When bathing a resident, the nurse aide observes that the resident's 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.
Correct Answer :
B. Report the observation to the charge nurse.
Related Questions
When a person is receiving end-of-life care, the resident's care plan is likely to include
ways to best provide for the comfort of the resident.
exercises to help improve the resident's strength.
frequent observation to help prevent confusion.
instructions for providing post-mortem care.
While performing range of motion exercises, the nurse aide notices that the resident's 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.
A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, I had an accident. I wet myself. What should the nurse aide do?
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.
When a resident's 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 wife's resident care conference.
understand that the husband wants staff aware of his wife's needs.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
A nurse aide is asked to provide postmortem care to a resident who died of natural causes. Which of the following is the most appropriate practice to follow when providing postmortem care?
Wear gloves, a mask and a gown when providing care.
Use strict isolation precautions throughout care.
Wash hands and wear gloves throughout care.
Double bag all items removed from the room.
A resident with a feeding tube is scheduled for a shower. The residents feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide?
Disconnect the feeding tube temporarily to give the shower.
Protect the pump with a plastic bag before bringing into the shower room.
Ask the charge nurse for assistance with the feeding pump.
Give the resident a bed bath since the resident has a feeding tube.
When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include
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.
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.
Which of the following best describes the daily routine needs of residents with dementia?
It is important that the resident's 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.
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
The heart is an important muscle for which body system?
Urinary
Musculoskeletal
Circulatory
Digestive
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?
Correct residents' posture
Improve the residents' breathing
Promote circulation at pressure points
Provide an opportunity for incontinent care
According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures?
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
It is most important for the nurse aide to check the temperature of the water before
assisting the resident with mouth care.
soaking the resident's feet for foot care.
giving the resident a bed bath.
washing hands.
The nurse aide's role in assisting with a bowel and bladder retraining program includes
being consistent with carrying out the toileting schedule.
notifying the family that the resident has been placed on the program.
determining the type of program best suited for the resident.
checking the resident every four hours for incontinence.
When moving a resident in bed, a lift or turning sheet may be used to help prevent
atrophy.
shearing.
infections.
contractures.
When checking the resident's 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 hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. The nurse aide should also
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.
When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide?
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.
A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to
explain that the shower is required to keep clean and healthy.
try to motivate the resident by collecting clothing and supplies.
ask if the resident has another preference for bathing today.
remind the resident, You do have the right to refuse care.
Which statement is true about the effects of aging?
The aging process can be reversed with good health care.
Bladder incontinence is a normal part of aging.
Joints tend to be less flexible as a person ages.
Sensitivity to pain increases with age.
A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first?
Speak loudly and directly into the hearing aid.
Check that the hearing aid is in the correct ear.
Ask when the hearing aid battery was replaced.
Make sure the hearing aid is turned on.
How much assistance does a resident receiving PROM need from the nurse aide?
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
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should
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.
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 resident's fluids.
Stop feeding and ask a nurse to check the resident.
Which of the following describes an important requirement when providing colostomy care?
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
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 helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to
check the resident's ABCs.
ask if the resident can talk.
provide an abdominal thrust.
lower the resident to the floor.
To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may
block exit doors.
restrain residents.
place large stop signs on doors.
keep confused residents in their rooms.