护理助理(CNA)知识
方法
- 检查住养者此刻是否处于危险中(呼吸停止、噎住、跌倒、胸痛、卒中征象);如果是,先保证其安全并立即叫护士。
- 问一问这项任务是否在护理助理的职责范围和培训范围内;如果不是,礼貌地拒绝并告知护士。
- 尊重住养者的权利:隐私、选择权、拒绝照护、尊严,以及免受虐待和不必要的约束。
- 应用基本规则:手卫生、人体力学、床放低且呼叫器在伸手可及处、穿衣时先穿弱侧。
- 观察并报告:与住养者平时的状态比较,及时、客观地报告变化。
公式表、每个专题的关键方法步骤和 4 道练习题,完整解答附在最后。
Which signs may point to dehydration?
After a stroke, a resident ignores the food on the left side of her tray. Which approach can help, if it is in the care plan?
练习题(虚构数值,不作为临床指导)。 一位患者身高 4 ft 2 in。按 1 ft = 12 in 和 1 in = 2.54 cm,求以厘米表示的身高h,取到最接近的整厘米。
练习题(虚构数值,不作为临床指导)。 一次输注从 20:05 开始,到次日早晨 05:35 结束(24 小时制)。它运行了多少分钟t?
答案: C · Dark, strong-smelling urine and a dry mouth
Signs of dehydration include dark, concentrated urine, low urine output, dry mouth and lips, thirst, confusion and dizziness. Older adults often feel less thirsty, so fluids are offered regularly.
答案: D · Tell her where the food is and prompt her to look to the left
Some residents after a stroke neglect one side of their body and surroundings. Reminding them to turn the head and scan that side, or turning the plate, helps them eat. The care plan describes the approach.
答案: h = 127 cm
家用计量和体重:护理考试使用取整的等量关系:1 茶匙(tsp)= 5 mL,1 汤匙(tbsp)= 15 mL = 3 tsp,1 液量盎司(fl oz)= 30 mL = 2 tbsp,1 杯 = 8 fl oz = 240 mL。体重方面,1 kg = 2.2 lb,1 lb = 16 oz;长度方面,1 英寸 = 2.54 cm。设置换算时,要让你不需要的单位相互约去。
答案: t = 570 min
24 小时制:下午 1 点起,小时数加 12(下午 3:45 = 15:45)。午夜到凌晨 12:59 为 00:00–00:59,中午 12:00–12:59 仍为 12:00–12:59。反过来换算时,13–23 点减 12 并标为下午;00 点变为凌晨 12 点。跨午夜计算时间要分两段:先算到 24:00(00:00),再从 00:00 算起。
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