A resident with advance directives has a DNR order. This means that the resident
does not remember.
should not be restrained.
does not respond to instructions.
should not be resuscitated.
Correct Answer :
D. should not be resuscitated.
Related Questions
A residents care plan provides the nurse aide with information about
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.
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.
Areas of the body where bone lies close to the skin is known as
a skin fold.
a pressure ulcer.
skin breakdown.
a pressure point.
A resident must have assistance to walk. When leaving the resident in the residents room, what must the nurse aide do before leaving the room?
Turn on the residents television.
Make sure the residents bedpan is within reach.
Place the call light where the resident can reach it.
Say to the resident, Remember that you need help to walk.
Which of the following describes an important requirement when providing colostomy care?
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
Which action is most helpful to help decrease a residents incontinence?
Leaving the bedpan in place for extra time
Putting an incontinent brief on the resident
Answering the residents call light quickly
Controlling fluid intake throughout the day
Which of the following describes a residents concern that needs to be reported to the charge nurse immediately?
A residents complaint of not getting to activities on time.
A resident who states a need for a new pair of elastic stockings.
A resident with dementia who states the need to talk to the residents son.
A resident who has always been oriented is suddenly scared and confused.
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 heart is an important muscle for which body system?
Urinary
Musculoskeletal
Circulatory
Digestive
When a resident is not able to stand, the residents height is usually measured 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.
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.
A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately?
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 resident reports having a very large bowel movement two days ago. What should the nurse aide do first?
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.
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 residents 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.
When caring for a resident who is comatose, the nurse aide is expected to
provide mouth care once a day.
avoid changing the residents position.
talk to the resident while providing care.
keep the residents 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.
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
A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first?
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.
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.
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first?
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.
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 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.
When counting a residents pulse, the nurse aide should
notice if the rhythm of the heart-beat is regular.
ask if the resident takes any heart medication.
consider the time of day when the pulse is taken.
multiply the rate by four if counted for 30 seconds.
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.
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
A resident who must stay in bed is at risk for developing
dementia.
arthritis.
foot drop.
Parkinsons disease.
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.
When a resident has an indwelling urinary catheter, the nurse aide should expect that the residents care plan will include
limiting activity by keeping the resident on bedrest.
emptying the urinary drainage bag every two-hours.
keeping the area where the catheter enters the body clean.
toileting the resident every two hours for bladder retraining.
To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may
block exit doors.
restrain residents.
place large stop signs on doors.
keep confused residents in their rooms.
While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should
hold the resident down to reduce injury.
keep the airway open and prepare to do CPR.
call the charge nurse and remain with the resident.
place a tongue blade between the residents teeth.