a skin fold.
a pressure ulcer.
skin breakdown.
a pressure point.
D. a pressure point.
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
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.
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.
ask the nurse if the resident should have a urinary catheter.
turn the resident onto one side to place the bedpan under the resident's 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.
provide mouth care once a day.
avoid changing the resident's position.
talk to the resident while providing care.
keep the resident's room dark and quiet.
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.
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. What's keeping you in your room so much?
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.
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.
Get the emergency cart
Turn the resident onto her side
Check if the resident is able to talk
Help the resident back into the chair
black.
green.
purple.
white.
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 resident's back and then reach in his mouth to remove the blockage.
Ask the resident to take a deep breath and cough.
Dress the resident quickly.
Check the resident's vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check 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?
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.
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
Thicken the liquid so it will not spill.
Place a clothing protector on the resident.
Seat the resident with other residents who also spill.
Suggest that the resident might do well with a cup with a lid.
Fever
Weakness
Sour breath
Frequent urination
make sure the tubing is free of kinks.
remove oxygen when the resident is eating.
place a NO VISITORS sign on the resident's door.
limit how often mouth care is provided to the resident.
dementia.
arthritis.
foot drop.
Parkinson's disease.
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.
ask the resident to use a walker while assisting the resident to the bathroom.
get another nurse aide's 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.
Use the residents pitcher of water to put out the fire.
Open the window to allow smoke to escape.
Remove the resident from the room.
Yell Fire! along with the location.
Provide total care for the resident.
Set high standards for the resident's achievements.
Help the resident focus on even small accomplishments.
Remind the resident that she will be happier when she is home.
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.
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.
call the police immediately.
ask if the nurse is feeling stressed about something.
report the situation to the charge nurse's supervisor.
ask if any other staff have ever observed this behavior.
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
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?
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.