A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aides 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 residents shoe and inspect the foot.
Correct Answer :
D. remove the residents shoe and inspect the foot.
Related Questions
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 residents away from the table.
try to open the residents mouth to check for food.
keep the resident in the chair by holding around the residents waist.
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.
Before helping a resident to stand who has been lying in bed, the nurse aide needs to
find out what the resident plans to do for the day.
make sure a walker is available for support in case it is needed.
ask if the resident has taken any medication recently.
allow time for the resident to adjust to sitting at the edge of the bed.
A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be
dependent and need total care.
confined to bed for several weeks.
going to physical therapy to increase mobility.
receiving range of motion (ROM) exercises to hip.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
Which of the following actions helps to prevent skin tears?
Keeping side rails raised
Using less lotion on the skin
Sliding the resident up in the bed
Dressing the resident in long sleeves
A residents hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide?
Thicken the liquid so it will not spill.
Place a clothing protector on the resident.
Seat the resident with other residents who also spill.
Suggest that the resident might do well with a cup with a lid.
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 feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide?
Give the resident more time to swallow.
Keep the amount of fluid small by using a spoon to give fluids.
Add thickener to the fluid and see if it helps stop the coughing.
Stop the feeding and report the coughing to the charge nurse right away.
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aides 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 residents shoe and inspect the foot.
The goal when removing gloves that are soiled is to
remove quickly since there is a risk of exposure to germs.
dispose of the gloves in a biohazard-safe trash can.
avoid contact with the outside of the gloves.
keep germs in the trash can area.
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
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 residents decision and ask what the resident would like to do.
ask if the resident participated in any activities for the Jewish Hanukah holiday.
When moving a resident in bed, a lift or turning sheet may be used to help prevent
atrophy.
shearing.
infections.
contractures.
When a resident is unable to stand, the residents height is generally obtained by
having coworkers hold the resident upright to allow for the measurement.
adding the length of legs, chest, and neck/head to determine the height.
asking the residents height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
What is the main purpose of a restorative care program?
Ensure the resident can return home
Provide meaningful activities for the resident
Help the resident improve his/her level of functioning
Provide assistance with activities of daily living (ADLs)
The nurse aide can help the resident have regular bowel movements by
making sure the resident gets a lot of rest.
providing a routine time for the resident to toilet.
giving the resident cereal for breakfast every morning.
keeping a bedpan within reach while the resident is in bed.
Which of the following best describes the daily routine needs of residents with dementia?
It is important that the residents day be kept full of activities.
Changing daily routine is often helpful to residents with dementia.
Providing opportunities for activity and periods for rest is important.
Following a strict schedule is required to decrease confusion.
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 nurses supervisor.
ask if any other staff have ever observed this behavior.
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.
When feeding a resident who is lying in bed, the head of the bed is raised to
make chewing food easier.
decrease the risk of aspiration.
improve the residents digestion.
allow for better respirations between bites.
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.
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 residents fluids.
Stop feeding and ask a nurse to check the resident.
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.
A resident with a feeding tube is scheduled for a shower. The residents feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide?
Disconnect the feeding tube temporarily to give the shower.
Protect the pump with a plastic bag before bringing into the shower room.
Ask the charge nurse for assistance with the feeding pump.
Give the resident a bed bath since the resident has a feeding tube.
A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, I had an accident. I wet myself. What should the nurse aide do?
Explain that the next shift will assist the resident in a short time.
Remove any wet clothing and place the resident on a dry under pad.
Ask if the resident feels very uncomfortable.
Provide incontinent care to the resident.
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.
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?
A resident who must stay in bed is at risk for developing
dementia.
arthritis.
foot drop.
Parkinsons disease.
Which of the following is an example of disinfection?
Washing a residents hands after toileting
Using a wipe to clean around a residents stoma
Cleaning a shower chair with a chemical cleanser
Cleaning a residents bath basin with soap after use