Care Scorecard › CNA › Bladder and bowel care

CNA exam topic: bladder and bowel care

5 exam-style questions with the answer and the exact rule from federal regulations or CDC guidance.

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1. How should a nurse aide approach a resident who is continent of bladder and bowel upon admission?Provide services and assistance to maintain continence unless the clinical condition makes continence impossible to maintain. The aide must support existing continence habits unless medical conditions prevent maintaining them.
   42 CFR § 483.25(e): “The facility must ensure that a resident who is continent of bladder and bowel on admission receives services and assistance to maintain continence unless his or her clinical condition is or becomes such that continence is not possible to maintain.”
2. According to the regulations, under what specific condition is a resident who enters the facility without an indwelling catheter permitted to receive one?When the resident's clinical condition demonstrates that catheterization was necessary. The regulation states that catheterization is only permitted if the resident's clinical condition makes it necessary, not for convenience or routine reasons.
   42 CFR § 483.25(e): “A resident who enters the facility without an indwelling catheter is not catheterized unless the resident's clinical condition demonstrates that catheterization was necessary;”
3. What is the required action for a nurse aide regarding a resident who enters the facility with an existing indwelling catheter?Assess for removal of the catheter as soon as possible unless clinical condition dictates otherwise. The aide must ensure the resident is assessed for catheter removal promptly, unless their specific clinical condition requires keeping it.
   42 CFR § 483.25(e): “A resident who enters the facility with an indwelling catheter or subsequently receives one is assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization is necessary, and”
4. When providing care to a resident who is incontinent of bladder, what is the primary goal of the treatment and services provided by the nurse aide?To restore continence to the extent possible and prevent urinary tract infections. The rule states that care for bladder incontinence must focus on preventing UTIs and restoring continence where possible.
   42 CFR § 483.25(e): “A resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible.”
5. A resident with bowel incontinence is being assessed for care needs. Based on the resident's comprehensive assessment, what is the required outcome for the treatment provided?Restore as much normal bowel function as possible. The regulation mandates that care for bowel incontinence aims to restore normal bowel function to the greatest extent possible based on assessment.
   42 CFR § 483.25(e): “For a resident with fecal incontinence, based on the resident's comprehensive assessment, the facility must ensure that a resident who is incontinent of bowel receives appropriate treatment and services to restore as much normal bowel function as possible.”

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