A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers?
Put hand rolls in the resident's hands.
Avoid raising the head of the resident's bed.
Turn and position the resident according to schedule.
Provide range of motion (ROM) exercises every two hours.
Correct Answer :
C. Turn and position the resident according to schedule.
Related Questions
A nurse aide is assigned to a resident with Alzheimer's 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.
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.
Which of the following is an observation often seen when a resident is impacted?
Liquid feces seeping out of the anus
Darkening of the resident's urine
Many soft, formed stools
Bad breath odor
A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide?
Assist the resident and report the change to the charge nurse.
Understand that these changes are just a normal part of aging.
Update the residents care plan and explain the change to the charge nurse.
Encourage independence and suggest that the resident try going to the bathroom on her own.
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 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.
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.
A nurse aide finds a resident who has a history of falls lying on the floor in the resident's 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 resident's head and cover with a blanket.
Consider if the resident is trying to get attention.
When giving perineal care to a male resident who is uncircumcised, the nurse aide should
push the foreskin back to clean.
keep the foreskin in place over the penis.
wipe from the base of the penis towards the tip.
just cleanse the tip and directly over the urethra.
While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide
massage the area using lotion.
apply a dry protective dressing over the area.
keep the resident positioned to avoid pressure on the hip.
cleanse the hip using extra soap, then rinse and dry thoroughly.
The nurse aide is bathing a resident and notices new swelling in the resident's ankles. Which of the following is the best response by the nurse aide?
Ask if the resident has been eating salty foods lately.
Elevate the resident's legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the resident's lower legs.
Which of the following is considered a normal age-related change seen in elderly residents?
Increase in appetite
Decrease in constipation
Decrease in taste sensation and smell
Increase in amount of confusion experienced daily
A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept?
At the nurses' station.
On the isolation cart outside the resident's room.
In the dirty utility room.
In the resident's room.
Which of the following is the best example of using reality orientation for a resident with early dementia?
Your son plans to visit today at 2:00 p.m.
You are in the nursing home. I am here to help you.
This is your daughter Anna. Do you remember her?
Look at the time. Lunch is in 30 minutes. Are you feeling hungry?
A resident, who is on bed rest, asks for a bedpan. The resident is not able to lift own hips to help with the placement of the bedpan. The best action by the nurse aide is to
ask the nurse if the resident should have a urinary catheter.
turn the resident onto one side to place the bedpan under the resident's hips.
place an under pad on incontinent brief under the resident to collect the urine.
have another nurse aide assist to lift the resident onto the bedpan.
A resident is NPO because of nausea. What should the nurse aide do?
Give the resident fluids in small amounts.
Provide the resident with a small cup of ice chips.
Ask if the resident can handle any fluids with the nausea.
Remove any fluids at the bedside including the water pitcher.
A nurse aide is asked to provide postmortem care to a resident who died of natural causes. Which of the following is the most appropriate practice to follow when providing postmortem care?
Wear gloves, a mask and a gown when providing care.
Use strict isolation precautions throughout care.
Wash hands and wear gloves throughout care.
Double bag all items removed from the room.
To help prevent burns to residents during meals, the nurse aide should
place a clothing protector on the resident.
wait to serve the food until hot food is cold.
add ice to any hot liquids, such as coffee or soup.
let residents know which foods and beverages are hot.
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 tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should
check the resident's arms and jaw for possible injury or bruising.
check the care plan to see if the resident is on heart attack precautions.
ask if the resident might have eaten something that has upset her stomach.
recognize the seriousness of the signs and observations and report immediately.
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.
While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to
quickly move the resident to the nurses' station.
ask the resident how badly the burned area hurts.
wet a towel or napkin with cool water and place against the injured area.
apply antibiotic ointment to the burned area and then cover with a bandage.
A resident reports that his wrist watch is missing. The nurse aide should ask
if the resident thinks someone took it.
if the resident has checked the lost and found box.
who was assigned to the resident on the previous shift.
for permission to help look around the resident's room.
To prevent skin tears or shearing when moving the resident, the nurse aide should
wear gloves to reduce friction against the skin.
avoid pulling or sliding the resident when moved.
tell the resident to be careful and follow directions.
ask the resident to keep arms held over the residents head.
A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first?
Orient the resident to person, place and time.
Review how to use the call light with the resident.
Tell the resident to never get out of bed without help.
Try to find out if there is something the resident needs.
The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident refuses. Which of the following is the best response by the nurse aide?
Maybe you can plan to walk a little further this afternoon.
The doctor ordered your walking exercise. You really need to try.
You have the right to refuse. Do you want me to tell the nurse?
Would you prefer to walk a little later?
A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, I fell down and I cannot move my arm. What should be the nurse aide's next action?
Help the resident to a sitting position on the floor.
Ask the resident to stay still while the nurse aide calls for help.
Ask the resident to describe the pain and how the fall happened.
Support the injured arm by placing a pillow under the arm and shoulder.
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.
When caring for a resident who is comatose, the nurse aide is expected to
provide mouth care once a day.
avoid changing the resident's position.
talk to the resident while providing care.
keep the resident's room dark and quiet.
A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to
explain that the shower is required to keep clean and healthy.
try to motivate the resident by collecting clothing and supplies.
ask if the resident has another preference for bathing today.
remind the resident, You do have the right to refuse care.