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BA WINGS CNA TEST OKLAHOMA STATE CERTIFICATION
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BA WINGS CNA TEST OKLAHOMA STATE CERTIFICATION
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BA WINGS CNA TEST OKLAHOMA STATECERTIFICATION
Body temperature - Answers -Heat produced vs heat lost
Glass thermometer
Rectal thermometer
Auxiliary thermometer - Answers -Mercury - oral
Rectal - red bulb
Oral Temperature - Answers -Conscious, alert
Do not use if they bite down to R cannot hold in mouth
Use sleeve
Examine thermometer for cracks etc
Do not use if they have recently had a hot or cold drink
Rectal temperature - Answers -Use if they have had seizures
Can't close mouth
Unconscious or confused
Wheezing
Do not use if:
Diarrheal, combative, hemorrhoids,
Hold in place 3-5 minutes, normal = 99.6
Axillary - Answers -A glass or electronic in axilla
Least accurate
Use if unconscious, confused, rental bleeding, hemorrhoids
8-10 minutes
97.6 = normal
Radial pulse - Answers -Wrist = radial
60-90 bpm
Report if >90, <60, bounding or weak
Respirations - Answers -Breathing
14-20 per minute
Report if shallow, irregular, Cheyenne-Stokes, stertorous, labored
Blood pressure - Answers -Systolic (contract)/diastolic (relaxed) lowest
100-140 normal/60-90 normal
Pulse deficit - Answers -Apical - radial
Apical - Answers -Heart rate left side 2-3 inches below nipple
, Chronic breathing probs - Answers -COPD
4-5 good breaths during day, cough response, clear mucus
Everything takes away their energy
Encourage them to lean forward get deep breaths
Don't run water on their heads
Circulatory system - Answers -Arteries -away
Veins - to heart
Less heart muscle = less force, older = weaker muscles, weaker heart, work harder.
Blood vessels get rigid, clogged.
Dizziness - Answers -Change positions, wait a few minutes then change positions
If lying down, help up, stand, then wait a few minutes
Silent killer - Answers -High blood pressure
Circulatory problems - Answers -Lead to circulation problems, resulting in swelling,
edema
Orthostatic hypertension - Answers -Change positions too quickly = light headed
Comfortable care to the dying - Answers -Approaching death, loss of movement and
muscle tone
Increase temp, more rapid pulse
Cheyenne-Stokes respirations - Answers -Increase, then slow, shallow, times of no
breathing, "death rattle" breathing
Five stages of grief - Answers -Denial
Anger
Bargaining
Depression
Acceptance
After death - Answers -Treat body gently, respectfully
Remove roommate
Close door, pull curtain
Remove tubes, dressing
Body flat, limbs straight
Hands on chest
Put in teeth
Bed bath, fresh dressing
Comb hair
Cover perineal area, put down pad
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