Clinical Procedures and Protocols Flashcards

Before applying a hearing aid, the nurse aide should verify the battery is working by:

Answer: Turning up the volume and listening for a whistle

Turning the volume up and cupping the hearing aid in the hand to listen for a whistle (feedback squeal) is the standard method to verify battery function.

When caring for a resident who has sequential compression devices (SCDs) on their legs, the nurse aide should:

Answer: Remove the SCDs only when the resident is ambulating

SCDs are removed when the resident ambulates, as walking itself provides the circulatory benefit the device is designed to deliver.

A resident's nasogastric (NG) tube has become dislodged. The nurse aide's first action should be:

Answer: Notify the nurse immediately

The nurse aide must immediately notify the nurse because reinserting an NG tube is outside the scope of practice for a CNA.

When assisting a resident with the use of an incentive spirometer, the nurse aide should instruct the resident to:

Answer: Inhale slowly and deeply to raise the piston or ball

The incentive spirometer is a device for slow, deep inhalation to expand the lungs and prevent atelectasis.

Which action correctly describes how to apply anti-embolism stockings (TED hose)?

Answer: Apply them before the resident gets out of bed in the morning

Anti-embolism stockings should be applied before the resident gets up, while legs are still free of dependent edema, for maximum effectiveness.

When performing perineal care on a female resident, the correct wiping direction is:

Answer: Front to back, using a clean area of cloth for each stroke

Front-to-back wiping with a clean surface for each stroke prevents transferring rectal bacteria to the urethra, reducing UTI risk.

A nurse aide is caring for a resident who is receiving oxygen via nasal cannula at 2 L/min. The nurse aide notices the humidifier bottle is empty. The nurse aide should:

Answer: Refill the humidifier with sterile or distilled water and notify the nurse

The humidifier should be refilled with appropriate water and the nurse notified so that oxygen therapy continues without interruption and mucous membranes stay moist.