Basic Nursing Skills 18 Flashcards

A CNA notices a resident's surgical wound has increased redness, warmth, and purulent drainage. The appropriate action is to:

Answer: Cover the wound and notify the nurse immediately

Signs of wound infection must be reported to the nurse immediately; the CNA should not independently treat the wound.

When assisting a resident with a hearing aid, the CNA should turn the device off before:

Answer: Removing and storing it

Turning off the hearing aid before removal prevents feedback squealing and conserves battery life.

Which method is correct when the CNA is obtaining a clean-catch midstream urine specimen?

Answer: Clean the urethral area, discard the first stream, then collect mid-stream

Cleaning the area and discarding the initial stream reduces contamination from periurethral bacteria.

A resident with dysphagia is at greatest risk for which complication?

Answer: Aspiration pneumonia

Dysphagia (difficulty swallowing) increases the risk of food or liquid entering the airway, leading to aspiration pneumonia.

When providing perineal care to a female resident, the CNA should wipe:

Answer: Front to back (urethra to anus)

Wiping front to back prevents fecal bacteria from contaminating the urethra and reducing urinary tract infection risk.

A resident who is non-weight-bearing on the right leg requires a walker. The CNA should instruct the resident to:

Answer: Advance the walker, step with the right (affected) leg, then the left leg

The correct walker gait is: advance walker, move the weaker limb into the walker, then bring the stronger limb forward.

Which observation should the CNA report immediately after a resident returns from a surgical procedure?

Answer: Blood pressure of 88/52 mmHg

A blood pressure of 88/52 mmHg indicates hypotension, a sign of possible post-operative complications such as hemorrhage or shock.