PNUR 1438-010 CNA Study Giude Day 6
PNUR 1438-010 CNA Study Giude Day 6 PNUR 1438-010
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This 6 page Study Guide was uploaded by Takira Boyd on Thursday June 16, 2016. The Study Guide belongs to PNUR 1438-010 at Kankakee Community College taught by Jackie Billings in Summer 2016. Since its upload, it has received 12 views. For similar materials see in Nursing and Health Sciences at Kankakee Community College.
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Date Created: 06/16/16
Day 6 Study Guide 1. What does good hygiene promote? Increase in selfesteem Cleanliness 2. List oral/denture care and rules? Use the patient’s toothbrush, toothpaste, dentures, denture cleaner, and etc. Make sure when brushing to stand to the side just in case the person needs to spit Never rinse dentures with hot water= deformities (damage) to the dentures Allow to sit in a denture cleaner overnight in a cup that is specifically for dentures (not regular cups) Never use tooth paste to clean dentures (too abrasive) Brushing should be done for about 2 minutes Make sure the dentures are theirs Remind the person to not wrap their dentures in tissues/napkins. (If the patient does not have their teeth check to see if they are on the dining table or their tray) 3. How to perform oral care to an unconscious person? Every 2 hours Brush turned to the side Use Carmax or a lip lubricant Lateral position (on side) with towel rolled behind the back Still state what you are doing as if they can hear you and use the curtain (privacy) 4. Bath sequence? Upper to lower body Make a mit Swap the sides of the mit=no contamination Bring plenty of towels Allow them to check the water (Check with your elbow) Start with the eyes (in to out) Furthest body part first then the closest = (No contamination) Change water after feet and pericare Back to front with peri care When doing pericare make sure the blanket is turned in a triangle and tucked around the legs of the person After washing the back give back massage Keep them covered at all times/curtain Dress the patient in the correct garment 5. What is the resident at risk for during a bath/shower? Slips and falls 6. Observations reported to the nurse after a bath/shower? Any bruises or discoloration of the skin 7. Male pericare? Make sure to start from the shaft to the tip If a man is uncircumcised make sure to pull the foreskin and clean it but also to pull it back over = if not can result in loss of circulation in the area (Ask for help if you are unable to do it Clean buttocks 8. Female pericare Start from front to back Make sure to open the labia and clean inside Clean the buttocks 9. Safety and electrical shaving? Safety Specific Electric Specific Similarities Blade Use alcohol wipes Shave in the way that the hair grows (down on the face) Use shaving cream No shaving cream Hold skin taught when passing over the face Can use around oxygen Can’t use if someone is on oxygen, blood thinners Clean with water and soap Circular motion 10. Why shouldn’t a CNA perform nail care? Not in job description Can result in funguses/bacteria being contracted It is not in the job description (Podiatrist) Can result in cuts (from the clippers) = bacteria/infections forming YOU CAN SOAK THE FEET AND DRY THEM AS COURTEOUSY 11. How/when to perform a back massage? After washing the back\ Start at the top of the buttocks area and rub up the back, knead the back in the same direction Do one half (left and right) of the back at a time 12. Off with the good, on with the bad is _? Regarding to a person who is unconscious /when dressing a person=assistance (from the patient) in putting the garment on Bad side is the one with the IV Feed IV through the sleeve of the gown (KEEP IV ABOVE THE PATIENT= IF NOT CAN RESULT IN LACK/STOP OF FLOW) 13. Difference between a.m. and p.m. care? A.M Routine before breakfast P.M. Routine before bedtime 14. Define disability? Disability Any lost, absent, or impaired phys./mental function. 15. Nervous System function? Direct, control, and keep the person in balance 16. The 5 senses? Sight (eyes) Hear (ears) Touch (hands/body) Smell (nose) Taste (tongue/nose) 17. Define TBI? Traumatic Brain Injury (concussion) Causes from being in the army, sports, vehicle accidents 18. 3 Ways to recognize a stroke? Ask the person to smile and stick out their tongue Ask them to make a complete sentence Ask the person to raise both hands 19. 3 Factors of a stroke? Smoking High Blood Pressure Lack of activity 20. Define CVA? Cerebrovascular Accident (Stroke) Stop of blood flow in the brain= damage Left, Right, or both sides can be damaged Put things on the strong side Left side means right damage Right side means left damage 21. Define hemiplegia? Hemiplegia paralysis (plegia) on one side of the body. 22. Define expressive and receptive aphasia? Aphasia loss of language Expressive understands question but not able to say the words= mumbling/groaning sounds Receptive the patient does not understand what you are saying= response is unrelated to the question 23. Define quadriplegia and paraplegia? Quadriplegia paralysis in the arms, legs, and trunk (quad=4) Paraplegia paralysis in the legs and the lower trunk (para=beyond) 24. Define Parkinson’s Disease? No cure Age 50 at risk Michael J Fox Slow and progressive Neurological 25. Signs and symptoms of Parkinson’s Disease? Tremors Shuffling = tripping and falling Pill rolling Masklike face (no emotion) = difficulty eating and breathing 26. Define MS? Multiple Scorosis No cure Neurological 27. Define ALS? Amyotrophic Lateral Scorosis (Lou Gehrig’s Disease) No cure More common in men 4060 Are awake and aware of the process Slowly loose muscle tone=bed written=incompetence= death usually in sleep Neurological 28. Types of fractures? Simple Fracture Bone is intact (within the muscle) Complex Fracture Bone is not intact (sticking outside of the skin) 29. Define amputation? Removing a limb 30. Define phantom pain? Real pain that is felt after the amputation of a limb Pain is still felt due to nerve endings still sending signals to the brain 31. Define Osteoarthritis and Rheumatoid Arthritis (RA) Osteoarthritis Comes from wear and tear (Nursing, sports, job, etc.) Pain in the joints Rheumatoid Arthritis RA) Chronic inflammatory Joint pain with flulike symptoms 32. Define Osteoporosis? Bone becomes porus/brittle At risk of breaking bones and falling Older people (specifically women after menopause), and all ethnic groups are at risk 33. How to care for patients with hip fractures? Trocanata Roll roll towel and tuck under hip= hip will not turn out externally/internally Abduction keep hip straight (not far or close) = in center
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