A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to
return the resident to bed.
provide the resident with a cane.
tell the nurse the resident is having foot pain.
remove the resident's shoe and inspect the foot.
Correct Answer :
D. remove the resident's shoe and inspect the foot.
Related Questions
A resident who has dementia is usually able to get dressed with some prompting. This morning the resident is more confused and needs more help with all activities of daily living. What should the nurse aide do?
Tell the resident not to feel bad about needing more help today.
Provide extra help as needed to avoid the resident becoming frustrated.
Ask if the resident would prefer to stay in night clothes for the day.
Check if the resident will get dressed for another nurse aide.
A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to
guide the resident from the chair to the floor.
remove the other resident's away from the table.
try to open the resident's mouth to check for food.
keep the resident in the chair by holding around the resident's waist.
A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately?
The resident's 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.
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should
remind the resident how much the resident enjoys parties.
encourage the resident to go since so many other residents are attending.
respect the resident's decision and ask what the resident would like to do.
ask if the resident participated in any activities for the Jewish Hanukah holiday.
Which of the following is an example of disinfection?
Washing a resident's hands after toileting
Using a wipe to clean around a resident's stoma
Cleaning a shower chair with a chemical cleanser
Cleaning a resident's bath basin with soap after use
When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should
ask how long the minister plans to visit.
explain politely that it is time to take vital signs.
check if the resident is praying before interrupting.
wait to take the vital signs after the minister has left.
The nurse aide's 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.
A nurse aide hears another staff member yelling and cursing at a resident. This is an example of
resident neglect.
resident abuse.
nurse aide carelessness.
nurse aide non-compliance.
A resident who is Roman Catholic is dying. The resident comments that she has not been to confession and she worries that she will die in a state of sin. Which of the following is the best response by the nurse aide?
Don't you think God knows you are in a nursing home?
Would you like it arranged for a priest to visit you?
Sounds like you are not ready to die.
Have you considered praying?
A resident who must stay in bed is at risk for developing
dementia.
arthritis.
foot drop.
Parkinson's disease.
The Health Insurance Portability and Accountability Act (HIPAA) is important to the nurse aide because it
allows residents to carry health care from the hospital to the nursing home.
provides for insurance coverage for residents and health care workers.
identifies protected health information that must remain confidential.
provides accountability for care offered across health care settings.
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do?
Consider if the task can be performed another way.
Provide the care and perform the task as best as possible.
Contact the ombudsman's office since resident's rights may be violated.
Refuse to perform the task and explain it is not within the nurse aide's role.
While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action?
Dress the resident quickly.
Check the resident's vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
black.
green.
purple.
white.
While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff and will not bend. The nurse aide should
continue exercises but move onto another joint.
continue since stiff joints are a normal part of aging.
apply very gentle pressure to try to bend the elbow slightly.
suggest the resident see a physical therapist for the elbow.
A resident reports having a very large bowel movement two days ago. What should the nurse aide do first?
Report this to the charge nurse.
Ask if this is a normal pattern for the resident's body.
Suggest the resident drink more water and increase foods with fiber.
Check if the resident is getting a medication to help with bowel movements.
The nurse aide is taking routine vital signs on a resident. The residents temperature is 101.4� Fahrenheit. The most appropriate response by the nurse aide is to
place a cool, wet washcloth to the residents forehead.
cover the resident with extra blankets.
record and report the change at the end of the shift.
report the temperature promptly.
A nurse aide hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. The nurse aide should also
call the police immediately.
ask if the nurse is feeling stressed about something.
report the situation to the charge nurse's supervisor.
ask if any other staff have ever observed this behavior.
Which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation?
The resident's shoe-fit
The resident's pulse rate
The way the resident walks
The color of the resident's toes
When a resident's husband begins telling the nurse aide how to care for his wife, the nurse aide should
accept that the husband has always been in charge.
explain that the nurse aide is certified and able to care for his wife.
suggest that the husband participate in his wife's resident care conference.
understand that the husband wants staff aware of his wife's needs.
Which action is most helpful to help decrease a resident's incontinence?
Leaving the bedpan in place for extra time
Putting an incontinent brief on the resident
Answering the resident's call light quickly
Controlling fluid intake throughout the day
When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should
pat gently to dry and cover with a dry dressing before applying a sock.
stop the foot care immediately and ask the resident what happened.
report the skin opening to the charge nurse as soon as possible.
check the resident's sock for any wound drainage.
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 aide's 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.
According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures?
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
When preparing to shower a resident, what should the nurse aide do next after checking the water temperature?
Give the resident a washcloth to hold
Suggest the resident wash his or her face
Ask the resident to check the water temperature
Check if the resident wants a partial or full shower
Which of the following should be reported to the charge nurse immediately?
A resident's change in appetite
A resident's complaint of chest pain
A resident who refuses to take a scheduled tub bath
A resident who wanders is found napping in another resident's bed
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 nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first?
Use the resident's pitcher of water to put out the fire.
Open the window to get the smoke out of the room.
Yell Fire! along with the room number.
Remove the resident from the room.
A resident who was admitted today is sitting in a chair in his room. He asks for help to go to the bathroom. The nurse aide knows the resident's care plan has not been completed. To help the resident the nurse aide should
ask the resident to use a walker while assisting the resident to the bathroom.
get another nurse aide's help to walk the resident to the bathroom.
position a commode chair next to the chair the resident is sitting in.
ask the charge nurse for instructions on what assistance the resident needs.
While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide?
Allow the resident more time to swallow.
Use a straw when giving the resident fluids.
Add a thickening product to the resident's fluids.
Stop feeding and ask a nurse to check the resident.