A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first?
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.
Correct Answer :
D. Report the change to the charge nurse.
Related Questions
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 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 residents hands.
Avoid raising the head of the residents bed.
Turn and position the resident according to schedule.
Provide range of motion (ROM) exercises every two hours.
Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care?
In the morning and at bedtime
At the beginning and near the end of a shift
Whenever the resident is soiled with urine or stool
Every two hours when the nurse aide checks on the resident
A resident has a contracture of the right arm. When putting on the residents button-front shirt, the nurse aide should
put the shirt sleeve on the left arm first, then the right arm.
ask which arm the resident prefers the sleeve to go on first.
put the shirt sleeve on the right arm first, then the left arm.
raise residents arms up to slide both sleeves on at the same time.
When bathing a resident, the nurse aide observes that the residents great toe is red and swollen. Which of the following is the appropriate action by the nurse aide?
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.
What should a nurse aide do with a used disposable razor?
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.
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?
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?
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 residents room.
In the dirty utility room.
In the residents room.
A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed?
Hang the urinary drainage bag higher than the level of the residents bladder.
Use the measurements on the drainage bag to measure urine output.
Raise the bed to the highest position for better urine drainage.
Wear gloves when emptying the urinary drainage bag.
A resident is choking. The first response by the nurse aide should be to
go find the charge nurse.
get the suction machine.
call emergency services (911).
begin abdominal thrusts.
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.
While helping the resident to get dressed, the nurse aide observes that the residents breathing is faster. The resident says she feels tired. What should be the nurse aides first action?
Dress the resident quickly.
Check the residents vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.
To help soften the beard before shaving with a disposable razor, the nurse aide should
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.
When checking the residents urinary drainage bag, the nurse aide observes that the resident has had about 50 ccs (mls) of urine output in the last six hours. What should the nurse aide do first?
Begin offering the resident fluids to drink every 15 minutes.
Report the observation to the charge nurse immediately.
Ask if the resident is having any pain when urinating.
Check to see if the tubing is kinked or bent.
The first step the nurse aide should take when discovering a fire is to
check how quickly the fire is spreading.
remove any residents near the fire.
throw a blanket over the flames.
pull the alarm.
Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar?
Shakiness or trembling
Thirst and dry mouth
Sweet breath odor
Increased urine
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.
Why is it important to check the feet of a resident with diabetes at least once a day?
To look for sores on the feet the resident may not feel
To check if vision problems have resulted in foot injuries
To trim the toenails so they do not become long or jagged
To make sure the resident does not get a foot fungus
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 residents room.
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 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.
How much assistance does a resident receiving PROM need from the nurse aide?
Partial assistance with range of motion exercises
Full assistance with the nurse aide taking the joints through exercises
Minimal assistance to just remind the resident when it is time to exercise.
Minimal assistance to provide extremity support while the resident moves joints
A nurse aide walks into a residents 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 aides 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 nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath?
Keep the bed in the lowest position throughout bathing.
Keep the residents body covered during the bath.
Open the window for fresh air during the bath.
Add a lot of soap to the water in the basin.
A resident says she is 5 feet 6 inches tall. When the nurse aide measures the residents height, the resident is 5 feet 4 inches. What should the nurse aide do?
Record the residents height as 5 feet 4 inches.
Record the residents height as 5 feet 6 inches.
Explain that older people shrink with aging.
Measure the resident again.
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.
Sundowning is a term used to describe when residents
take short naps throughout the day.
show signs of Alzheimers at a younger age.
prefer to go to bed earlier in the evening.
become restless and agitated late in the day.
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.
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 an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide?
Clean the catheter, starting at the meatus and moving downward.
Clean the catheter, starting at the end and moving towards the genitalia.
Disconnect the drainage bag from the catheter to empty the bag fully.
Cleanse around the meatus with alcohol swabs, wiping front to back.