Idaho 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

A normal resting respiratory rate for an adult is 12 to 20 breaths per minute; count for a full minute when the rate is abnormal or irregular.

Normal adult pulse range

A normal adult resting pulse is 60 to 100 beats per minute; report a new rate outside this range, an irregular rhythm, or a marked change from the resident's baseline.

One kilogram in pounds

One kilogram equals 2.2 pounds; convert pounds to kilograms by dividing pounds by 2.2, and kilograms to pounds by multiplying kilograms by 2.2.

Pulse oximetry reporting threshold

Pulse oximetry usually reads 95 to 100 percent on room air; report a reading below the resident's baseline or below 90 percent, and report any new shortness of breath.

Pressure injury repositioning schedule

Reposition a bedbound resident at least every 2 hours, check the skin at each turn, and keep heels and other bony areas off the mattress.

Dressing a weak side

When dressing a resident with one weak side, put clothing on the weak side first and remove it from the strong side first.

Female perineal care direction

For female perineal care, wash from front to back using a separate washcloth, then rinse and dry thoroughly to reduce infection risk.

Alcohol sanitizer and C. difficile

Alcohol-based hand sanitizer does not reliably kill C. difficile spores; wash hands with soap and water after contact with a resident who has C. difficile.

Standard precautions apply to

Standard precautions apply to all residents and all blood, body fluids, secretions, excretions, nonintact skin, and mucous membranes, regardless of whether an infection is known.

Order for removing PPE

Remove gloves first, then goggles or face shield, then gown, then mask; perform hand hygiene immediately after removing all personal protective equipment.

Airborne precautions diseases

Airborne precautions are used for suspected or confirmed tuberculosis, measles, and varicella; these require a fit-tested N95 respirator and a negative-pressure room per facility policy.

RACE fire response

RACE means Rescue anyone in immediate danger, Alarm the fire department, Contain the fire by closing doors, and Extinguish or Evacuate according to the facility plan.

Seizure care during convulsion

During a seizure, protect the head, move nearby objects away, do not restrain the resident or put anything in the mouth, and time the seizure.

Choking with effective cough

If a choking resident can cough forcefully, encourage continued coughing; if the resident cannot breathe, speak, or cough, activate emergency response and follow trained abdominal thrust or CPR protocol.

Fire evacuation elevator rule

During a fire evacuation, do not use elevators; use stairs and follow the facility's evacuation routes and assembly point.

Aphasia communication strategy

For a resident with aphasia, allow extra time, use short yes-or-no questions, gestures, and communication boards, and avoid finishing the resident's sentences unless asked.

Objective documentation rule

Document what you see, hear, and measure rather than opinions or labels; record the resident's exact words in quotation marks when relevant.

Hearing impairment communication

For hearing impairment, reduce background noise, face the resident, speak clearly at a normal volume, and use written notes or the facility's amplification device if needed.

Resident right to refuse

A competent resident may refuse any care or treatment; document the refusal, notify the nurse, and do not force or threaten the resident.

Resident mail privacy

Residents have the right to receive and open their own mail; do not open, read, or discard resident mail without the resident's permission or a legal exception.

Promoting resident independence

Encourage residents to perform as much of their own care as possible, even if it takes longer, and provide setup and adaptive devices rather than taking over.

Depression warning signs

Persistent sadness, loss of interest, appetite or sleep changes, fatigue, and withdrawal may signal depression; report these changes to the nurse.

Behavior as unmet need

New agitation or behavior change may signal pain, infection, constipation, hunger, fear, or another unmet need; report it rather than assuming it is intentional.

Responding to delusions

Do not argue with a resident's delusion or hallucination; acknowledge the resident's feelings, offer reassurance, and redirect to a safe familiar activity.

Sundowning definition

Sundowning is increased confusion or agitation in late afternoon or evening; reduce noise and stimulation, provide calm routines, and ensure safe lighting.

Dementia communication approach

Approach a resident with dementia from the front, use a calm tone, give one instruction at a time, and avoid arguing or correcting.

Wandering safety response

If a resident wanders, ensure a safe environment, alert the nurse, check identification, and redirect gently; do not lock the resident in a room.

Active versus passive ROM

Active range of motion is movement performed by the resident; passive range of motion is movement of a resident's joint by the caregiver, done only as ordered.

Gait belt ambulation position

When ambulating with a gait belt, stand on the resident's weak side and slightly behind, hold the belt, and check for non-skid footwear and a clear path.

Transfer pivot toward strong side

When transferring a resident, lock the wheels, use a gait belt, and pivot the resident toward the stronger side while keeping the resident close to you.

CNA scope of practice

A nurse aide performs tasks within state certification and facility policy that are delegated by a licensed nurse; the aide does not diagnose, prescribe, or give medications unless specifically authorized.

Mandatory abuse reporting

A nurse aide must report suspected physical, sexual, emotional, or financial abuse, neglect, or exploitation immediately to the nurse or administrator and to the required state agency.