CNA Toileting and Elimination 2

Question 1

A resident with a spinal cord injury at the T5 level suddenly complains of a pounding headache and is sweating profusely on his face and neck.
His blood pressure is significantly elevated.
What is the CNA's most immediate and critical action?

Accepted Answer

Check for a kink in the urinary catheter tubing.

Answer

Lower the head of the bed immediately.

Answer

Offer the resident a drink of water.

Answer

Cover the resident with a warm blanket.

Question 2

When applying a condom catheter (urinary sheath) to an uncircumcised resident, which step is essential for preventing injury?

Accepted Answer

Ensuring the foreskin is in its natural, returned position before rolling on the catheter.

Answer

Retracting the foreskin before applying the catheter.

Answer

Applying adhesive tape in a tight, overlapping spiral.

Answer

Leaving less than a half-inch of space between the penis tip and the catheter end.

Question 3

A resident with a new ileostomy has very liquid, continuous stool. Which of the following is the most important consideration for the CNA during pouch changes?

Accepted Answer

Protecting the peristomal skin from the liquid stool.

Answer

Measuring the stoma at each pouch change.

Answer

Ensuring the pouch is no more than one-quarter full before emptying.

Answer

Applying a thick layer of barrier cream to the peristomal skin.

Question 4

A CNA is assisting a nurse with a resident who has continuous bladder irrigation (CBI) post-surgery. The CNA's primary responsibility in this situation is to:

Accepted Answer

Report when the irrigation bag is nearly empty.

Answer

Adjust the flow rate of the irrigation solution.

Answer

Flush the catheter manually if clots are seen.

Answer

Assess the color and clarity of the urine.

Question 5

A resident with a neurogenic bladder is on a timed voiding schedule. The resident has not voided for 4 hours and reports feeling full. What should the CNA do first?

Accepted Answer

Notify the nurse of the situation.

Answer

Encourage the resident to drink more fluids to stimulate urination.

Answer

Apply firm pressure to the lower abdomen (Credé method).

Answer

Wait another hour and then re-check on the resident.

Question 6

When a CNA is assigned to administer a rectal suppository for constipation, which action is performed to ensure proper placement and retention?

Accepted Answer

Insert the suppository alongside the rectal wall.

Answer

Insert the suppository about 1/2 inch into the rectum.

Answer

Encourage the resident to ambulate immediately after insertion.

Answer

Position the resident on their right side with their left leg flexed.