CNAMB flashcards
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32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Body mechanics lifting rule
- Bend at the hips and knees, keep the back straight, hold the load close to the body, lift with the legs, and pivot with the feet instead of twisting the trunk.
- Normal adult pulse range
- A resting adult pulse is 60 to 100 beats per minute; count for 30 seconds and multiply by two, or count a full minute when the rhythm is irregular.
- Normal adult respiratory rate
- A resting adult breathes 12 to 20 times per minute; count for 30 seconds and multiply by two, keeping the count unnoticed so the resident does not change the breathing pattern.
- Oral temperature timing rule
- Wait at least 15 minutes after smoking or drinking hot or cold liquids before taking an oral temperature, and choose another route if the resident is confused or cannot close the mouth.
- Range of motion stopping point
- Move each joint only to the point of resistance or pain, never force a joint, and stop and report if the resident reports pain or the joint is swollen or red.
- Chain of infection links
- The six links are infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host; breaking any single link prevents transmission of infection.
- RACE fire response
- Rescue anyone in immediate danger, Activate the fire alarm, Contain the fire by closing doors, and Extinguish or Evacuate according to the facility emergency plan.
- Adult CPR compression rate
- One-rescuer adult CPR uses 30 compressions to 2 breaths, at a rate of 100 to 120 compressions per minute, with a depth of at least 2 inches.
- Seizure care during convulsion
- Protect the head, loosen tight clothing, move nearby objects away, do not restrain the resident or put anything in the mouth, and note the time the seizure began and ended.
- PPE removal sequence
- Remove gloves first, then goggles or face shield, then the gown, then the mask, and perform hand hygiene immediately after leaving the resident's room.
- Right to refuse care
- A resident may refuse any treatment, medication, or care; the aide documents the refusal, informs the nurse, and never coerces, threatens, or bargains with the resident.
- Communicating with aphasia
- Speak slowly, use short sentences, allow time to respond, offer yes-or-no or picture choices, and avoid finishing the resident's sentences or speaking for them.
- Communicating with hearing loss
- Face the resident directly, reduce background noise, speak clearly at a slightly lower pitch, use gestures or written notes, and confirm hearing aids are on and working.
- HIPAA confidentiality rule
- Share resident information only with care team members who need it to do their jobs; never discuss residents in hallways, elevators, public areas, or on social media.
- Mandatory abuse reporting
- Any suspected physical, sexual, emotional, or financial abuse, neglect, or misappropriation must be reported immediately to the nurse and administrator as required by law; the aide does not investigate.
- Six rights of medication
- Right resident, right drug, right dose, right route, right time, and right documentation; each right is verified before every dose the aide administers.
- Three medication checks
- Check the medication against the medication administration record when removing it from storage, again before preparing it, and a third time immediately before administering it to the resident.
- Do not crush rule
- Enteric-coated tablets, sustained-release products, and capsules are not crushed or opened unless the prescriber orders it, because altering the form changes how the drug is absorbed.
- Digoxin pulse hold rule
- Withhold a digoxin dose and notify the nurse when the apical pulse is below 60 or above 100 beats per minute, according to the prescribed hold parameters.
- Documenting a PRN medication
- Record the date, time, dose, route, the reason the medication was given, and the resident's response, including whether the symptoms were relieved.
- Suffix -itis
- Means inflammation, as seen in arthritis (joint inflammation), gastritis (stomach inflammation), or dermatitis (skin inflammation).
- Prefixes brady and tachy
- Brady- means slow, as in bradycardia, and tachy- means fast, as in tachycardia; both describe a heart rate that falls outside the normal adult range.
- Term dysphagia
- Difficulty swallowing; residents with dysphagia are at risk for aspiration and may need thickened liquids, upright positioning during meals, and a swallowing evaluation.
- Anatomical directional terms
- Proximal means closer to the trunk and distal farther away; medial is toward the midline and lateral away from it; anterior is front and posterior is back.
- Objective versus subjective data
- Objective data are measurable and observable, such as a pulse of 88 or a reddened area; subjective data are what the resident reports, such as pain or nausea.
- Correcting a charting error
- Draw a single line through the incorrect entry, write the word error, add your initials and the date, then record the correct information; never use white-out or erase.
- Incident report purpose
- Documents an unusual event for facility risk review; it is not part of the medical record, and the fact that a report was filed is not charted in the record.
- Fever reporting threshold
- An oral temperature at or above 100.4 degrees Fahrenheit, which equals 38 degrees Celsius, is considered a fever and must be reported to the licensed nurse.
- Nursing assistant scope of practice
- The aide performs only tasks taught in the approved training program and permitted by state law, always under the supervision of a licensed nurse.
- Advance directive types
- A living will states the treatments desired if the resident becomes terminally ill; a durable power of attorney for health care names a person to decide when the resident cannot.
- Nurse aide registry
- A state list of aides who completed approved training and competency evaluation; substantiated findings of abuse, neglect, or misappropriation are recorded there and can prevent nursing facility employment.
- Involuntary seclusion
- Confining a resident to a room or area against their will, or as punishment, is a form of abuse and is prohibited except for a limited, documented clinical reason.