CNA Skills & Supplies 2011

It is not okay to get the blood pressure of a resident/patient on an arm that has IVs inserted, soreness, or is broken. This is because it can cause discomfort, pain, or potential damage to the arm. It is important to choose a different arm or location to measure the blood pressure in order to ensure the safety and well-being of the patient.

A restraint does require a doctor's order. Restraints are physical devices used to limit a patient's movement and are typically used in healthcare settings to prevent harm to the patient or others. The use of restraints is regulated and requires a doctor's order to ensure that they are used appropriately and only when necessary. Therefore, the statement "A restraint does not require a doctor's order" is false.

Turning the resident towards you is the correct answer for their safety when a bed has no siderails. This is because by turning them towards you, you can provide better support and control during the turning process, reducing the risk of the resident falling or injuring themselves. It also allows you to closely monitor the resident's movements and respond quickly if any issues arise.

Lowering the head of the bed prior to any change of position or resident movement is very important because it helps prevent orthostatic hypotension. Orthostatic hypotension is a sudden drop in blood pressure that can occur when changing positions, such as sitting up or standing up. By lowering the head of the bed, the resident's body is gradually adjusted to an upright position, allowing their blood pressure to stabilize and reducing the risk of dizziness or fainting. This safety measure is particularly important for individuals who may already have low blood pressure or are at risk for falls.

Having a resident transfer towards their strong side is good body mechanics because it allows them to utilize their stronger muscles and maintain better balance and stability during the transfer. This reduces the risk of injury to both the resident and the caregiver. Additionally, transferring towards the strong side can help improve the resident's overall strength and mobility on that side, leading to better functional abilities in daily activities.

The diastolic blood pressure reading is the bottom number in a blood pressure reading. It represents the pressure in the arteries when the heart is at rest between beats. This number is important because it indicates the pressure on the arteries when the heart is relaxed and filling with blood. Therefore, the statement "The # on the bottom of a blood pressure reading is the diastolic" is true.

The normal pulse range is 60-100 beats per minute. The answer "60-100" is correct as it represents the normal range for a healthy individual's pulse rate. The answer "60/100" is incorrect as it is not a valid representation of a pulse range.

Passive Range of Motion (PROM) refers to the movement of a joint or body part that is performed by another person or with the assistance of an external force. It is commonly used in physical therapy to improve joint flexibility, prevent stiffness, and maintain or increase the range of motion in individuals who are unable to move a body part independently. PROM exercises are typically performed on patients who are recovering from injury or surgery, or those with limited mobility.

The correct answer is ml. In the metric system, cc stands for cubic centimeter, which is equal to 1 milliliter (ml). Therefore, 1 cc is equal to 1 ml.

When performing denture care, it is important to first clean the mouth before cleaning the dentures. This is because the mouth contains bacteria and debris that can contaminate the dentures if not properly cleaned. By cleaning the mouth first, it helps to ensure that the dentures are being placed in a clean and hygienic environment. Therefore, the statement "When performing Denture Care you must still also do Mouth Care first" is true.

The range of motion for the shoulder requires the arm to be stretched out to the side (in and out) and stretched over the head (up and down). Additionally, it requires the support of the joints to ensure stability and proper movement. The speed at which the motion is performed is not mentioned as a requirement for range of motion in the shoulder.

The supplies needed for a change of position include a gait belt, vital sign form, wheelchair, fitted sheet, resident shoes, pen, 3-4 pillows, flat sheet, chair, and pillow case. However, the correct answer for this question is 3-4 pillows.

The normal adult respiration range refers to the number of breaths a person takes per minute. The correct answer is 12-20, which means that a healthy adult typically takes between 12 to 20 breaths per minute. This range is considered normal and indicates that the individual's respiratory system is functioning properly.

The supplies needed for changing an occupied bed include a fitted sheet, a flat sheet, and a pillowcase. These items are necessary for ensuring the comfort and cleanliness of the resident while their bed is being changed. The fitted sheet helps to keep the mattress protected and secure, while the flat sheet and pillowcase provide a clean and comfortable surface for the resident to lie on. These supplies are essential for maintaining proper hygiene and ensuring the well-being of the resident during the bed-changing process.

Handwashing three times is necessary for the skill of measuring and recording the contents of a urinary drainage bag. This is important to maintain proper hygiene and prevent the spread of infection.

The explanation for the given correct answer is that the supplies needed for PULSE include the Vital Sign "VS" Form, Pen, and Chair. These items are necessary for recording and monitoring the resident's vital signs during the PULSE procedure. The form is used to document the vital signs, the pen is used to write down the measurements, and the chair is used for the resident to sit or lie down comfortably during the procedure.

The key points for RANGE OF MOTION include performing 3 sets of each exercise, always checking for pain or discomfort in the resident, always going back before moving forward, and supporting the joints. These points are important to ensure a safe and effective range of motion exercise routine.

The correct answer includes items that are necessary for transferring a resident safely. A gait belt is used to provide support and stability while transferring a resident. A wheelchair is needed for transporting the resident from one place to another. Resident shoes are important to ensure proper footwear and prevent slips or falls during the transfer process. Therefore, the gait belt, wheelchair, and resident shoes are essential supplies needed for transferring a resident.

The correct answer includes items that are necessary for dressing a patient. Socks are needed to cover the feet, while a long sleeve shirt, pants, and short sleeve shirt are needed to cover the upper and lower body. These clothing items are essential for maintaining the patient's comfort and modesty during the dressing process.

The supplies needed for AMBULATION are a Gait Belt and Resident Shoes. A Gait Belt is used to provide support and stability while assisting a resident in walking or transferring. Resident Shoes are necessary for the resident to wear during ambulation to ensure proper foot support and prevent any potential injuries.

This answer suggests that the sign/symptom being referred to can be observed by both the patient (subjective) and the healthcare provider (objective). This means that the sign/symptom is something that the patient experiences and reports, but can also be measured or observed by the healthcare provider through tests or physical examination.

Gloves must always be worn when performing tasks that involve direct contact with bodily fluids or potentially infectious materials. This includes tasks such as partial bed baths, perineal care, catheter care, handling urinary drainage bags, assisting with bed pans, providing foot care, and performing mouth care or denture care. Wearing gloves during these tasks helps to prevent the spread of infections and protects both the caregiver and the resident from potential harm.

The correct answer for this question is Vital Sign "VS" Form, Pen, and Chair. These supplies are necessary for documenting and monitoring the resident's vital signs during the process of respirations. The "VS" form is used to record the vital signs, such as blood pressure, heart rate, and respiratory rate. A pen is needed to fill out the form accurately. A chair is required for the resident to sit comfortably during the process.

When bathing, it is important to always wash from the cleanest area to the dirtiest area. This ensures that any dirt or bacteria from the dirtiest area does not spread to the cleaner areas, reducing the risk of infection or contamination.

The correct answer for this question is to perform Knee to Chest 3xs, Snow Angel 3xs, Gas Pedal 3xs, Support Joints, and Only Expose Hip & Ankle. These exercises and actions help to improve the range of motion in the hip and ankle joints. Knee to Chest, Snow Angel, and Gas Pedal exercises involve movements that stretch and strengthen the muscles around the hip and ankle joints. Supporting joints and only exposing the hip and ankle ensure that the focus is solely on these specific areas during the range of motion exercises.

The correct answer requires performing the following actions: waving goodbye three times, rotating the wrist three times while holding it at the palm of the hand, bending the elbow three times, supporting the joints, and only exposing the elbow and wrist. These actions help improve the range of motion in the elbow and wrist.

The supplies needed for a bedpan are the bedpan itself, gloves for hygiene purposes, a hand wipe for cleaning, an under pad to protect the bed, and toilet paper for personal hygiene. These supplies are necessary for providing proper care and comfort to the patient using the bedpan.

The supplies needed for measuring and recording the contents of a urinary drainage bag include items that are necessary for the task. The 2 paper towels can be used for cleaning and drying the bag, the graduate is needed to measure the volume of urine, gloves are necessary for hygiene purposes, a pen is needed to record the measurements on the I & O sheet, and the alcohol prep pad is used for disinfecting the drainage bag. These supplies are all directly related to the task at hand and are essential for accurately measuring and recording the contents of the urinary drainage bag.

The correct answer includes the supplies that are needed for perineal care. These supplies include a basin of warm water, a table towel, a towel, gloves (optional), liquid soap, 4 wash cloths, and 2 under pads. These supplies are necessary for ensuring proper hygiene and cleanliness during perineal care.

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The correct answer includes the supplies needed for foot care. This includes an underpad to protect the surface, two bathe towels for drying the feet, a basin of warm water for soaking, lotion for moisturizing, gloves (optional) for hygiene purposes, liquid soap for cleaning, and one washcloth for gentle scrubbing. These supplies are essential for providing proper foot care and maintaining hygiene.

The supplies needed for feeding include a cup of water, a spoon, a chair, a hand wipe, a clothing protector, a pen, apple sauce/pudding, a napkin, and a food acceptance record. These items are necessary for assisting in the feeding process, ensuring hygiene, and keeping track of food intake.

The supplies needed for hand and nail care include a basin of warm water, lotion, table towel, towel, gloves (optional), orange stick, and emery board. These items are necessary for providing proper care and maintenance for the hands and nails. The basin of warm water is used for soaking the hands, while the lotion is used for moisturizing. The table towel and towel are used for drying the hands. Gloves are optional but can be used for added protection. The orange stick and emery board are used for shaping and filing the nails.

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The supplies needed for a partial bed bath include 2 bathe towels, a basin of "warm water", lotion, a table towel, gloves (optional), 2 washcloths, liquid soap, a hospital gown, and a warming towel. These items are necessary for providing a thorough and comfortable bed bath for the patient.

The correct answer includes all the necessary supplies needed for mouth care with dentures. These supplies include 2 paper towels, toothpaste, 2 cups of water, emesis basin, wrapped toothette, table towel, clothing protector, gloves (optional), paper towels to line sink, and a denture brush. These items are essential for ensuring proper oral hygiene for individuals with dentures.