Nevada CNA flashcards

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

Hand hygiene indications

Perform hand hygiene before and after resident contact, after removing gloves, after touching body fluids, and before eating or handling food.

Standard precautions

Infection-control practices used for all residents, including hand hygiene, gloves, gowns, masks, and safe handling of sharps and body fluids.

Orthostatic hypotension signs

Dizziness, lightheadedness, blurred vision, or fainting when a resident stands; have the resident sit or lie down and report the change.

Fowler's position

A sitting position with the head of the bed raised 45 to 60 degrees; used for breathing difficulty and eating, with safety checks for sliding.

Logrolling a resident

Move a resident as one unit while keeping the spine aligned; use enough helpers and support the head, back, and hips during turning.

Dysphagia feeding precautions

Feed slowly, place food on the stronger side, avoid talking during swallowing, keep the resident upright, and stop if choking or coughing occurs.

Urinary catheter care

Keep the drainage bag below the bladder, avoid kinks, clean the meatus with soap and water, and report cloudy urine, odor, or fever.

Bowel movement documentation

Record time, amount, color, consistency, and any pain or straining; report black, tarry, bloody, or white stool promptly.

Radial pulse measurement

Place two fingers on the thumb side of the wrist, count beats for 30 seconds and multiply by two, or count for one full minute if irregular.

Blood pressure cuff placement

Wrap the cuff snugly on the bare upper arm, align the artery mark, support the arm at heart level, and avoid using an arm with dialysis access.

Range of motion exercises

Move each joint gently through its normal motion without forcing pain; support the limb and stop if the resident reports sharp pain.

Active listening

Give full attention, face the resident, maintain eye contact as culturally appropriate, and repeat or summarize the message to confirm understanding.

Resident's right to privacy

Close doors and curtains during care, keep health information confidential, and do not discuss a resident in public areas or with unauthorized people.

Validation therapy

A communication approach that acknowledges and accepts a confused resident's feelings and reality without arguing about facts.

Behavior as communication

Unmet needs such as pain, hunger, fear, or constipation may appear as agitation; observe triggers and report patterns rather than labeling the resident.

Restraint use principles

Restraints are used only when ordered for a specific medical reason, for the least time, and with frequent monitoring, release, and repositioning.

Cultural dietary preferences

Ask about food, religious, and cultural practices; respect choices and report conflicts with prescribed diet to the nurse.

End-of-life care priorities

Focus on comfort, dignity, pain relief, mouth care, positioning, privacy, and emotional support for the resident and family.

Grief support response

Listen without judgment, acknowledge loss, offer presence, and report signs of severe depression or withdrawal to the nurse.

Sexuality in residents

Residents retain the right to consensual sexual expression and privacy; provide knock-before-entry and do not impose personal values.

Abuse reporting duty

Report suspected physical, emotional, sexual, financial abuse, neglect, or exploitation immediately to the nurse or administrator as required by facility policy and law.

Therapeutic communication

Use open-ended questions, restate feelings, avoid arguing, and allow silence; this encourages residents to express concerns and choices.

Nurse aide scope

The aide performs delegated nursing tasks, reports changes, and does not diagnose, prescribe, or perform procedures outside training, state law, and facility policy.

Delegation acceptance

Accept a task only when it is within training, legal scope, and facility policy; ask for clarification when the assignment is unclear or unsafe.

Chain of command

Report resident changes to the licensed nurse first; follow facility policy to escalate to the charge nurse, supervisor, or administrator when needed.

Incident report purpose

Document facts about an unexpected event for facility risk review; do not blame, speculate, or record the incident report in the resident's chart.

Objective documentation

Record measurable facts such as vital signs, intake, output, and observed behavior; avoid opinions, assumptions, and words like good or bad.

Late entry documentation

When charting late, enter the actual date and time of writing, note the event time, and follow facility policy; never backdate or alter records.

HIPAA confidentiality

A federal law that protects residents' health information; share it only with authorized staff for care and never discuss it in public areas or on social media.

Resident rights

Residents have rights to dignity, privacy, choice, informed consent, access to records, freedom from abuse, and to voice grievances without retaliation.

Mandatory reporting

Nurse aides must report suspected abuse, neglect, or exploitation to the nurse or administrator immediately according to state law and facility policy.

Continuing education

Nurse aides must maintain certification through required inservice education and renew according to state board rules; keep records of completed training.

Refusal of care

Respect a competent resident's refusal, document the exact words, notify the nurse, and continue to offer care without arguing or threatening.