When providing foot care, the nurse aide observes an open sore on the residents foot. The nurse aide should
pat gently to dry and cover with a dry dressing before applying a sock.
stop the foot care immediately and ask the resident what happened.
report the skin opening to the charge nurse as soon as possible.
check the residents sock for any wound drainage.
Correct Answer :
C. report the skin opening to the charge nurse as soon as possible.
Related Questions
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.
To help prevent burns to residents during meals, the nurse aide should
place a clothing protector on the resident.
wait to serve the food until hot food is cold.
add ice to any hot liquids, such as coffee or soup.
let residents know which foods and beverages are hot.
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 nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath?
Keep the bed in the lowest position throughout bathing.
Keep the residents body covered during the bath.
Open the window for fresh air during the bath.
Add a lot of soap to the water in the basin.
If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the residents side quickly?
To get the resident into a more comfortable position
To get towels placed to protect the bed linen
To keep the vomit off the residents face
To help prevent aspiration
When checking the residents 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.
What is the main purpose of a restorative care program?
Ensure the resident can return home
Provide meaningful activities for the resident
Help the resident improve his/her level of functioning
Provide assistance with activities of daily living (ADLs)
A resident with an indwelling catheter says, I need to urinate. Which of the following is the best response by the nurse aide?
Check to see if the tubing is kinked and draining properly.
Report to the charge nurse that the resident is very confused.
Remind the resident this is impossible since a catheter is in place.
Tell the resident to try to urinate since the urine will collect in the bag.
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.
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should
remind the resident how much the resident enjoys parties.
encourage the resident to go since so many other residents are attending.
respect the residents decision and ask what the resident would like to do.
ask if the resident participated in any activities for the Jewish Hanukah holiday.
A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide?
Assist the resident and report the change to the charge nurse.
Understand that these changes are just a normal part of aging.
Update the residents care plan and explain the change to the charge nurse.
Encourage independence and suggest that the resident try going to the bathroom on her own.
Residents are most likely to feel the urge to have a bowel movement
after taking a nap.
after eating a meal.
just before bedtime.
during the shift change.
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 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.
The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to
decide break times with other nurse aides.
review assignments with others to check if residents are divided evenly.
check all assigned residents to see if anyone has immediate needs.
check what the activity department has scheduled for residents during the shift.
Which of the following should be reported to the charge nurse immediately?
A residents change in appetite
A residents complaint of chest pain
A resident who refuses to take a scheduled tub bath
A resident who wanders is found napping in another residents bed
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.
Which of the following best describes how persons affected by Parkinsons 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.
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.
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.
The goal when removing gloves that are soiled is to
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.
A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next?
Get the emergency cart
Turn the resident onto her side
Check if the resident is able to talk
Help the resident back into the chair
A resident usually responds verbally to the nurse aides greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aides next action should be to
try to wake the resident again in a few more minutes.
speak louder to make sure the resident can hear.
wipe the residents face with a cool washcloth.
call for the charge nurse immediately.
A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be
dependent and need total care.
confined to bed for several weeks.
going to physical therapy to increase mobility.
receiving range of motion (ROM) exercises to hip.
A nurse aide finds a resident who has a history of falls lying on the floor in the residents 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 residents head and cover with a blanket.
Consider if the resident is trying to get attention.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aides scope of practice. What should the nurse aide do?
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.
When a resident has an indwelling urinary catheter, the nurse aide should expect that the residents 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.
When moving a resident in bed, a lift or turning sheet may be used to help prevent
atrophy.
shearing.
infections.
contractures.
A nurse aide who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex. What should the nurse aide do?
Check on the residents every few minutes.
Report the residents behavior to the charge nurse.
Ask the nurse if the residents should be medicated.
Tell the residents that sex is not allowed in the nursing home.
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.