CNA Chapter 24 & 25, 31 - 33

  1. The process of emptying urine from the bladder
  2. Painful or difficult urination
  3. Abnormally large amounts of urine
  4. Urinary incontinence
    Leakage of urine
  5. Scant amount of urine
  6. Frequent urination at night
  7. Blood in the urine
  8. You need to observe urine for _____, _____, ____, _____, _____, and ____.
    Color, Clarity, Odor, Amount, Particles, and blood.
  9. A fracture pan is used by the following persons:
    • Persons with casts.
    • Persons in traction.
    • Persons with limited back motion. 
    • Older persons with osteoporosis.
    • After spinal cord injury or surgery.
    • After hip fracture.
    • After hip replacement.
  10. Before assisting with a bedpan, what information do you need from the nurse and the care plan?
    • What bedpan to use.                
    • Position or activity limits.       
    • If you can leave the room or if you need to stay with the person.
    • If the nurse needs to observe the results before disposing of content.
    • What observations to report and record.
    • When to report observations.
    • What patient or resident concerns to report at once.
  11. You need to remind men not to place urinals on ________________.
    over-bed tables and bedside strands.
  12. Urinary incontinence is _______________.
    the involuntary loss or leakage of urine.
  13. Describe overflow incontinence ___________________.
    Small amounts of urine leak from a full bladder the person dribbles of often or constantly and may have a weak urine stream.
  14. List four effects urinary incontinence may have on the person’s quality of life.
    • Pride, dignity, and self-esteem are affected. 
    • Social isolation, loss of independence, and depression are common. 
    • Falling is a risk when trying to get to the bathroom quickly.
    • Skin irritation, infection, and pressure ulcers are risks.
  15. The process of inserting a catheter
  16. A retention or Foley catheter
    Indwelling catheter
  17. A catheter that drains the bladder and then is removed
    Straight catheter
  18. A tube used to drain or inject fluid through a body opening
  19. List six reasons why catheters are used.
    • To keep the bladder empty before, during, and after surgery. 
    • To promote comfort.
    • To protect wounds and pressure ulcers from contact with urine.
    • For hourly urine output measurements.
    • To collect sterile urine specimens.
    • To measure the amount of urine in the bladder after the person voids.
  20. Explain why a closed drainage system is used for indwelling catheters.
    Only urine should enter the system from the catheter to the urine drainage bag. The clamp on the drainage bag is opened to release urine into a graduated cylinder.
  21. An indwelling catheter has two lumens (passage-ways). What is the purpose of each lumen?
    Sterile water is injected through 1 lumen to inflate the balloon other is for the urine to pass through.
  22. Explain why all of the water must be removed from the balloon before an indwelling catheter is removed.
    It could damage urethra upon removal.
  23. A condom catheter is _____________.
    a soft sheath that slides over the penis and is used to drain urine.
  24. Never use __________ to secure condom catheters.
    adhesive tape or other tape
  25. _____ is a state of well-being in which the person is free of physical and emotional pain.
  26. Which type of pain lasts long after healing occurs?
    Chronic pain
  27. Describe radiating pain.
    Pain felt at the site of tissue damage and in nearby areas.
  28. A patient complains of pain in his right knee. What questions do you need to ask the person to get information about the onset and duration of the pain?
    When did the pain start? How long has it lasted?
  29. Name and briefly describe the two phases of sleep.
    • NREM sleep is the phase with “no rapid eye movement”
    • Rem sleep is the phase with “rapid eye movement”
  30. How does illness affect sleep?
    Illness increases the need for sleep pain, nausea, vomiting, coughing, difficulty breathing, diarrhea, frequent voiding and itching can interfere with sleep.
  31. How does exercise affect sleep?
    Exercise makes people tired, which helps them sleep well.
  32. Describe the three forms of insomnia.
    • Cannot fall asleep. 
    • Cannot stay asleep.
    • Early awakening and cannot fall back asleep.
  33. _________ is a sleep disorder in which the amount and quality of sleep are decreased. Sleep is interrupted.
    Sleep deprivation
  34. A resident is sleepwalking. What should you do?
    Guide sleepwalkers back to bed.
  35. Admission
    the official entry of a person into a health care setting.
  36. Discharge
    the official departure of a person from a health care setting.
  37. Transfer
    moving the person to another health care setting.
  38. What is involved in admitting, transferring, and discharging patients and residents?
    • Privacy and confidentiality.
    • Reporting and recording.
    • Understanding and communicating with the person.
    • Communicating with the health team.
    • Respect for the person and the person’s property.
    • Being kind, courteous, and respectful.
  39. During the admission procedure, the person complains of a severe headache. What should you do?
    Call for the nurse at once. Stay with person. When the nurse arrives, assist as needed.
  40. Before measuring weight and height, what information do you need from the nurse and the care plan?
    • When to measure weight and height.
    • What scale to use.
    • If height is measure with the person in bed.
    • When to report the measurements.
    • What patient or resident concerns to report at once.
  41. You are transferring a person to another nursing unit. What information about the transfer do you need to report and record?
    • The time of the transfer.
    • Who helped you with the transfer.
    • Where the person was taken.
    • How the person was transferred. 
    • How the person tolerated the transfer.
    • Who received the person.
  42. A nursing center resident is packing. The person tells you that she wants to leave the facility. The person does not have a doctor’s order for discharge. What should you do?
    Tell the nurse at once. The nurse and/or social worker handle the matter.
  43. Physical exams are done to:
    • Promote health.
    • Determine fitness for work.
    • Diagnose disease.
  44. Before preparing the person for an exam, what information do you need?
    • When to prepare the person.
    • Where it will be done.
    • How to position the person.
    • What equipment and supplies are needed.
    • If a urine specimen is needed.
    • What patient or resident concerns to report at once.
  45. List the rules for assisting with an exam.
    • Practice hand hygiene before and after the exam.
    • Provide for privacy.
    • Position the person as directed by the examiner.
    • Place instruments and equipment near the examiner.
    • Stay in the room for the legal protection of the person and examiner.
    • Protect the person from falling.
    • Re-assure the person from falling.
    • Anticipate the examiner’s need for equipment and supplies.
    • Place paper or paper towels on the floor if the person is asked to stand.
    • Follow standard precaution and the blood borne pathogen standards.
    • Keep the call light within the person’s’ reach.
  46. The _________ position is used to examine the abdomen, chest, and breasts.
    Dorsal recumbent
  47. Why is it helpful to have a parent present when an infant or young child is examined?
    A child may fear harm or separation from the parent. This could cause the child to move while being examined.
Card Set
CNA Chapter 24 & 25, 31 - 33
CNA Chapter 24 & 25, 31 - 33