Wednesday, October 12th, 2016

Prepare for the Florida CNA Exam: 5 Physical Problems You Should Be Knowledgeable Of

July 21, 2011 by  
Filed under cna state exam


The Florida board of nursing expects all hospital personnel that handle patient care to be familiar with the specialized needs of patients with physical problems. If you live in Florida and you are planning to take the Florida CNA exam, you can increase your chances of passing by knowing the basics of caring for patients with physical problems.

Vision Impairment

Patients with vision impairment, whether partial or total, are under increased risk of incurring injuries.

You should: 1) knock before enterint, 2) inform of room placement of furniture and belongings, 3) keep bed in lowest position, 4) explain everything you will do and inform when done, 5) speak pleasantly and gently, 6) inform food placement by hand clock 7) when feeding, announce foods, 8) when assisting to walk, keep on the side and slightly behind and hold the gait belt.

Hearing Impairment

Patients with hearing disorders also face greater risk of injury. Because of its importance, it is often included in the CNA exam Florida.

You should: 1) face the patient when conversing, 2) decrease other noise when talking, 3) talk slowly and in low tone, 3) keep your message brief, 4) use other communication means if necessary (writing, sign language), 5) take care of hearing aids and related devices, 6) confirm if patient understood what you said.

Speech Impairment

Speech problems can be the result of dysphasia. Causes of dysphasia include stroke, Alzheimer’s disease, Parkinson’s disease, and surgical procedures done on mouth or larynx area.

When taking care of patients with speech impairment, you should: 1) be patient, 2) encourage them to communicate, 3) know that although muttering or unable to speak, their intelligence is not affected by their condition, 4) encourage use of other communication means such as writing board if necessary.

Respiratory Problems

Patients with respiratory problems can undergo episodes of breathing difficulty that can lead to respiratory arrest.

To care for patients with respiratory problems, you should: 1) maintain safe environment for oxygen use and always post the “Oxygen in Use” sign, 2) stay with patient when eating because food blockage can happen, 3) be familiar of the patient’s allergies which can lead to breathing difficulties, 5) when patient begins to have difficulty breathing, immediately call for help, 6) if patient stops breathing, call for help and perform mouth to mouth 12 times per minute.

Cardiovascular Problems
There are many problems associated to patients with cardiovascular problem such as thrombosis and heart failure. Proper care is necessary.

You should: 1) report immediately when patient reports pain especially in chest area of lower extremities, 2) make sure the patient follow dietary restrictions, 3) provide exercise only to a point that is prescribed by the doctor, 4), monitor vital signs and report to the nurse, 5) provide emotional support and encouragement.

Paralysis

Paralysis is a state in which a person is unable to move certain parts of the body. When the lower part of the body is involved, it is called paraplegia. When it is both arms and legs, it is quadriplegia. When it is half of the body either the left or the right side, it is hemiplegia. These pose problems with mobility and can result in accidents.

You should: 1) follow the care plan strictly, 2) help the patient become independent, 3) arrange ADLs, 4) be patient and emphatic, 5) feed on the side of the mouth that is unaffected, 6) keep patient upright for 30 minutes after eating.

For extended reading, you might also want to review the following physical disorders: 1) digestive/elimination problems, 2) diabetes, 3) HIV/AIDS before taking the state exam for CNA.

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