Select the observation that should be reported to the nurse STAT?
Cloudy yellow urine
Brown loose stools
Respiratory rate of 38
Radial pulse of 80
Correct Answer :
C. Respiratory rate of 38
Related Questions
Select the appropriate location for a thermometer when taking an axillary temperature.
Place the probe of the thermometer 1 inch under the arm.
Place the probe in the posterior 1/3 of the axillia.
Place the probe of the thermometer in the center of the axilla.
Place the probe in the anterior 1/3 of the axillia.
A resident who has discovered he or she is dying is crying a lot. What should the nursing assistant do?
Ignore the resident as much as possible.
Tell the resident to begin to live each day to the fullest.
Stay with the resident as much as possible.
Explain to the resident that he or she might not die for a while yet.
Which of the following is the correct method for counting respirations?
Look at your watch and the residents abdomen at the same time.
Look at your watch, count 10 respirations, and then examine your watch again.
Look only at the abdomen and count to 30.
Look at your watch and have a second nursing assistant count the respirations.
If a residents family becomes angry at the nursing assistant, what action should the nursing assistant take?
Tell the family member it is not your fault.
Quickly walk away.
Tell them you do not have to stand for this behavior.
Stay calm and inform the nurse caring for the resident.
A resident who sometimes has episodes of aggressive behavior is admitted to the Alzheimers unit. Which response by the CNA is important for safety when the resident is aggressive?
Tell the resident that if his or her behavior does not change, you will have the nurse put him or her in restraints.
Talk loudly and use force if necessary to subdue the resident, and then tell the nurse.
Speak quietly and leave the situation if you can and tell the nurse before returning to the resident.
Tell the resident that you do not have time for this behavior and to calm down.
When the nursing assistant cleanses the genital and rectal areas, he or she is performing which of the following?
P.M. care
A.M. care
Perineal care
Hygiene care
How frequently should the nursing assistant record the totaled intake and output in the residents chart?
After each meal
Every six hours
At the end of the shift
Every four hours
33. Of the following signs, which one is not a sign of infection?
Fever
Swelling
Redness
Shortness of breath
Which action would the nursing assistant carry out when assisting a resident to use the bedpan?
Protect the bed with an absorbent pad.
Raise the head of the bed and then roll the resident to his or her side.
Use the fracture pan on everyone.
Leave the bedpan in the bed after use.
What is the first sign of a decubitus ulcer developing on a residents skin?
Bleeding
Redness
Bruising
Swelling
A resident is receiving oxygen therapy through a nasal cannula. When should the nasal cannula be removed?
Every hour
Every 2 hours
Every 8 hours
Long enough to clean the nose
The nursing assistant is walking down the hall with an armful of supplies and notices a spill on the floor. Which of the following is the correct action of the nursing assistant?
Walk by and say nothing.
Stop at the nurses station and tell whoever is there about the spill.
Tell the first person you see to have housekeeping come by and clean up the spill.
Put down the supplies and clean up the spill immediately.
Which of the following is the best position in which to place the resident to assist with oral care?
Left lateral
High Fowler's
Supine
Lithotomy
In which location is the body temperature of a resident taken most often?
Oral
Rectal
Axillary
Tympanic
A nursing assistant has just suffered a needle stick while working with a resident who is positive for AIDS. Which of the following is the most important action the nursing assist should take?
Wash the site.
Notify the nurse.
Tell the resident.
Call the doctor.
Which finding should be reported to the nurse immediately when the resident is using splints for ambulation?
Sweating
Refusing to use the splint
Difficulty in application
Pain with use
What is the main purpose of restorative (rehabilitation) care?
To help the patient return to work or home
To live as independently and safely as possible
To teach the resident to care for self
To aid in the healing process
Which of the following selections could be grounds for legal action by a resident?
Assisting the patient with a bath at his or her request
Taking the resident for a walk outside when the family asked the CNA to keep the resident inside
Making unwelcomed explicit or implied sexual statements to the resident
Mistakenly feeding the resident culturally taboo foods
A nursing assistant can help meet the residents spiritual needs by which of the following?
Telling the resident about his or her beliefs
Letting the resident know that the resident is not to talk about his or her beliefs
Allowing the resident to share his or her beliefs
Inviting someone from your church to talk to the resident
When the CNA notices that he or she is becoming impatient with a resident, he or she should do which of the following?
He or she should leave the room (if able) and come back when feeling less impatient.
The CNA should tell the resident that he or she is beginning to irritate him or her.
The CNA should speak with the nurse about his or her feelings.
The CNA should tell the family members that his or her loved one is irritating.
A resident you are assigned has an ostomy drainage bag that is scheduled to be changed. What is your first action?
Apply skin protector around the stoma.
Empty the collection bag.
Cleanse around the stoma gently with soap and water.
Reattach the clean bag to the apparatus around the stoma.
5A precaution against what type of danger requires the nursing assistant to wear a mask.
Blood borne
Standard
Contact
Droplet
A CNA is reviewing a patients diet during shift change. Which of the following actions would be indicated for a resident who has difficulty sleeping?
Allow the resident to drink fluids until he or she is ready to go to bed.
Offer tea and coffee after 6 p.m.
Encourage residents to drink only caffeine-free beverages later in the day.
Offer sodas with dinner.
Select the best definition for restorative nursing.
Helping to regain strength
Promoting well-being
Increasing self-care ability
All of the above
Which of the following is the most appropriate skin care for a resident who is on nasal oxygen?
Place Vaseline around the nostrils.
Clean the nostrils with soap and water every two hours.
Make sure to check the pressure areas and reposition tubing every two hours.
Use petroleum jelly a couple of times a day.
What is the best way to encourage social interaction?
Speak to all residents, even when they cannot take part in the conversation.
Sit annoying residents away from other residents.
Do not talk to residents who speak a different language.
Speak loudly to all residents.
When can a nursing assistant refuse to do a delegated task?
When the task is not part of the nursing assignments assignment
When it is not a task a nursing assistant should perform
When the nursing assistant has completed the task once this shift
When the nurse is sitting at the desk talking to other nurses
A resident is dying and requests the CNA to stay with him or her because he or she is afraid. The best action of the CNA is to
Ask the nurse if the resident can have a sleeping pill because he or she cannot sleep.
Stay with the resident and let him or her share his or her feelings and concerns.
Tell the resident you will call his or her family for him or her.
Call the doctor.
Which of the following is the medical term for intestinal gas?
Feces
Flatus
Flank
Friction
The resident is wearing an elastic bandage on her arm, and the CNA notices swelling and discoloration of the skin. What should the CNA do?
Complete the residents a.m. care and then report the swelling and discoloration to the nurse.
Elevate the arm.
Report the swelling and discoloration to the nurse immediately.
Remove the elastic bandage.