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.
Correct Answer :
D. Check to see if the tubing is kinked or bent.
Related Questions
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 resident's away from the table.
try to open the resident's mouth to check for food.
keep the resident in the chair by holding around the resident's waist.
A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first?
Use the resident's 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.
After reporting the observation of a red area on the resident's 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 finds a resident who has a history of falls lying on the floor in the resident's room. The resident is crying and says, I fell again. What should the nurse aide do first?
Call for help while keeping the resident calm.
Check for injuries while asking how the resident fell.
Place a pillow under the resident's head and cover with a blanket.
Consider if the resident is trying to get attention.
A resident, who is on bed rest, asks for a bedpan. The resident is not able to lift own hips to help with the placement of the bedpan. The best action by the nurse aide is to
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.
The nurse aide can help the resident have regular bowel movements by
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.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
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.
A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The nurse aide should respond to the resident's requests by
telling the resident that it is not time.
decreasing the resident's fluid intake.
asking the resident to follow the schedule.
taking the resident to the bathroom as needed.
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.
A resident whose husband died a few years ago, says, I have got to get dinner started. My husband will be home from work soon. What is the best way for the nurse aide to respond?
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.
The first step the nurse aide should take when discovering a fire is to
check how quickly the fire is spreading.
remove any residents near the fire.
throw a blanket over the flames.
pull the alarm.
When helping admit a new resident, the nurse aide notices the resident's right-sided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should
ask how the resident went to the bathroom at home.
ask the resident to wait until the care plan is completed.
get instructions from the nurse about how to toilet the resident.
help the resident to the bathroom immediately, supporting the right-side.
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 resident who is Roman Catholic is dying. The resident comments that she has not been to confession and she worries that she will die in a state of sin. Which of the following is the best response by the nurse aide?
Don't you think God knows you are in a nursing home?
Would you like it arranged for a priest to visit you?
Sounds like you are not ready to die.
Have you considered praying?
A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first?
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.
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.
When a resident is not able to stand, the resident's height is usually measured 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 resident's height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
A nurse aide enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
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.
When moving a resident in bed, a lift or turning sheet may be used to help prevent
atrophy.
shearing.
infections.
contractures.
Which of the following best describes how persons affected by Parkinson's disease typically walk?
They tend to walk quickly.
They tend to lean back when walking.
They walk normally but with some shakiness.
They shuffle their feet while taking small steps.
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.
While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should
hold the resident down to reduce injury.
keep the airway open and prepare to do CPR.
call the charge nurse and remain with the resident.
place a tongue blade between the resident's teeth.
The nurse aide is bathing a resident and notices new swelling in the resident's 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 resident's legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the resident's lower legs.
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 resident's 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 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.
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.
When feeding a resident who is lying in bed, the head of the bed is raised to
make chewing food easier.
decrease the risk of aspiration.
improve the residents digestion.
allow for better respirations between bites.
Which of the following is considered a normal age-related change seen in elderly residents?
Increase in appetite
Decrease in constipation
Decrease in taste sensation and smell
Increase in amount of confusion experienced daily
A resident who must stay in bed is at risk for developing
dementia.
arthritis.
foot drop.
Parkinson's disease.
When caring for a resident who is comatose, the nurse aide is expected to
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.