Basic Nursing Skills 10 Flashcards

A resident receiving oxygen via nasal cannula has a flow rate of 6 L/min. The CNA should:

Answer: Report to the nurse that oxygen flow is too high for a nasal cannula

Nasal cannulas are typically used at 1–6 L/min; 6 L/min is at the upper limit and should be verified with the nurse.

A resident is incontinent of urine. To maintain skin integrity, the CNA should:

Answer: Check and change the resident promptly, clean skin, and apply barrier cream per care plan

Prompt cleaning and barrier cream protect skin from moisture-associated skin damage (MASD).

The nurse delegates a task to the CNA that the CNA has never been trained to perform. The CNA should:

Answer: Refuse the task and inform the nurse of their lack of training

CNAs must refuse tasks outside their training and competency and report this to the nurse immediately.

When collecting a clean-catch midstream urine specimen, the CNA should instruct the resident to:

Answer: Clean the urethral area, void a small amount into the toilet, then collect midstream into the container

Midstream collection after cleansing and initial voiding reduces contamination of the specimen.

A resident suddenly becomes pale, diaphoretic (sweaty), and confused. The CNA's first action should be:

Answer: Stay with the resident and call for the nurse immediately

Sudden change in condition is an emergency; the CNA must stay with the resident and summon nursing staff at once.

A resident uses a cane. When assisting with ambulation on stairs, the CNA should instruct the resident to:

Answer: Lead with the stronger leg going up, and the weaker leg going down

The mnemonic 'up with the good, down with the bad' guides safe stair ambulation with assistive devices.

To safely transfer a resident from the bed to a wheelchair using a gait belt, the CNA should place the belt:

Answer: Around the resident's waist over clothing

The gait belt is applied snugly around the waist over clothing to give the CNA a secure grip during transfer.