |
activities of daily living |
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BRP |
bathroom privileges |
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c/o |
complaining of |
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noc |
night |
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NPO |
nothing per mouth |
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PC |
after meals |
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PO |
by mouth |
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prn |
as needed |
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ROM |
range of motion |
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What is the nursing process? |
process nurses use to plan/ deliver care |
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What is the focus of the nursing practice? |
focuses on the person's needs |
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What is assessment? |
collecting info about person |
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What is objective data? |
info using senses, seen n heard, felt, smelled |
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What is subjective data? |
things person tells you |
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What is the purpose of MDS and who is the MDS done on? |
material data sheeteveryone |
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What is nursing diagnosis? |
describes health problem that can be treated by nursing measures and the steps in the nursing process |
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What is Maslow’s need? |
Physical, safety/security, love/belonging, self esteem, self actualization |
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What are the types of communication techniques? |
words they understand and eye contact |
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What is a coma? |
state of being unaware of the setting/ unable to respond |
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What effects does aging have on the body? |
wrinkles, weaker, hearing/vision loss and thin skin |
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Why do men have trouble urinating? |
prostate gland swells |
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Whos is the Ombudsman and why are they important? |
someone who supports/promotes needs/interests of another person |
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What are safety issues with the aged? |
can’t see as well, have trouble walking, get confused, have trouble hearing |
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What are important concerns in the workplace as a CNA? |
person/residents health, if they are getting pro care they are needing, germ control |
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infection control- prevention |
washing hands, ppe |
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infection control-types of microbes r/t infection and illness |
bacteria, fungi, protozoa, rickettsiae |
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chain of infection |
source, reservoir, portal of exit, method of transmission, portal of entry, and susceptible host |
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What are healthcare associated infections? |
contact, airborne |
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What are standard precautions? |
hand hygiene, ppe |
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What are transmission based precautions? |
contact, droplet, airborne |
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Body Mechanics:Principles? |
Body alignment, base of support, (bend knees, hold items close) |
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Body Mechanics: What to remember? |
bend knees/squat, lift with legs, hold items close |
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Transferring/ moving:What to remember? |
lift w/ legs, good grip, hold close to body |
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What is logrolling and how do you do it? |
turning person as a unit, do in 1 motion |
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Person’s Unit:what is in it? |
personal space, furniture, equipment provided for person by agency, access to bathroom, closet, windows |
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Person's Unit: OBRA Requirements |
closet, window, privacy curtains, access to bathroom |
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Bed Making:sheet positioning? |
- bottom sheet soft side up , tuck at top. - top sheet soft side down against person, tuck at bottom |
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Purpose of a clean/wrinkle free bed? |
comfort, prevent skin breakdown and pressure ulcers |
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Personal Hygiene:Parts of AM care |
eliminating, cleaning incontinent persons, wet/soiled linens/garments changed, hygiene face/hand/oral, dressing/hair care, position for breakfast, make bed, straighten unit |
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Unconscious oral care what to remember? |
still say what you are doing, they may still hear you |
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Complete bed bath water temperature? |
110 degrees F to 115 degrees F |
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Showering water temperature? |
105 degrees F or 40.5 degrees C |
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Perineal care water temperature? |
105 degrees F to 109 degrees F |
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Partial bath water temperature? |
110 degrees F to 115 degrees F |
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Shampooing hair-what to remember? |
don’t use nails on scalp |
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Principles of shaving? |
pull skin out tight |
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Hair grooming-what to remember? |
how they like it, and do before visitors come |
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Nail and foot care- what to remember? |
portals for microbe, and can scratch skin |
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Normal Ranges for : Temp,Pulse,Respiration,BP |
temp:oral 97.6 F - 99.6 F pulse:age 12+ - 60-100 beats/min respirations:12-20 beats/min BP:120/80 |
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Long lines of a F thermometer marked as: Short lines : |
even degree from 94 C - 108 F two tenths of a degree |
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Common Pulse sites |
temporal, carotid, brachial, radial, femoral, popliteal, posterior/tibial, and dorsalis pedis |
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How fast do you release the air in taking B/P? |
2-4 mm Hg |
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What is systolic measurement? What is diastolic measurement? |
pressure in arteries/ heart contracts pressure in arteries when heart relaxed |
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When measuring a B/P, what are specific reasons to not use an arm? |
with IV, arm cast, dialysis access site, side of breast cancer, injured arm |
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What is atrophy? |
decrease in size or wasting away of tissue |
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What is contracture? |
lack of joint mobility caused by abnormal shortening of muscle |
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What is foot drop? |
foot falls down ankle |
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What are the joint movements?12 |
abduction : moving away from bodyadduction: moving towards the bodyflexion : bendingextension : straighteninghyperextension : excessive straighteningdorsiflexion : bending toes and foot up ankle downplantar flexion : bending foot and toes up at anklerotation : turning jointinternal rotation : turning joint inwardexternal rotation: turning joint outwardpronation : turning joint downsupination : turning joint upward |
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What is PROM What is AROM What is AAROM |
- passive range of motion - active range of motion - active assistive range of motion |
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What is a trochanter roll used for? |
extending hip to knee |
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What is an abductor wedge/pillow used for? |
typically for people with broken hips, keeps people off of but |
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What is a bed cradle used for? |
keeps weight off top linens and off feet and toes |
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What is orthostatic hypotension? |
low b/p when standing up |
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What are complications of bedrest? |
contractures, postural hypotension, atrophy, orthostatic hypotension, syncope |
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What are some of the reasons for bedrest? |
reduce physical activity, pain, encourage rest, regain strength, promote healing |
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What is CPR and why is it needed? |
combination of compressions and breaths used to resuscitate patient, needed to keep the heart pumping spreading blood and oxygen to the vital organs and increasing chance of survival |
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What is the adult chain of survival? |
recognize , CPR, defibrillation, early advanced care, organized care |
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Basic parts of CPR? |
compressing, rescue breaths |
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Number of chest compressions given in a minute? |
100 |
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What is recovery position and when it is used? |
placing the person on their side, used when they begin coming to |
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How do you control external bleeding? |
bandage and direct pressure |
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What do you do for a person who is convulsing? |
put something soft under head, make sure they can't injure themselves, and loosen jewelrythey can choke on their tongue |
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What do you need to remember about someone who has been burned? |
dehydrationsevere risk for infection |
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What does RACE stand for? |
Recognize, Alarm, Contain, Evacuate |
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What does PASS stand for? |
Pull safety Pin, Aim low, Squeeze lever, sweep back and forth |
