After reporting the observation of a red area on the residents hip, the nurse aide should expect that the
resident will be placed on short-term bed rest.
area will be covered with a protective dressing.
area will need frequent massage with a moisturizing lotion.
resident should be positioned to avoid pressure on the area.
Correct Answer :
D. resident should be positioned to avoid pressure on the area.
Related Questions
What is the best reason for giving frequent perineal care to residents?
It increases comfort.
It decreases sexual responses.
It helps prevent skin breakdown.
It prevents incontinence.
Which foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
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
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.
A resident tells the nurse aide about being bored. The resident says, My days seem to last forever. What should the nurse aide do?
Tell the resident, I know what you mean. My days seem long too.
Ask the charge nurse if the resident can have some medication.
Ask about activities the resident has enjoyed in the past.
Tell the resident to check the activity schedule.
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 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.
A resident is restrained. What observation should the nurse aide report to the nurse immediately?
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.
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 nurse aide is assigned to a resident with Alzheimers disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and
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.
When helping admit a new resident, the nurse aide notices the residents rightsided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should
ask how the resident went to the bathroom at home.
ask the resident to wait until the care plan is completed.
get instructions from the nurse about how to toilet the resident.
help the resident to the bathroom immediately, supporting the right-side.
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.
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 with dementia says, I need to get home. My daughters school bus is coming soon. The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide?
Lets go see if Bingo has started yet. You love Bingo.
Remember you are in a nursing home. Your daughter is all grown up.
Do you mean your great-granddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
A resident says, I am not going to eat this food. It is poisoned, What is the best response by the nurse aide?
Offer to taste all the food first to prove it is not poisoned.
Report to the charge nurse that the resident is acting crazy.
Ask if there is something else the resident would like to eat.
Leave the resident alone because the resident will eat when hungry enough.
When weighing a resident, it is important to make sure the
residents last measured weight is available.
scale measures both pounds and kilograms.
resident is wearing light weight clothing such as pajamas.
scale is balanced or calibrated before helping the resident onto the scale.
Which of the following actions helps to prevent skin tears?
Keeping side rails raised
Using less lotion on the skin
Sliding the resident up in the bed
Dressing the resident in long sleeves
A resident who was admitted today is sitting in a chair in his room. He asks for help to go to the bathroom. The nurse aide knows the residents care plan has not been completed. To help the resident the nurse aide should
ask the resident to use a walker while assisting the resident to the bathroom.
get another nurse aides help to walk the resident to the bathroom.
position a commode chair next to the chair the resident is sitting in.
ask the charge nurse for instructions on what assistance the resident needs.
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.
A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide?
Assist the resident and report the change to the charge nurse.
Understand that these changes are just a normal part of aging.
Update the residents care plan and explain the change to the charge nurse.
Encourage independence and suggest that the resident try going to the bathroom on her own.
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.
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.
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aides first response should be to
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.
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.
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 nurse aide finds a resident who has a history of falls lying on the floor in the residents room. The resident is crying and says, I fell again. What should the nurse aide do first?
Call for help while keeping the resident calm.
Check for injuries while asking how the resident fell.
Place a pillow under the residents head and cover with a blanket.
Consider if the resident is trying to get attention.
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.
While performing range of motion exercises, the nurse aide notices that the residents elbow is stiff and will not bend. The nurse aide should
continue exercises but move onto another joint.
continue since stiff joints are a normal part of aging.
apply very gentle pressure to try to bend the elbow slightly.
suggest the resident see a physical therapist for the elbow.
While watching the residents in the dining room, a nurse aide notices that a resident is eating very little lunch. It is most important that the nurse aide
check if the resident was snacking before the meal.
ask if the resident would like something else to eat.
remind the resident that dinner is several hours away.
check when the resident last had a bowel movement.
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?