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.
Correct Answer :
D. temperature, pulse, and respirations.
Related Questions
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.
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.
While eating lunch, hot tea splashes on a residents hand. The nurse aides first response should be to
quickly move the resident to the nurses station.
ask the resident how badly the burned area hurts.
wet a towel or napkin with cool water and place against the injured area.
apply antibiotic ointment to the burned area and then cover with a bandage.
Which of the following is a right of nursing home residents?
To select the staff that will provide their care
To have designated smoking areas in the facility
To make decisions about their care and treatment
To have activities offered throughout the day and evening shift
While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide?
Allow the resident more time to swallow.
Use a straw when giving the resident fluids.
Add a thickening product to the residents fluids.
Stop feeding and ask a nurse to check the resident.
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?
The nurse aide notices that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of the following is the best action for the nurse aide to take?
Take the resident back to the residents room.
Distract the resident by asking about the residents family.
Invite the resident to sit down at the piano with the nurse aide.
Ask the activity director to find something for the resident to do.
The nurse aide is bathing a resident and notices new swelling in the residents ankles. Which of the following is the best response by the nurse aide?
Ask if the resident has been eating salty foods lately.
Elevate the residents legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the residents lower legs.
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 residents hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide?
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.
Which of the following is generally experienced by a resident with low blood sugar?
Fever
Weakness
Sour breath
Frequent urination
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.
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.
The Health Insurance Portability and Accountability Act (HIPAA) is important to the nurse aide because it
allows residents to carry health care from the hospital to the nursing home.
provides for insurance coverage for residents and health care workers.
identifies protected health information that must remain confidential.
provides accountability for care offered across health care settings.
When a resident is unable to stand, the residents height is generally obtained 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 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 tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should
check the residents arms and jaw for possible injury or bruising.
check the care plan to see if the resident is on heart attack precautions.
ask if the resident might have eaten something that has upset her stomach.
recognize the seriousness of the signs and observations and report immediately.
A nurse aide is assigned to a table in the dining room during the residents lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to
guide the resident from the chair to the floor.
remove the other residents away from the table.
try to open the residents mouth to check for food.
keep the resident in the chair by holding around the residents waist.
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 foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
What should a nurse aide do with a used disposable razor?
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.
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.
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.
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 residents husband begins telling the nurse aide how to care for his wife, the nurse aide should
accept that the husband has always been in charge.
explain that the nurse aide is certified and able to care for his wife.
suggest that the husband participate in his wifes resident care conference.
understand that the husband wants staff aware of his wifes needs.
Sundowning is a term used to describe when residents
take short naps throughout the day.
show signs of Alzheimers at a younger age.
prefer to go to bed earlier in the evening.
become restless and agitated late in the day.
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, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first?
Increase the residents fluids since dehydration causes confusion.
Consider that some memory loss is a normal part of aging.
Ask where the resident believes he is.
Report the change to the charge nurse.
To help soften the beard before shaving with a disposable razor, the nurse aide should
massage the beard area of the face gently.
rub the beard in the direction of the hair growth.
hold a warm, wet wash cloth against the face first.
lather the face with soap instead of shaving cream.
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.