A resident with an indwelling catheter says, I need to urinate. Which of the following is the best response by the nurse aide?
Check to see if the tubing is kinked and draining properly.
Report to the charge nurse that the resident is very confused.
Remind the resident this is impossible since a catheter is in place.
Tell the resident to try to urinate since the urine will collect in the bag.
Correct Answer :
A. Check to see if the tubing is kinked and draining properly.
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.
When a resident wears a restraint, the nurse aide must make sure the
resident is wearing an incontinent brief.
resident is checked once every two hours.
restraint is applied following the manufacturers instructions.
restraint is applied tightly and placed under the residents clothing.
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.
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?
Correct residents posture
Improve the residents breathing
Promote circulation at pressure points
Provide an opportunity for incontinent care
A residents leg has recently been amputated. Since the surgery the resident has not wanted to leave his room. What response by the nurse aide is most supportive?
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?
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.
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.
When preparing to shower a resident, what should the nurse aide do next after checking the water temperature?
Give the resident a washcloth to hold
Suggest the resident wash his or her face
Ask the resident to check the water temperature
Check if the resident wants a partial or full shower
When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke?
Arms and hands
Abdominal area
Face and neck
Perineal area
When a resident is receiving oxygen, the nurse aide should
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.
A nurse aide enters a room just as a residents wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
Leave the room and close the door to allow privacy.
Consider if this is normal behavior for this couple.
Report the observation to the charge nurse immediately.
Tell the wife that she must leave the facility for the day.
A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide?
Ask another nurse aide to trade assignments.
Provide the care since the resident cannot be harmed.
Talk to other nurse aides about how to perform the procedure.
Discuss the nurse aides lack of experience with the nurse.
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 noncompliance.
A resident whose husband died a few years ago, says, I have got to get dinner started. My husband will be home from work soon. What is the best way for the nurse aide to respond?
Offer to walk with the resident to the activity departments kitchen.
Remind the resident that the nursing home prepares her meals.
Ask the resident about her husbands favorite dinners.
Explain gently that the residents husband is dead.
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 residents shoe-fit
The residents pulse rate
The way the resident walks
The color of the residents toes
The term vital signs refers to
any important information about a residents condition.
the color, condition, and appearance of the skin.
fluid intake and output, as well as bowel movements.
temperature, pulse, and respirations.
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.
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?
The nurse aide is to obtain a residents weight. The nurse aide should
ask if the resident remembers his/her last weight.
ask when the resident last ate food or drank fluid.
wait until after the resident has a bowel movement.
check what scale is usually used for this resident.
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.
Residents are most likely to feel the urge to have a bowel movement
after taking a nap.
after eating a meal.
just before bedtime.
during the shift change.
The nurse aides role in assisting with a bowel and bladder retraining program includes
being consistent with carrying out the toileting schedule.
notifying the family that the resident has been placed on the program.
determining the type of program best suited for the resident.
checking the resident every four hours for incontinence.
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques?
Place a gait belt around the residents waist
Position the chair as close to the bed as possible
Signal the resident to stand by saying, 1, 2, 3, stand
Follow the transfer technique as described in the care plan
The use of a physical restraint helps
control a residents behavior.
protect the resident from injury.
make staff members jobs easier.
decrease how often staff need to check the resident.
According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures?
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to
decide break times with other nurse aides.
review assignments with others to check if residents are divided evenly.
check all assigned residents to see if anyone has immediate needs.
check what the activity department has scheduled for residents during the shift.
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.
It is most important for the nurse aide to check the temperature of the water before
assisting the resident with mouth care.
soaking the residents feet for foot care.
giving the resident a bed bath.
washing hands.
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.
When providing foot care, the nurse aide observes an open sore on the residents foot. The nurse aide should
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 residents sock for any wound drainage.