Michigan CNA flashcards
Michigan 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.
- Normal adult temperature
- Oral temperature runs about 97.6°F to 99.6°F (36.5°C to 37.5°C). Report readings outside the resident's usual range or the facility's parameters.
- Counting an irregular pulse
- Count the radial pulse for a full 60 seconds when the rhythm is irregular; otherwise count for 30 seconds and multiply the result by two.
- Blood pressure cuff placement
- Place the cuff bladder about one inch above the antecubital space, support the arm at heart level, and deflate at 2 to 3 mmHg per second.
- Bathing clean to dirty
- Wash the face first, then the trunk, arms, and legs, saving the perineum for last. Change the bath water whenever it becomes cool or soiled.
- Perineal care technique
- Wash from front to back using a separate part of the washcloth for each stroke, rinse well, and pat dry. Report redness, odor, or discharge.
- Dressing the affected side
- Dress the weak or affected side first and then the strong side. When undressing, remove the strong side first to protect the affected limb.
- Alcohol rub limitation
- Alcohol-based hand rub does not kill C. difficile spores. Wash with soap and water for at least 20 seconds when caring for a resident with C. diff.
- Airborne precautions requirements
- Used for tuberculosis, measles, and disseminated shingles; requires an N95 respirator and a negative-pressure room with the door kept closed.
- Order for removing PPE
- Remove gloves first, then goggles, then the gown, then the mask, and perform hand hygiene afterward. Never touch the front of the mask.
- Adult CPR compression rate
- Compress at 100 to 120 per minute to a depth of at least 2 inches, allowing full chest recoil, with 30 compressions for every 2 breaths.
- RACE fire response
- Rescue anyone in danger, pull the alarm, contain the fire by closing doors, and extinguish or evacuate. Use PASS to operate a fire extinguisher.
- Seizure first aid
- Protect the head from injury, do not restrain the person or put anything in the mouth, time the seizure, and turn the person to the side afterward.
- Fall prevention checklist
- Bed in the lowest position, brakes locked, call light within reach, non-skid footwear in place, and a clear, well-lit path to the bathroom.
- Signs of dysphagia
- Coughing, choking, drooling, pocketing food in the cheek, or a wet gurgly voice during meals. Stop feeding and report these signs immediately.
- Safe feeding position
- Seat the resident upright at about 90 degrees, offer small bites, alternate food with fluids, and keep the resident upright for 30 to 45 minutes after eating.
- Dehydration warning signs
- Dark concentrated urine, dry mouth, poor skin turgor, confusion, and urine output below 30 milliliters per hour. Report these findings to the nurse.
- Passive range of motion
- The nurse aide moves each joint through its range while the resident relaxes. Move slowly, support the joint, and stop at resistance or pain.
- Repositioning interval
- Turn and reposition dependent residents at least every 2 hours, keep heels off the mattress, and use pillows to maintain body alignment.
- Gait belt positioning
- Apply the belt snugly around the waist over clothing, stand on the resident's weaker side and slightly behind, and hold the belt throughout ambulation.
- Maslow's hierarchy order
- Physical needs come first, followed by safety, love and belonging, esteem, and self-actualization. Lower needs are met before higher ones.
- Responding to hallucinations
- Do not argue about whether a delusion or hallucination is real. Acknowledge the feeling, redirect to a calm activity, and keep the routine consistent.
- Suicidal statements response
- Take every statement seriously, stay with the resident, and report immediately to the charge nurse. Do not promise to keep it secret.
- Right to refuse care
- A resident may refuse any treatment or care. Report the refusal and the stated reason without forcing, threatening, or bargaining with the resident.
- Mandatory abuse reporting
- Any suspicion of abuse, neglect, or misappropriation of property must be reported immediately to the charge nurse or administrator and to the state hotline.
- Restraint check intervals
- Check circulation and breathing every 15 minutes and release and reposition every 2 hours. Restraints require a physician's order and a quick-release knot.
- Resident confidentiality
- Discuss resident information only with the care team and never in hallways, elevators, or with unauthorized visitors. Share only what is needed for care.
- Talking with hearing loss
- Get the resident's attention first, face them at eye level, speak clearly and slowly, and reduce background noise. Do not shout or cover your mouth.
- Communicating with aphasia
- Allow extra time, use yes-or-no questions, gestures, and picture boards, and never pretend to understand. Ask the resident to repeat if speech is unclear.
- Objective documentation
- Record what you actually saw and heard, quoting the resident's own words when possible. Avoid opinions, judgments, and conclusions in the record.
- CNA scope of practice
- Nurse aides perform ADLs, vital signs, intake and output, ambulation, and positioning. They do not assess, teach, diagnose, give medications, or perform sterile procedures.
- SBAR handoff format
- Situation, Background, Assessment, Recommendation. Use this structure to report a change in condition clearly and completely to the charge nurse.
- Incident report content
- Record the facts of what happened, when, where, and who was involved, without blame or opinion. Follow facility policy on charting and disclosure.