At the nurses' station.
On the isolation cart outside the resident's room.
In the dirty utility room.
In the resident's room.
D. In the resident's room.
telling the resident that it is not time.
decreasing the resident's fluid intake.
asking the resident to follow the schedule.
taking the resident to the bathroom as needed.
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 resident's height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
remove quickly since there is a risk of exposure to germs.
dispose of the gloves in a biohazardsafe trash can.
avoid contact with the outside of the gloves.
keep germs in the trash can area.
Throw the razor away in a trash can.
Place the razor in a sharps container immediately.
Clean, rinse, and dry the razor so it can be used again.
Wrap the razor in a paper towel until it can be thrown away.
Pain is usually worse in the morning.
Residents with dementia do not feel pain.
A person's culture can affect response to pain.
Younger people handle pain better than older adults.
Urinary
Musculoskeletal
Circulatory
Digestive
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.
They tend to walk quickly.
They tend to lean back when walking.
They walk normally but with some shakiness.
They shuffle their feet while taking small steps.
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.
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.
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.
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.
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.
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.
At the nurses' station.
On the isolation cart outside the resident's room.
In the dirty utility room.
In the resident's room.
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.
Shakiness or trembling
Thirst and dry mouth
Sweet breath odor
Increased urine
hold the gait belt tighter and ask the resident to rest for a minute.
suggest the resident lean on the nurse aide for more support.
guide the resident over to the handrail and ask to hold.
ease the resident to the floor if a chair is not available.
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.
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.
does not remember.
should not be restrained.
does not respond to instructions.
should not be resuscitated.
Take the resident back to the resident's room.
Distract the resident by asking about the resident's family.
Invite the resident to sit down at the piano with the nurse aide.
Ask the activity director to find something for the resident to do.
Offer to walk with the resident to the activity department's kitchen.
Remind the resident that the nursing home prepares her meals.
Ask the resident about her husband's favorite dinners.
Explain gently that the resident's husband is dead.
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.
Arms and hands
Abdominal area
Face and neck
Perineal area
Liquid feces seeping out of the anus
Darkening of the resident's urine
Many soft, formed stools
Bad breath odor
It increases comfort.
It decreases sexual responses.
It helps prevent skin breakdown.
It prevents incontinence.
Explain that HIPAA laws forbid staff from discussing residents that died.
Suggest the resident talk to other residents feeling the same loss.
Try distracting the resident with a more cheerful subject.
Allow the resident to talk about the resident who died.
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.