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.
A. The residents fingers are cold and blue in color.
set out clothing that the resident can dress in more quickly.
dress the resident to make sure the resident gets to breakfast earlier.
ask if there is any help the resident would like in the morning.
remind the resident that the friends will also be at activities later.
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.
You do realize that you will look normal when you get your prosthesis?
Do you think you will ever leave your room? It will help you feel better
There is no reason to feel embarrassed about losing your leg?
You used to enjoy activities. Whats keeping you in your room so much?
Protect the toe by putting on an extra sock.
Report the observation to the charge nurse.
Apply an antibiotic ointment to prevent infection.
Soak the foot in very warm water and dry gently.
go find the charge nurse.
get the suction machine.
call emergency services (911).
begin abdominal thrusts.
Report this to the charge nurse.
Ask if this is a normal pattern for the residents 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.
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.
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.
massage the beard area of the face gently.
rub the beard in the direction of the hair growth.
hold a warm, wet wash cloth against the face first.
lather the face with soap instead of shaving cream.
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.
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
The resident states, I do not like this thing.
The residents position needs to be adjusted.
The resident has suddenly become very agitated.
The restraint was removed according to the care plan schedule.
Liquid feces seeping out of the anus
Darkening of the residents urine
Many soft, formed stools
Bad breath odor
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 residents room.
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.
the financial arrangements made for the residents care.
specific care required for the resident and the goals of care.
facility procedures for performing different nursing care procedures.
the nurse aides assignments and when care is provided to each resident.
block exit doors.
restrain residents.
place large stop signs on doors.
keep confused residents in their rooms.
The residents shoe-fit
The residents pulse rate
The way the resident walks
The color of the residents toes
Dont 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?
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
Try to get the resident to take a few sips of water through a straw.
Reach around from behind the resident to provide abdominal thrusts.
Pat the residents back and then reach in his mouth to remove the blockage.
Ask the resident to take a deep breath and cough.
Allow the resident to be alone with her spouse.
Suggest that the husband take the resident home for a visit.
Explain that the facilitys policies do not allow for this type of visiting.
Remind the resident that this is a nursing home and not a hotel.
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.
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.
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
black.
green.
purple.
white.
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.
Shakiness or trembling
Thirst and dry mouth
Sweet breath odor
Increased urine
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)
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.