CNA Basic Nursing Skills 15


The nurse aide is going to take Mr. Heath’s vital signs. What should the nurse aide do to get Mr. Heath to cooperate and reduce his anxiety?

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Before providing any care, the nurse aide must follow all the standard steps in preparation. 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. After confirming the client's ID, explain the procedure to the client, even for routine tasks such as taking vital signs. Allow the client to ask questions before proceeding.

Strokes are seen in the elderly. Strokes are best described as

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A stroke happens when the blood supply to the brain is cut off, and oxygen cannot reach the brain cells. Strokes are caused by blood clots in the arteries of the brain or when a blood vessel in the brain bursts.

When dry, hard stool fills the rectum and will not pass, it is called

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A fecal impaction is a common occurrence in people who have chronic constipation. It is a mass of dry, hard stool in the colon or rectum. The client is unable to pass it without assistance. The stool may need to be removed manually by inserting a gloved finger into the rectum. Enemas and laxatives may also be tried.

To count a respiration, a respiration includes

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The normal respiratory rate for adults is 12-18 breaths per minute. To get an accurate respiratory rate, choose a time when the client is at rest. Observe the client for one minute while counting. Each rise and fall of the chest is one respiration. While counting, notice if the client has trouble breathing or taking full inhalations. If so, notify the nurse.

Who supervises the work of a nurse aide

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The work of a nurse aide is overseen by a registered nurse or a licensed practical or vocational nurse. The scope of practice for an RN or LPN/LVN includes responsibility of staff who provide the daily, hands-on care for clients. Open communication between the nurse aide and supervisor makes for excellent client care.

A resident is NPO for tests. The nurse aid should

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NPO is a common medical term that means the client 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 client 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 client who is NPO. Placing a "NPO" sign over the client's bed will remind all staff members not to give the client anything to eat or drink.

When lifting, the nurse aide should have his feet separated in the standing position to

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When feet are placed apart, about shoulder width, a comfortable and wide base of support is established. With a wide base , you are less likely to lose your balance. Use your feet to turn, not your back. Do not twist your back or torso while lifting.

The nurse aide knows to wear which of the following to perform resident care?

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The nurse aide is considered to be a health care professional and should dress accordingly. Each facility has a dress code policy regarding the type of uniform to wear. Clothing must be clean and free from stains, tears, or wrinkles. Shoes must be closed-toe, with non-skid soles. Appropriate grooming is always necessary. Jewelry is usually limited to a watch and wedding ring, to avoid injuring a client while giving care. A name tag is part of the standard uniform.

Why should heat NOT be applied to a diabetic resident’s feet?

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Because diabetics often have neuropathy, or nerve damage, they are unable to detect if their feet are injured. Extreme care must be taken to protect the feet from both heat and cold, since the diabetic can't feel temperatures. Diabetics should always wear socks and shoes to prevent cuts or injuries to their feet.

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CNA Basic Nursing Skills 16

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