Arizona CNA flashcards
Arizona 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.
- Bath water temperature
- Bath water should be about 105°F (40-43°C), tested with the inner wrist or a thermometer before the resident gets in; never leave a resident unattended in the tub.
- Repositioning schedule
- Turn and reposition an immobile resident at least every 2 hours, supporting body alignment with pillows, to prevent pressure injuries and skin breakdown.
- Perineal care direction
- Wash the perineal area from front to back, cleansing the urethral area first, to prevent fecal contamination and urinary tract infection.
- Dressing the weak side
- Dress the affected or weaker side first and undress that side last, so clothing is applied over the limb with less control.
- Normal adult pulse range
- 60 to 100 beats per minute. Count for 30 seconds and multiply by 2 when regular; count a full 60 seconds when the rhythm is irregular.
- Normal adult respirations
- 12 to 20 breaths per minute for a resting adult. Count for 30 seconds and double, or count a full minute when breathing is irregular.
- Orthostatic hypotension drop
- A drop of at least 20 mmHg systolic or 10 mmHg diastolic within 3 minutes of standing. Report dizziness and recheck the blood pressure.
- Blood pressure cuff placement
- Place the cuff on the bare upper arm with its lower edge about 1 inch above the bend of the elbow, keeping the arm supported at heart level.
- Pulse oximetry normal range
- Oxygen saturation between 95% and 100% is normal for a healthy adult; report readings below 90% or a sudden drop to the nurse.
- RACE fire response
- Rescue anyone in immediate danger, sound the Alarm, Contain the fire by closing doors, then Extinguish the fire or Evacuate the area.
- CPR adult compression ratio
- Give 30 chest compressions followed by 2 rescue breaths, at 100 to 120 compressions per minute and a depth of at least 2 inches.
- Seizure first aid
- Ease the resident to the floor, protect the head, put nothing in the mouth, do not restrain, time the seizure, and turn the resident onto the side afterward.
- Restraint monitoring frequency
- Check a restrained resident every 15 minutes, and release, reposition, and offer fluids and toileting at least every 2 hours per the physician's order.
- Order for removing PPE
- Remove gloves first, then goggles or face shield, then the gown, then the mask, and perform hand hygiene immediately after the last item.
- C. difficile hand hygiene
- Wash hands with soap and water, because alcohol-based rub does not kill C. difficile spores; use gown and gloves under contact precautions.
- Airborne precautions requirement
- Used for tuberculosis, measles, and chickenpox: an N95 respirator plus a negative-pressure room with the door kept closed.
- Standard precautions definition
- Infection control practices used with every resident regardless of diagnosis, including hand hygiene, gloves, gowns, masks, and safe handling of sharps and body fluids.
- Communicating with aphasia
- Speak slowly, ask yes-or-no questions, use gestures and pictures, and allow extra time; never finish the resident's sentences or pretend to understand.
- Objective documentation
- Record what you observe, measure, and are told, without opinions or judgments; care that is not written in the record is considered not done.
- Interpreter use rule
- Use a trained medical interpreter for residents with limited English; do not use family members, and never use children, to interpret medical information.
- Right to refuse treatment
- A competent resident may refuse any treatment or medication; the nursing assistant reports the refusal, documents it, and informs the nurse rather than forcing care.
- Resident grievance rights
- Residents may voice complaints without fear of retaliation and must be told how to contact the state long-term-care ombudsman.
- Right to privacy
- Residents are entitled to privacy during care, in their own rooms, with visitors, on the telephone, and with their unopened mail.
- Mandatory abuse reporting
- A nursing assistant must report any suspected abuse, neglect, or exploitation immediately to the supervisor and per state law, even when not certain.
- Assault versus battery
- Assault is threatening to touch a resident without consent; battery is actually touching the resident without consent. Both are legal offenses.
- CNA scope of practice
- A nursing assistant performs only tasks they were trained and authorized to do; never perform procedures outside that scope, such as administering intravenous medications.
- Delirium versus dementia
- Delirium has a sudden onset, fluctuates through the day, and is often reversible; dementia develops slowly and steadily and is generally not reversible.
- Validation therapy
- Accept the reality the resident with dementia describes, respond to the feeling behind it, and redirect rather than argue or correct.
- Behavior as communication
- When a resident is agitated, look for a physical cause such as pain, a full bladder, hunger, constipation, noise, or a medication effect.
- Dysphagia feeding precautions
- Sit the resident upright at 90 degrees, give small bites, offer thickened liquids as ordered, and place food on the stronger side of the mouth.
- Signs of aspiration
- Coughing or choking while eating, a wet or gurgling voice, pocketing food, and watery eyes; stop feeding and report immediately.
- Fluid intake conversion
- One ounce equals 30 milliliters and one cup equals 240 milliliters; record all oral intake in milliliters on the intake and output sheet.