Texas CNA flashcards
Texas 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.
- Nurse aide scope of practice
- A nurse aide performs only tasks delegated by a licensed nurse and covered in training, such as bathing, feeding, and vital signs; sterile procedures, care planning, and initial assessments are excluded.
- Delegation acceptance rule
- A nurse aide may accept only tasks within training and agency policy and may refuse any task that feels unsafe or outside that scope, reporting the refusal to the charge nurse.
- Chain of command reporting
- The nurse aide reports observations and changes in condition directly to the charge nurse or licensed nurse, who then notifies the physician; nurse aides never take orders from physicians or families.
- Mandatory abuse reporting
- In Texas a nurse aide is a mandatory reporter: suspected abuse, neglect, or exploitation must be reported immediately to the charge nurse and to the state agency, without fear of retaliation.
- Residents' rights overview
- Residents have the right to dignity, privacy, and freedom from abuse and restraints, to refuse treatment, to keep personal belongings, and to voice grievances without retaliation.
- Objective charting rule
- Nurse aide documentation records only what was observed, done, or reported, using measurable facts and direct quotes rather than opinions, entered promptly, signed, and dated.
- In-service education requirement
- Texas requires certified nurse aides to complete at least 24 hours of in-service education within each two-year certification period in order to renew the certificate.
- RACE fire response
- RACE stands for Rescue anyone in danger, Alarm or call the fire alarm, Contain the fire by closing doors, and Extinguish or Evacuate depending on the situation and facility policy.
- Fall prevention checklist
- Keep the bed low and locked, call light and needed items within reach, non-skid footwear on, floor clear, and answer call lights promptly; high-risk residents are checked more often.
- Restraint monitoring rule
- A restraint requires a physician's order and the least restrictive device; the resident is released, repositioned, offered toileting and fluids, and checked for circulation at least every two hours.
- Incident report facts
- An incident report documents an unusual event objectively with time, place, and what happened; it is filed per policy, not mentioned in the resident's chart, and never admits fault.
- Oxygen safety rules
- No smoking or open flames near oxygen, no petroleum-based products on the face or hands, tanks secured upright away from heat, and electrical equipment checked before use.
- Body mechanics lifting rule
- Stand with feet shoulder-width apart, bend the knees, keep the load close, lift with the legs, never twist while lifting, and use a mechanical lift or ask for help with heavy residents.
- Repositioning interval
- Bedbound or chairbound residents are repositioned at least every two hours, skin is checked for redness at pressure points, and each position change is documented per the care plan schedule.
- Passive range of motion
- In passive range of motion the nurse aide moves the resident's joint through its full motion slowly while supporting the limb, stopping at resistance or reported pain and never forcing the joint.
- Pressure injury common sites
- Areas most likely to break down are the sacrum and tailbone, heels, hips, elbows, shoulders, ears, and any spot where bone presses against a surface or device.
- Gait belt placement
- A gait belt is fastened snugly around the resident's waist over clothing, with the aide standing on the weaker side and slightly behind, holding the belt rather than the resident's arm.
- Daily fluid goal
- Most residents need about 1,500 to 2,000 milliliters of fluid daily unless a fluid restriction is ordered; fluids are offered often and intake is recorded so dehydration is caught early.
- Contracture prevention
- Contractures are prevented by range of motion exercises, proper body alignment, splints or positioning devices as ordered, and by encouraging the resident to move and perform self-care.
- Restorative care principle
- Restorative nursing encourages each resident to do as much self-care as possible, such as brushing teeth or feeding, so remaining function is maintained instead of replaced by staff effort.
- Normal adult vital signs
- Typical adult ranges are temperature 97.6 to 99.6 degrees Fahrenheit oral, pulse 60 to 100 beats per minute, respirations 12 to 20 per minute, and blood pressure near 120 over 80.
- Bathing sequence order
- Wash the face first without soap, then the front of the body, then the back, and the perineal area last, changing the washcloth and water as needed to avoid spreading germs.
- Denture care routine
- Dentures are removed at night, cleaned with a denture brush over a basin of water, stored in a labeled cup of water or solution, and the resident's mouth is checked and rinsed.
- Intake and output rule
- Intake includes all fluids taken by mouth, tube, or vein; output includes urine, vomit, and drainage; urine output under 30 milliliters per hour is reported to the nurse.
- Perineal care direction
- Wash the perineal area from front to back, using a clean part of the cloth for each stroke, so bacteria from the rectum are kept away from the urethra and infection is prevented.
- Clean-catch specimen steps
- Cleanse the urinary opening front to back, have the resident begin to urinate, catch the middle of the stream in a sterile container, and label the container at the bedside.
- Stroke signs FAST
- FAST stands for Face drooping, Arm weakness, Speech difficulty, and Time to call for help; sudden one-sided weakness, confusion, or trouble speaking is reported immediately.
- Hypoglycemia warning signs
- Low blood sugar may cause shakiness, sweating, hunger, confusion, irritability, and a rapid pulse; the nurse aide reports these signs at once and follows the care plan before giving food.
- Seizure first aid
- During a seizure, protect the head, move harmful objects away, do not restrain the resident or put anything in the mouth, time the seizure, and turn the resident to the side afterward.
- Urinary catheter care
- Keep the drainage bag below the level of the bladder and off the floor, keep the tubing free of kinks, provide perineal care, and report cloudy, foul-smelling, or bloody urine.
- Tube feeding positioning
- The head of the bed is raised 30 to 45 degrees during a tube feeding and stays elevated at least 30 minutes afterward to reduce aspiration risk; the aide never adjusts the rate.
- Signs death is near
- Approaching death may show mottled or cool skin, decreased urine and intake, irregular breathing with pauses, and restlessness; comfort care such as mouth care and repositioning continues.