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70 Cards in this Set
- Front
- Back
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During admission what is the best time for |
This is the time of First Impressions the nursing assistant should try to make sure the resident has a good impression of him and his facility |
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What is an admission kit |
The admission kit often contains Personal Care items such as bath Basin,emesis basin ,a water pitcher, drinking glass ,toothpaste, soap, a comb, lotion and tissues |
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How should you introduce your self to a new admission |
You should introduce yourself stating your name and your position smile and be friendly and always call the person by their formal name |
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What is one thing you should do during admission to the facility |
Explain day-to-day life offer to take the resident and the family on a tour show the resident for an area's introduce them to other staff and residents show them the TV and how to work the remote and other important information |
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What does OBRA required on admission |
OBRA requires that on admission residents must be told of their legal rights they must be provided with a written copy |
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What is included on admission vitals |
1 measure the residents height and weight 2 measure the residents Baseline vital signs be sure to ask pain level 3 obtaining urine specimen if required 4 complete the paperwork and take inventory of all personal items 5 help the resident put personal items away label personal items according to facility policy 6 provide fresh water |
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What does a nursing assistant do during transferring a resident |
Collect items to be moved into the cart take them to the new location if the resident is going to be in the hospital they may be placed in temporary storage |
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What important information should the nursing assistant no during a discharge or transfer |
The nursing assistant should know the residents condition at the time of discharge or transfer and find out if the resident will be using a wheelchair or stretcher |
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What does OBRA require during transfers or discharges |
OBRA requires that residents have the right to be receive advance notice before being transferred to discharge from a facility a written notice must contain the specifics of where and why they are being transferred or discharged |
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What is the normal temperature range when using an oral thermometer |
97.6 -99.6 |
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What is the normal temperature range for a rectal thermometer |
98.6-100.6 |
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What is the normal temperature range for an axillary thermometer |
96.6 -98.6 |
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What is the normal range for a blood pressure |
Systolic should be between 100 and 139 diastolic should be between 60 and 80 |
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What number is considered to be high blood pressure |
140/90 or higher |
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What colors is used to identify an oral thermometer |
Blue or green |
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What color is used to signify a rectal thermometer |
Red |
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What type of thermometer is this |
An electronic thermometer |
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What type of thermometer is this |
A disposable thermometer |
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What type of thermometer is this |
A tympanic thermometer it goes in the ear |
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What type of thermometer is this |
A temporal artery thermometer it is used on the forehead |
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What type of thermometer is this |
A digital thermometer |
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When should a nursing assistant not take an oral temperature on a resident |
If they are unconscious, has recently had facial or Oral Surgery, is younger than 5 years old, is confused or disoriented, is heavily sedated, is likely to have a seizure, is coughing, is using oxygen, has face paralysis, has a feeding tube that is inserted through the nose, has sores redness swelling or pain in the mouth, has an injury to the face or neck |
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How long should you leave a Mercury free thermometer in the mouth |
At least 3 minutes |
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How should the resident be positioned when taking a rectal temperature |
They should be placed in the left lying Sims position |
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How far should the thermometer be placed when doing a rectal temperature |
A half inch to an inch stop if you meet resistance |
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How long should you leave a rectal thermometer in place when taking a temperature |
At least 3 minutes |
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When taking a tympanic temperature how far should the tip go into the ear |
1/4 to 1/2 |
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What is the procedure for taking a tympanic temperature |
Position the residents head so that the ear canal is in front of you. straighten the ear Canal by gently pulling up and back on the outside edge of the ear and insert the covered probe into the ear canal and press the button |
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When taking an axillary temperature how long should the thermometer be in place |
8 to 10 minutes |
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Radial pulse |
Located on the inside of the wrist |
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Brachial pulse |
Located in the inside of the elbow |
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What is the normal respiration rate for adults |
12 - 20 breaths per minute |
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What is the normal respiration rate for an infant |
30 - 40 respirations per minute |
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Systolic phase |
When the heart is at work |
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Diastolic phase |
When the heart relaxes |
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When should a blood pressure not be measured on an -arm |
Blood pressure should not be measured on an arm that has an IV, a dialysis shunt or any medical equipment. a side that has a cast, recent trauma, paralysis from a stroke, Burns or breast surgery |
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What do you use to find out how much pain a resident is in |
The Wong Baker faces pain rating scale |
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How many ounces are in a pound |
16 ounces |
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How many pounds are in a kilogram |
2.2 pounds |
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Restraint |
A way to restrict voluntary movement or behavior |
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What are two typess of restraints |
Physical and chemical |
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What are some types of physical restraints |
Belt, jackets, vests, wrist & ankle restraints, mitts or raising the side rails on beds or geriatric chairs with tray tables attached |
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When are restraints allowed to be used |
Restraints can only be used if they are medically necessary must be ordered by a doctor used as a last resort method |
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Restraint free care |
Means that restraints are not kept or used for any reason |
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Restraint alternatives |
Are any intervention used in place of restraint or that reduces the need for a restraint |
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What is important if the need for restraint |
The call light must be within reach for the resident |
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Fluid balance |
Maintaining equal input and output or taking in and eliminating equal amounts of fluid |
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How many cc's are in one ounce |
30 |
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Specimen |
A sample that is used for analysis in order to try and make a diagnosis |
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What are the three types of specimens |
Urine, stool and sputum |
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Clean catch specimen |
Known as Midstream specimen does not include the first and last urine in Sample |
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What are sputum specimens collected for and when is the best time to collect it |
Used to check for respiratory problems or illness and his best to collect in early morning |
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Straight catheter |
Does not remain inside the person it is removed immediately after urine is drained |
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Indwelling catheter |
Also called a Foley catheter remains inside the bladder for a period of time |
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Condom catheter |
Has an attachment on the end that fits onto the penis |
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Where should the drainage bag be located for an indwelling catheter |
Always make sure the drainage bag is lower than the hips or bladder urine must never flew from the bagger tubing back into the bladder it can cause an infection |
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Oxygen therapy |
The administration of oxygen to increase the supply of oxygen to the lungs |
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What is an oxygen concentrator |
It is a box like device that changes the air in the room into air with more oxygen |
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Nasal cannula |
Is a piece of plastic tubing that fits around the face and is secured by a strap that goes over the ears and around the back of the head |
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What do residents who do not need concentrated oxygen all the time use |
A face mask |
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Combustion |
The process of burning |
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What precautions should be used for residents using oxygen therapy |
1 Post no smoking oxygen in use signs 2 remove all fire hazards from the room or area 3 do not burn candles light matches or use lighters 4 do not use extension cords with an oxygen concentrator |
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Intravenous therapy |
Known as IV : the delivery of medication nutrition or fluids to a person's vain |
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When should a nursing assistant document their observations and care given |
Immediately after care |
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What are two important things to remember about an IV bag |
1 they should not get the IV site wet 2 never lower the bag below the IV site |
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When are still dressing is used and who applies and changes them |
Still dressings are used to cover open or draining wounds and a nurse changes these |
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When are non sterile dressings used |
Are applied to dry closed wounds or ones that have less chance of infection |
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Why are elastic bandages or Ace wraps used in wound care |
They are used to hold dressings in place secure splints and support and protect body parts in addition these bandages may decrease swelling that occurs from an injury |
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After applying an elastic bandage how long should you wait to come back and check 4 signs of poor circulation |
15 minutes |
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What are signs and symptoms of poor circulation should you observe after applying an elastic bandage |
Swelling, bluish skin,shiny tight skin, skin that is cold to touch,sores, numbness, tingling, pain or discomfort |
