Exam (elaborations)
MICHIGAN CNA SKILL, CNA SKILLS
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MICHIGAN CNA SKILL, CNA SKILLS
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MICHIGAN CNA SKILL, CNA SKILLSWhat are indirect care skills? - Answers -1. Resident Rights: respect, knock, privacy, no
nicknames
2. Safety: call light, low bed, safe position
3. Universal Precaution: wash hands, gloves, dispose soil
4.Communication: tell resident what you are doing during skill, ask for needs, respect
5. Comfort: ensure comfort during care & when leaving
How do you care for a patient with breathing problems? - Answers -Check the nasal
openings for signs of irritation. Make sure tubing is secure & not kinked. Give oral
hygiene a lot. Keep head of bed elevated. Follow fire precautions. Encourage patients
to rest between activities, to take in fluids, assist with breathing. Report changes.
Undress the _________ side 1st. Dress the ________ side 1st. - Answers -Unaffected;
Affected
When dressing, start with the _____, then the underwear, the pants, the ___, & the
shirt. - Answers -Socks; Underwear; Pants; Bra; Shirt
Name the 7 CNA responsibilities: - Answers -1. Caring for the patient
2. Maintaining the patient's environment
3. Providing personal care
4. Assisting the patient in eating
5. Assisting the patient in elimination
6. Rehabilitation
7. Report abuse, neglect, endangerment, or exploitation.
Name the steps of feeding a patient: - Answers -1.Wash hands
2. Offer & assist resident to wash hands before feeding
3. Place resident in a sitting position (min. 60 degrees)
4. Wash hands
5. Apply clothing protector before feeding
6. Offer fluid to moisten mouth before offering food
7. Maintain eye level contact with resident while feeding
8. Use spoon to feed
9. Check if resident swallowed before offering next bite
10. Offer fluids during feeding every 3 bites
11. Offer encouragement to maximize food & fluid intake.
12. Leave area around resident's mouth clean & dry
13. Record resident's intake on Food Acceptance Record
14. Remove clothing protector & tidy area up
What should the CNA do after checking if the resident swallowed before offering next
bite? - Answers -Offer fluids during feeding every 3 bites
,What should the CNA do after offering fluids during feeding every 3 bites? - Answers -
Offer encouragement to maximize food & fluid intake.
What should the CNA do after offering encouragement to maximize food & fluid intake?
- Answers -Leave area around resident's mouth clean & dry
What should the CNA do after leave area around resident's mouth clean & dry? -
Answers -Record resident's intake on Food Acceptance Record
What should the CNA do after recording the resident's intake on Food Acceptance
Record? - Answers -Remove clothing protector & tidy area up
What is the 1st step of feeding a resident? - Answers -Wash hands
What should the CNA do after initially washing their hands? - Answers -Offer & assist
resident to wash hands before feeding
What should the CNA do after offering & assisting the resident in washing hands before
feeding? - Answers -Place resident in a sitting position of a minimum of 60 degrees.
What should the CNA do after placing the resident in a sitting position of a minimum of
60 degrees? - Answers -The CNA should wash hands again.
What should the CNA do after washing hands a second time? - Answers -Apply clothing
protector before feeding.
What should the CNA do after applying a clothing protector before feeding? - Answers -
Offer fluid to moisten mouth before offering food
What should the CNA do after offering fluid to moisten the residents mouth before
offering food? - Answers -Maintain eye level contact with resident while feeding
What should the CNA do after maintaining eye level contact with resident while feeding?
- Answers -Use spoon to feed
What should the CNA do after using a spoon to feed the resident? - Answers -Check if
resident swallowed before offering next bite
What is the proper procedure when dressing a resident? - Answers -The CNA should
choose several clothes options. Knock on door. Close door & curtains. Wash hands.
Raise bed. Start by dressing socks, underwear, pants, bra and shirt. Undress the
unaffected side first and dress the affected side first. Untwist clothes. Smooth wrinkles.
Lower bed. Bell. Clean. Curtain. Comfort. Hands. Laundry.
,What is the proper procedure when forgetting an item after you already started dressing
a resident? - Answers -Make sure patient is cover. Lower bed. Bell. Clean. Curtain.
Comfort. Hands. Laundry. Collect needed item. Knock. Close door and curtain. Hands.
Raise bed. Redress. End by Untwist clothes. Smooth wrinkles. Lower bed. Bell. Clean.
Curtain. Comfort. Hands. Laundry.
If a blood pressure cuff is too small, the reading will be ____. - Answers -High
If the blood pressure cuff is too big, the reading will be too ____. - Answers -Low
Cnas's may not: - Answers -1. Pass meds (not even tums)
2. Prescribe: if pt has had ringworm in the past & it looks like she has it again, must tell
nurse.
3. No touching tubes.
4. No performing sterile procedures.
The most accurate temperature read: - Answers -Rectal
The 2nd most accurate temperature read: - Answers -Tympanic
The least accurate temperature read: - Answers -Axilla (armpit)
Electronic thermometers are color coded. Blue is _____. Red is ______. - Answers -
Oral. Rectal
Normal axillary temperature reads are between: - Answers -96.6 and 98.6
Normal oral temperature reads are between: - Answers -97.6 and 99.6
Normal rectal temperature reads are between: - Answers -98.6 and 100.6
Normal pulse for adults: - Answers -60 to 100. Report if it is lower than 60 or higher than
90
What is pulse rate? - Answers -How many beats.
What is pulse rhythm? - Answers -Spaces between beats even or irregular?
What is pulse force? - Answers -Weak, bounding or irregular.
What is the normal respiration rate? - Answers -12 to 20
What is the normal systolic or top blood pressure number? - Answers -90 to 140
What is the normal diastolic number? - Answers -60 to 90
, Objective means: - Answers -Observable
Subjective means: - Answers -Complaints of symptoms
Order to take off: - Answers -Gloves, gown, mask, off
Order to put on: - Answers -Mask, gown, gloves
If a patient falls (3): - Answers -1. Call for help
2. Ask if in pain
3. Check vitals
If a patient has a burn: - Answers -1. Stop the process
2. Cool the burn (dump milk or water on wound)
If a patient is bleeding: - Answers -1. Cover with clean, sterile cloth
2. Apply pressure
3. Elevate if no pressure
4. If necessary, add pressure above wound.
If patient is having a seizure: - Answers -1. Get the pt low and cushion head with hands
or pillow.
2. Wipe away moisture.
3. Note duration
4. When seizure stops, put on left side for recovery.
If a patient has a partial obstruction, indicated by gurgling, coughing, wheezing, and
speaking: - Answers -1. Encourage coughing
2. If food is visible, take it out.
If a patient has a full obstruction, indicated by not coughing or talking, and grabbing
legs, do the Heimlich Remover by: - Answers -Reach around them with a fist, thumb in
upper abdomen and hand around fist. Push. Place feet between there's. Place one
behind.
If a patient has chest pain: - Answers -Have the patient sit upright. Get vital signs. Ask
for type of pain (tight, achy). Get garbage can.
In case of Fire, RACE: - Answers -Rescue people in danger.
Activate alarm.
Contain (shut door).
Extinguish if able or Evacuate.
To use an Extinguisher, PASS: - Answers -Pull pin out.
Aim.
Squeeze.
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