Basic Nursing Skills 6 Flashcards

A resident with dysphagia is most at risk for:

Answer: Aspiration pneumonia

Dysphagia (difficulty swallowing) increases the risk of aspiration pneumonia when food or liquid enters the airway instead of the esophagus.

Which action is correct when making an occupied bed?

Answer: Keep one side rail up while working on the opposite side

One side rail should remain raised on the far side while the CNA works on the near side to prevent the resident from rolling out of bed.

A resident's oral temperature is 99.8°F. This is best described as:

Answer: Low-grade fever

A temperature between 99°F and 100.4°F is classified as a low-grade fever, which should be documented and reported.

When performing oral care on an unconscious resident, the CNA should position the resident:

Answer: On their side with head turned toward the CNA

The side-lying position with head turned toward the caregiver allows secretions to drain out of the mouth and prevents aspiration.

A resident's IV site appears red, swollen, and warm to the touch. The CNA should:

Answer: Report the findings to the nurse immediately

Redness, swelling, and warmth at an IV site indicate phlebitis or infiltration, which must be reported to the nurse immediately for assessment.

When shaving a male resident with a safety razor, the CNA should shave:

Answer: In the direction of hair growth

Shaving in the direction of hair growth reduces skin irritation and the risk of nicks and cuts.

A resident reports feeling dizzy when first standing up from a chair. This is most likely:

Answer: Orthostatic hypotension

Dizziness upon standing is a classic symptom of orthostatic hypotension, a drop in blood pressure when changing from sitting to standing.