Arkansas CNA flashcards
Arkansas CNA · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Resident's right to refuse
- A resident may decline any treatment, medication, bath, or meal; the CNA accepts the refusal, offers again later, and reports it to the charge nurse.
- OBRA resident rights
- The 1987 federal law that guarantees nursing home residents dignity, privacy, self-determination, and freedom from abuse and unnecessary restraints.
- Mandatory abuse reporting
- Any CNA who suspects physical, emotional, sexual, or financial abuse or neglect must report it immediately to the charge nurse and per state law, even without proof.
- Restraint release requirement
- When a restraint is ordered, the CNA must release it, reposition the resident, and check circulation at least every two hours, documenting each check.
- Confidentiality in practice
- Discuss a resident's care only with the care team in private areas; never share information in hallways, elevators, dining rooms, or with visitors and other residents.
- Promoting independence
- Allow residents to perform the parts of self-care they can manage, offer choices in clothing, food, and schedule, and assist only where help is actually needed.
- Grievance without retaliation
- Residents may file complaints about care or facility conditions without fear of punishment; the CNA assists by getting the right form or nurse and never discourages the report.
- RACE fire response
- Rescue anyone in danger, Alarm the alarm, Contain the fire by closing doors, then Extinguish or Evacuate depending on the size of the fire.
- PASS extinguisher use
- Pull the pin, Aim at the base of the fire, Squeeze the handle, and Sweep side to side from about six to eight feet away.
- Seizure care steps
- Ease the resident to the floor, protect the head, loosen tight clothing, put nothing in the mouth, time the seizure, and turn the resident on the side afterward.
- Fall prevention basics
- Keep the bed in the lowest position with wheels locked, call light within reach, non-skid footwear on, and adequate lighting; answer calls promptly.
- Stroke recognition FAST
- Face drooping, Arm weakness, Speech difficulty, Time to call emergency services; note the time symptoms began and report immediately to the nurse.
- Oxygen safety rules
- Post no-smoking signs, keep oxygen away from flames and sparks, avoid petroleum-based products, and secure cylinders upright; never adjust the flow rate.
- Safe bath water temperature
- Bath water should be about 105 degrees Fahrenheit or 40 degrees Celsius; measure with a thermometer and have the resident test it before immersion.
- Perineal care direction
- Wash from the urinary meatus toward the rectum, using a fresh area of the washcloth each stroke, to move bacteria away from the urethra.
- Denture care safety
- Clean dentures over a sink lined with a towel or filled with water, use cool water, and store them in a labeled cup of water when not in the mouth.
- Oral care for unconscious
- Use a moistened toothette, no water or toothpaste that can be swallowed, turn the head to the side, and keep suction available while inspecting the mouth.
- Pressure injury prevention
- Reposition immobile residents at least every two hours, keep skin clean and dry, avoid massage over reddened bony areas, and inspect skin each shift.
- Dressing order rule
- Put clothing on the weak or affected side first and remove it from the affected side last, so the strong side does the work.
- NPO meaning
- Nothing by mouth: no food, water, ice chips, or medications unless specifically ordered; keep the mouth moist with oral care and report complaints of thirst.
- Normal adult vital signs
- Temperature 97.6 to 99.6 degrees Fahrenheit oral, pulse 60 to 100 beats per minute, respirations 12 to 20 per minute, blood pressure under 120/80.
- Counting an irregular pulse
- Count for a full 60 seconds and note the rhythm and strength; count a regular radial pulse for 30 seconds and multiply the result by two.
- Respirations counting rule
- Count respirations for 60 seconds, or 30 seconds times two, while the resident is unaware; note depth, rhythm, and effort.
- Blood pressure cuff sizing
- The cuff bladder should wrap about 40 percent of the arm's circumference; a cuff too small gives falsely high readings and too large falsely low.
- Pulse oximetry reporting
- Normal oxygen saturation is 95 percent or higher; report values below 90 percent, or any drop with shortness of breath, immediately to the nurse.
- Rectal temperature limits
- Do not take a rectal temperature on a resident with diarrhea, rectal surgery or bleeding, or who is confused or restless; choose another route.
- Hand hygiene indication
- Wash with soap and water for at least 20 seconds when hands are visibly soiled or after C. difficile care; otherwise use an alcohol-based rub.
- PPE removal order
- Remove gloves first, then goggles or face shield, then gown, then mask last; perform hand hygiene immediately after removing all equipment.
- Objective documentation
- Record what you saw, what you did, and the time, plus how the resident responded, using measurable facts; omit opinions, guesses, and vague phrases.
- Correcting a charting error
- Draw a single line through the error so it stays readable, write error, your initials, and the date; never erase, scribble out, or use correction fluid.
- Airborne precautions
- Require an N95 respirator and a negative-pressure room, used for tuberculosis, measles, and chickenpox; the door stays closed and visitors are limited.
- Communicating with aphasia
- Use short yes-or-no questions, gestures, pictures, and allow extra time; do not shout, and never pretend to understand when you do not.