Florida CNA flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Normal adult respiratory rate

Twelve to twenty breaths per minute for a resting adult. Count for a full minute when the rhythm is irregular, and count without announcing it to the resident.

Normal adult pulse range

Sixty to one hundred beats per minute. Report a rate below 60 or above 100, an irregular rhythm, or a weak, thready pulse to the licensed nurse.

Normal adult oral temperature

97.6 to 99.6 degrees Fahrenheit, or 36.5 to 37.5 degrees Celsius. Report any temperature outside this range and any recent chills or sweating.

Log-rolling a resident

Turning the entire body at once while keeping the spine in straight alignment. Used after spinal surgery or injury, with a pillow placed between the knees.

Converting ounces to milliliters

One ounce equals 30 milliliters. A cup is 8 ounces, or 240 milliliters, and all intake and output is recorded in milliliters on the flow sheet.

Foley drainage bag placement

Keep the bag below the level of the bladder and off the floor at all times, so urine cannot flow backward into the bladder and cause infection.

Sims position for an enema

Lying on the left side with the right knee drawn toward the chest. This position follows the natural curve of the descending colon.

Applying a gait belt

Place the belt around the waist over clothing, snug with room for two fingers. Grasp the belt, not the resident's arms, during transfers.

Restraint release and checks

Check a restrained resident every fifteen minutes, and release, reposition, offer toileting, and offer fluids at least every two hours while documenting each check.

Handwashing duration

Wash with soap and friction for at least twenty seconds, covering all hand and wrist surfaces, before and after every contact with a resident.

Range of motion guidelines

Move each joint slowly to the point of resistance but never force it, supporting the joint above and below while the resident lies comfortably.

Measuring blood pressure

Inflate the cuff thirty millimeters above the point where the radial pulse disappears, then deflate slowly while listening for the first and last sounds.

Kubler-Ross grief stages

Denial, anger, bargaining, depression, and acceptance. Residents may move back and forth among these stages, and not everyone reaches acceptance.

Validation therapy

Accepting and acknowledging the feelings and reality of a confused resident instead of correcting them, which reduces distress and protects the resident's dignity.

Reality orientation

Giving calm, simple, repeated cues about person, place, and time using clocks, calendars, and names to help an oriented resident stay connected.

Maslow hierarchy order

Physical needs such as oxygen, food, and water come first, then safety, love and belonging, self-esteem, and finally self-actualization.

New confusion in a resident

Report it promptly. Sudden confusion often signals a urinary tract infection, dehydration, constipation, or a medication reaction rather than dementia.

Communicating with hearing loss

Face the resident, get attention first, speak clearly at a normal volume, and reduce background noise. Do not shout or cover your mouth.

Signs of depression

Withdrawal, loss of appetite, weight loss, sleep changes, and loss of interest in grooming or activities. These observations are reported to the nurse.

Resident right to privacy

Knock and wait before entering, close doors and curtains during care, and never discuss a resident's information in hallways, elevators, or public areas.

Redirecting a dementia behavior

Do not argue or correct. Stay calm, acknowledge the feeling, and guide the resident's attention to a safe activity or another topic.

Respecting cultural beliefs

Ask about food, hygiene, and religious practices and honor them in the care plan. Report conflicts rather than deciding for the resident.

Scope of CNA practice

A nursing assistant performs tasks delegated by a licensed nurse and reports the results. Assessment, care planning, and medication administration stay with licensed staff.

Chain of command reporting

Report resident findings to the licensed nurse in charge, who reports to the registered nurse and physician. Follow the facility chain rather than going around it.

Objective charting

Record what you see, hear, and measure, such as ate 25 percent of lunch, rather than opinions like the resident was being difficult.

Florida abuse hotline

Call 1-800-96-ABUSE, or 1-800-962-2873, to report suspected abuse, neglect, or exploitation. Nursing assistants are mandated reporters and are protected when reporting in good faith.

Correcting a charting error

Draw a single line through the error so it stays readable, write error, and sign and date it. Never erase, use correction fluid, or obliterate the entry.

Incident report purpose

Documents an unexpected event such as a fall for facility review and prevention. Chart only objective facts in the record and never mention the report there.

Ombudsman program role

A trained advocate who investigates complaints and protects residents' rights. The ombudsman phone number must be posted where residents can see it.

Delegation by the nurse

The licensed nurse decides which tasks a nursing assistant may perform, based on the resident's condition, the complexity of the task, and the aide's training.

Findings to report immediately

Report at once any change in breathing, consciousness, skin color, temperature, blood pressure, or pulse, and any complaint of chest pain or severe pain.

Confidentiality under HIPAA

Share resident information only with the care team on a need-to-know basis. Discussing it with family, friends, or other residents violates federal privacy law.