A nurse aide is assigned to a resident with Alzheimers disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and
ask the resident when he had his last bowel movement.
check if the resident is hungry or needs to go to the bathroom.
try to keep the resident close to observe the resident throughout the shift.
allow the resident to move around as long he does not harm other residents.
Correct Answer :
B. check if the resident is hungry or needs to go to the bathroom.
Related Questions
Which action is most helpful to help decrease a residents incontinence?
Leaving the bedpan in place for extra time
Putting an incontinent brief on the resident
Answering the residents call light quickly
Controlling fluid intake throughout the day
A resident is being showered while sitting in a shower chair. The resident says, I feel weak. I think I am going to faint. The nurse aides immediate concerns are calling for help and
making sure the water temperature is proper.
getting the resident back to her room right away.
finishing the shower quickly by washing only soiled areas.
keeping the resident safe and comfortable.
Which statement is true about the effects of aging
The aging process can be reversed with good health care.
Bladder incontinence is a normal part of aging.
Joints tend to be less flexible as a person ages.
Sensitivity to pain increases with age.
The nurse aides role in assisting with a bowel and bladder retraining program includes
being consistent with carrying out the toileting schedule.
notifying the family that the resident has been placed on the program.
determining the type of program best suited for the resident.
checking the resident every four hours for incontinence.
If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the residents side quickly?
To get the resident into a more comfortable position
To get towels placed to protect the bed linen
To keep the vomit off the residents face
To help prevent aspiration
When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke?
Arms and hands
Abdominal area
Face and neck
Perineal area
A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first?
Increase the residents fluids since dehydration causes confusion.
Consider that some memory loss is a normal part of aging.
Ask where the resident believes he is.
Report the change to the charge nurse.
Which of the following describes an important requirement when providing colostomy care?
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
When caring for a resident who is comatose, the nurse aide is expected to
provide mouth care once a day.
avoid changing the residents position.
talk to the resident while providing care.
keep the residents room dark and quiet.
Which of the following is a right of nursing home residents?
To select the staff that will provide their care
To have designated smoking areas in the facility
To make decisions about their care and treatment
To have activities offered throughout the day and evening shift
A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide?
Clean the catheter, starting at the meatus and moving downward.
Clean the catheter, starting at the end and moving towards the genitalia.
Disconnect the drainage bag from the catheter to empty the bag fully.
Cleanse around the meatus with alcohol swabs, wiping front to back.
A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately?
The residents fingers are cold and blue in color.
The splint was removed as scheduled in the care plan.
The resident asks to have the splint removed for a few minutes.
The resident asks the nurse aide to reposition the arm with the splint.
When weighing a resident, it is important to make sure the
residents last measured weight is available.
scale measures both pounds and kilograms.
resident is wearing light weight clothing such as pajamas.
scale is balanced or calibrated before helping the resident onto the scale.
When a resident is receiving oxygen, the nurse aide should
make sure the tubing is free of kinks.
remove oxygen when the resident is eating.
place a NO VISITORS sign on the residents door.
limit how often mouth care is provided to the resident.
A resident usually responds verbally to the nurse aides greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aides next action should be to
try to wake the resident again in a few more minutes.
speak louder to make sure the resident can hear.
wipe the residents face with a cool washcloth.
call for the charge nurse immediately.
A resident with an indwelling catheter says, I need to urinate. Which of the following is the best response by the nurse aide?
Check to see if the tubing is kinked and draining properly.
Report to the charge nurse that the resident is very confused.
Remind the resident this is impossible since a catheter is in place.
Tell the resident to try to urinate since the urine will collect in the bag.
Which of the following describes a residents concern that needs to be reported to the charge nurse immediately?
A residents complaint of not getting to activities on time.
A resident who states a need for a new pair of elastic stockings.
A resident with dementia who states the need to talk to the residents son.
A resident who has always been oriented is suddenly scared and confused.
A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first?
Speak loudly and directly into the hearing aid.
Check that the hearing aid is in the correct ear.
Ask when the hearing aid battery was replaced.
Make sure the hearing aid is turned on.
It is most important for the nurse aide to check the temperature of the water before
assisting the resident with mouth care.
soaking the residents feet for foot care.
giving the resident a bed bath.
washing hands.
The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident?
Have you been able to hold it since you last went to the toilet?
How much longer do you feel like you can hold it?
May I please check to see if you are wet?
Can I help you to the bathroom now?
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?
Correct residents posture
Improve the residents breathing
Promote circulation at pressure points
Provide an opportunity for incontinent care
A resident says, I am not going to eat this food. It is poisoned, What is the best response by the nurse aide?
Offer to taste all the food first to prove it is not poisoned.
Report to the charge nurse that the resident is acting crazy.
Ask if there is something else the resident would like to eat.
Leave the resident alone because the resident will eat when hungry enough.
Which of the following should be reported to the charge nurse immediately?
A residents change in appetite
A residents complaint of chest pain
A resident who refuses to take a scheduled tub bath
A resident who wanders is found napping in another residents bed
A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag?
On the floor directly next to the wheelchair, positioned well below the residents bladder
Tucked at the residents side on the seat of the chair to keep the drainage bag level with the residents bladder
Hung from back of the wheelchair so that it is out of the residents view and above the bladder
Attached to the seat of the wheelchair, positioned below the level of the residents bladder
When counting a residents pulse, the nurse aide should
notice if the rhythm of the heart-beat is regular.
ask if the resident takes any heart medication.
consider the time of day when the pulse is taken.
multiply the rate by four if counted for 30 seconds.
While helping the resident to get dressed, the nurse aide observes that the residents breathing is faster. The resident says she feels tired. What should be the nurse aides first action?
Dress the resident quickly.
Check the residents vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.
A resident tells the nurse aide about being bored. The resident says, My days seem to last forever. What should the nurse aide do?
Tell the resident, I know what you mean. My days seem long too.
Ask the charge nurse if the resident can have some medication.
Ask about activities the resident has enjoyed in the past.
Tell the resident to check the activity schedule.
When a person is receiving end-of-life care, the residents care plan is likely to include
ways to best provide for the comfort of the resident.
exercises to help improve the residents strength.
frequent observation to help prevent confusion.
instructions for providing post-mortem care.
When a resident wears a restraint, the nurse aide must make sure the
resident is wearing an incontinent brief.
resident is checked once every two hours.
restraint is applied following the manufacturers instructions.
restraint is applied tightly and placed under the residents clothing.
A nurse aide finds a resident who has a history of falls lying on the floor in the residents room. The resident is crying and says, I fell again. What should the nurse aide do first?
Call for help while keeping the resident calm.
Check for injuries while asking how the resident fell.
Place a pillow under the residents head and cover with a blanket.
Consider if the resident is trying to get attention.