CNA Chapter 34 & 35 38 - 40

  1. All specimens sent to the laboratory for testing require _________.
    Requisition slips
  2. You need to collect a urine specimen from a resident. To correctly identify the person, you need to
    Check the ID bracelet
  3. When collecting urine specimens, what observations do you need to report and record?
    • Problems obtaining the specimen.
    • Color, clarity, and odor of urine. 
    • Blood in the urine.       
    • Particles in the urine.    
    • Complaints of pain, burning, urgency, difficulty voiding, or others.
    • The time the specimen was collected.
    • Patient o resident concerns.
  4. What type of specimen is collected for a routine urinalysis?
    Random urine specimen.
  5. Urine pH measures if urine is ____________.
    acidic or alkaline
  6. The person with diabetes may have ____ and _____ in the urine.
    glucose and ketones
  7. Blood in the urine is called _______.
  8. When using reagent strips, why is it important to follow the manufacturer’s instructions?
    If not followed it may lead to a false results.
  9. When collecting a stool specimen, what observations do you need to report and record?
    • The time to collect and test the specimen.     
    • Test results
    • Problems obtaining the specimen. 
    • Color, amount, and consistency
  10. Melena means ________.
    black, tarry stool odor of stools
  11. Mucus from the respiratory system is called _____ when it is expectorated through the mouth.
  12. Collecting a sputum specimen is delegated to you. What information do you need from the nurse?
    • When to collect the specimen. 
    • How much sputum is needed.
    • If the person can hold the sputum container.
    • If the person uses the bathroom.
    • What observations to report and record.   
    • When to report observations.
    • What patient or resident concerns to report at once.
  13. Breathing treatments and suctioning are needed to obtain a sputum specimen from an infant. Which health team members perform breathing treatments and suctioning?
    The RN or respiratory therapist.
  14. A _______ is the most common site for skin punctures.
  15. ______ and ________ are not good sites for skin punctures.
    Thumbs and index
  16. Where are used lancets discarded?
    Discard the blade into the sharps container.
  17. To use a glucose meter correctly, you need to follow
    The manufacturer’s instructions.
  18. Common fears of surgical patients include fear of:
    • Anesthesia and its effects                          
    • Cancer                                       
    • Complications from surgery
    • Disability
    • Disfigurement and scarring
    • Dying during or after surgery
    • Exposure 
    • Not walking up after surgery
    • Pain during, after surgery
    • Prolonged recovery
    • Separation from family and friends 
    • Surgery on the wrong body part
    • Tubes, needles, and other care equipment
    • Waking up during surgery
    • What happens after surgery – more surgery, treatment, care, etc.
  19. To assist in the surgical patient’s psychological care, you must do the following:
    • Listen the person may talk about fear and concerns.
    • Refer questions to the nurse.
    • Explain the care you will give and its needs.
    • Follow communication rules.
    • Use verbal and nonverbal communications.
    • Provide care with skill and ease.
    • Report signs of fear or anxiety.
    • Report a request to see member of the clergy.
  20. Personal care before surgery usually involves the following:
    • A complete bath, shower, or tub bath and shampoo.
    • Make-up, nail polish, and fake nail removal.
    • Hair care. 
    • Oral hygiene.
    • Denture care.
    • Prosthesis
    • Other – Elastic stockings/compression socks
  21. What is the purpose of the pre-operative skin preparation?
    To reduce the risk of infection.
  22. Which health team member is responsible for securing the person’s written surgery consent?
    The doctor
  23. When is the surgical site marked?
    Before the surgery.
  24. An _____ is a blood clot that travels through the vascular system until it lodges in a vessel.
  25. When applying elastic stockings, what observations do you need to report and record?
    • The size and length of stocking applied.
    • When you applied the stockings.
    • Skin color and temperature.
    • Leg and foot swelling.
    • Skin tears wounds or signs of skin breakdown.
    • Complaints of pain, tingling, or numbness.
    • When your removed the stocking and for how long.
    • When you reapplied the stockings.
    • When you washed the stockings.
  26. When applying elastic bandages, you must:
    • Use the correct seize – length and width.
    • Position the person during the procedure.
    • Start at the lower part of the extremity, work upward.
    • Expose the fingers or toes if possible.
    • Apply the bandage with firm, even pressure.
    • Check the color and temperature of the extremity every hour.
    • Face the person in good alignment.
    • Re-apply a loose or wrinkled bandage.
    • Replace a moist or soiled bandage.
  27. Early ambulation prevents:
    • Thrombi
    • Pneumonia.
    • Atelectasis.
    • Constipation.
    • Urinary tract infections.
  28. Your state and agency allow you to apply heat and cold applications. Before you apply a heat or cold application, what information do you need from the nurse and the care plan?
    • The type of application. 
    • How to cover the application.
    • What temperature to use.
    • The application site.
    • How long to leave the application in place. 
    • What observations to report and record.
    • When to report observations.
    • What patient or resident concerns to report at once.
  29. You have applied a hot pack to a resident’s knee. How often do you need to check the person’s skin for complications _______________
    every 5 minutes no longer than 15 – 20 minutes.
  30. When cold is applied to the skin, blood vessels ______. Blood flow ________.
    constrict.  Blood flow decreases.
  31. Before applying a dry heat or cold application, you need to __________.
    know how to use the equipment.
  32. For how many minutes are heat and cold applications usually applied?
    No longer than 15 – 20 minutes.
  33. Dilate means to __________.
    expand or widen.
  34. Sitz baths are used to:
    • Clean perineal and anal area
    • Provide healing
    • Relieve pain soreness 
    • Increase circulation.
    • Stimulate voiding.
  35. Hypothermia is ____________.
    very low body temperature.
  36. List four signs and symptoms of hypoxia.
    • Restlessness 
    • Dizziness 
    • Disorientation
    • Rapid breathing
  37. How does nutrition affect respiratory function?
    The body needs iron and vitamins to produce RBC.
  38. List the three processes involved in respiratory function.
    • Air moves into and out of the lungs. 
    • O2 and CO2 are exchanged at the alveoli.
    • The blood carries O2 to the cells and removes CO2.
  39. Define the following terms:
    • Tachypnea Rapid breathing respirations more than 20 per minute. 
    • Hypoxemia Reduced amount of oxygen in the blood.
    • Apnea The lack or absence of breathing.
    • Pollutant A harmful chemical or substance in the air or water.
  40. Pulse oximetry measures ____________.
    the oxygen concentration in arterial blood
  41. Describe the orthopneic position.
    Sitting up and learning over a table to breath.
  42. Sputum specimens are studied __________.
    blood, microbes, and abnormal cells.
  43. You have assisted a resident with deep-breathing and coughing exercises. What observations do you need to report and record?
    • The number of deep breaths and coughs.
    • How the person tolerated the procedure.
  44. The goal of incentive spirometry is to _______________.
    improve lung function and prevent applications
  45. These health team members are responsible for starting and maintaining oxygen therapy.
    • The nurse.
    • How the person tolerated the procedure.
  46. Oropharyngeal airway
    Inserted through the mouth and into the pharynx
  47. Endotracheal tube
    Inserted through the mouth or nose and into the trachea by a doctor using alighted scope
  48. Tracheostomy tube
    Inserted through a surgically created opening into the trachea by a doctor
  49. If an airway comes out or is dislodged, you need to ____________.
    tell the nurse at once
  50. Describe the three parts of a tracheostomy tube.
    • The obturator used to guide insertion of the outer cannula.
    • The inner cannula keeps the airway patent.
    • The outer cannula keeps the tracheostomy patent.
  51. A resident is too weak to cough. Why is suctioning used to remove secretions from the person’s airway?
    The secretions could obstruct air flow into and out of the airway.
  52. Why is it important to keep suction equipment and supplies at the bedside?
    May need for suctioning secretions in the throat.
  53. An alarm sounds on a person’s mechanical ventilator. What is the first thing you should do?
    Check if the tube is attached to the ventilator.
  54. When can you reset alarms on a mechanical ventilator?
    Never, the nurse will reset the alarm.
  55. A patient has chest tubes. What should you do if a chest tube comes out?
    Call for help at once and over the insertion site.
  56. Hematoma
    A swelling (oma) that contains blood (hemat)
  57. hemoptysis
    Bloody (hemo) sputum (ptysis means to spit)
  58. Melena
    A black, tarry stool
  59. Embolus
    A blood clot that ravels through the vascular system until it lodges in a blood vessel.
  60. General anesthesia
    A treatment with certain drugs that produces a deep sleep and the absence of all sensation, especially pain.
  61. Atelectasis
    The lack or absence (a) of breathing (pnea)
  62. Hypoxia
    cells do not have enough (hypo) oxygen (oxia)
  63. Kussmaul repirations
    Very deep and rapid respirations
  64. orthopnea
    Breathing (pnea) deeply and comfortably only when sitting (ortho)Image Upload 1
  65. Pollutant
    A harmful chemical or substance in the air or water.
  66. Pulse oximetry
    Measures (metry) the oxygen (oxi) concentration in arterial blood.
  67. hemothorax
    Blood (hemo) in the pleural space (thorax)
  68. patent
    open and unblocked
  69. Pleural effusion
    The escape and collection of fluid (effusion) in the pleural space.
  70. Pneumothorax
    Air (pneumo) in the pleural space (thorax)
Card Set
CNA Chapter 34 & 35 38 - 40
CNA Chapter 34 & 35, 38 - 40