It increases comfort.
It decreases sexual responses.
It helps prevent skin breakdown.
It prevents incontinence.
C. It helps prevent skin breakdown.
Consider if the task can be performed another way.
Provide the care and perform the task as best as possible.
Contact the ombudsmans office since residents rights may be violated.
Refuse to perform the task and explain it is not within the nurse aides role.
does not remember.
should not be restrained.
does not respond to instructions.
should not be resuscitated.
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?
push the foreskin back to clean.
keep the foreskin in place over the penis.
wipe from the base of the penis towards the tip.
just cleanse the tip and directly over the urethra.
Use the residents pitcher of water to put out the fire.
Open the window to get the smoke out of the room.
Yell Fire! along with the room number.
Remove the resident from the room.
ask the nurse if the resident should have a urinary catheter.
turn the resident onto one side to place the bedpan under the residents 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.
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.
make chewing food easier.
decrease the risk of aspiration.
improve the residents digestion.
allow for better respirations between bites.
place a cool, wet washcloth to the residents forehead.
cover the resident with extra blankets.
record and report the change at the end of the shift.
report the temperature promptly.
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.
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.
ask how long the minister plans to visit.
explain politely that it is time to take vital signs.
check if the resident is praying before interrupting.
wait to take the vital signs after the minister has left.
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.
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.
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.
Shakiness or trembling
Thirst and dry mouth
Sweet breath odor
Increased urine
Pain is usually worse in the morning.
Residents with dementia do not feel pain
A persons culture can affect response to pain.
Younger people handle pain better than older adults.
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.
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
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
Fever
Weakness
Sour breath
Frequent urination
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.
To look for sores on the feet the resident may not feel
To check if vision problems have resulted in foot injuries
To trim the toenails so they do not become long or jagged
To make sure the resident does not get a foot fungus
Explain that the next shift will assist the resident in a short time.
Remove any wet clothing and place the resident on a dry under pad.
Ask if the resident feels very uncomfortable.
Provide incontinent care to the resident.
remove quickly since there is a risk of exposure to germs.
dispose of the gloves in a biohazard-safe trash can.
avoid contact with the outside of the gloves.
keep germs in the trash can area.
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.
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
set out clothing that the resident can dress in more quickly.
dress the resident to make sure the resident gets to breakfast earlier.
ask if there is any help the resident would like in the morning.
remind the resident that the friends will also be at activities later.
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.
provide mouth care once a day.
avoid changing the residents position.
talk to the resident while providing care.
keep the residents room dark and quiet.