CNA Basic Nursing Skills 11


The charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first

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Before providing any care, the nurse aide must follow all the standard steps in preparation. ALL of the steps must be taken before proceeding, not just one. Gather everything needed, so that you don't have to leave the client's room once you begin. Handwashing is always done before and after each client interaction. Knocking before entering the client's room, introducing yourself, identifying the client, and explaining what you will be doing are also part of standard practice.

Meal trays have arrived. Before serving each tray the nurse aide should

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Before serving a meal tray, always check the client's ID band or tag and match it with the correct tray. Some clients have special diets, severe food allergies, or strict fluid restrictions. While it can be tempting to skip this step in a long-term care facility, the nurse aide is legally responsible for verifying the identity of each client before serving food or giving care.

Which of the following measurements you obtained from Mrs. Shumway should be reported immediately to the charge nurse?

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Hypertension is defined as a blood pressure over 140/90. Severe hypertension is above 180/120. Even if the client has a history of high blood pressure, always immediately report a sudden increase to the nurse. Untreated hypertension can lead to heart disease and stroke.

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is

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Infiltration happens when the IV fluid leaks into the tissue because of a dislodged or misplaced IV catheter . The nurse assistant should monitor the IV site and report if it becomes swollen, cool to the touch, or painful. The skin near the IV site may look pale. Always be careful when moving or assisting a client with an IV to avoid pulling the line.

Who orders a warm or cold application?

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It is important to remember that only a doctor can order a treatment, test, or medication for a client. This includes simple treatments, such as hot and cold compresses. A nurse aide can be fired or lose certification for initiating treatments.

You are caring for Mr. Brown who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?

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The normal SpO2 range for a client with Chronic Obstructive Pulmonary Disease (COPD) is 88-92%. This is because oxygen reaches the lungs, but lung damage prevents oxygen from getting into the blood. Giving oxygen is carefully regulated for clients with COPD, with limits according to how the oxygen is delivered. Immediately report a low saturation to the nurse. Do not make any changes on your own.

Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?

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180 cc = 6 oz. When converting cubic centimeters (cc) to ounces (oz) remember that 30 cc= 1 ounce. Although an ounce is slightly more, the amounts are considered to be equal by doctors and pharmacists. Also, 1 cc = 1 ml.

The circulatory system consists of the

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The circulatory system is made up of the heart, arteries, veins, and capillaries. They are connected to make a complete circuit in the body. The heart pumps oxygenated blood from the lungs, as well as nutrients, through the arteries to the capillaries. The capillaries then deliver carbon dioxide and waste to the veins. The veins take the waste products to the liver and kidneys for disposal, and the carbon dioxide goes to the lungs to be exhaled.

A nurse aide notices blood in a patient’s IV tubing. The aide should

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When an IV is running well, the tubing should be clear and the IV site clean and dry. If blood is noted in the tubing, notify the nurse. It is beyond the scope of practice for a nurse aide to do anything with an IV.

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