When providing foot care, the nurse aide observes an open sore on the resident's 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 resident's sock for any wound drainage.
Correct Answer :
C. report the skin opening to the charge nurse as soon as possible.
Related Questions
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 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.
A resident must have assistance to walk. When leaving the resident in the residents room, what must the nurse aide do before leaving the room?
Turn on the residents television.
Make sure the residents bedpan is within reach.
Place the call light where the resident can reach it.
Say to the resident, Remember that you need help to walk.
A nurse aide is assigned to a resident with Alzheimer's 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.
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.
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.
A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide?
Ask another nurse aide to trade assignments.
Provide the care since the resident cannot be harmed.
Talk to other nurse aides about how to perform the procedure.
Discuss the nurse aide's lack of experience with the nurse.
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques?
Place a gait belt around the residents waist
Position the chair as close to the bed as possible
Signal the resident to stand by saying, 1, 2, 3, stand
Follow the transfer technique as described in the care plan
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to
return the resident to bed.
provide the resident with a cane.
tell the nurse the resident is having foot pain.
remove the resident's shoe and inspect the foot.
How should the nurse aide respond when a resident tries to talk about the recent death of another resident?
Explain that HIPAA laws forbid staff from discussing residents that died.
Suggest the resident talk to other residents feeling the same loss.
Try distracting the resident with a more cheerful subject.
Allow the resident to talk about the resident who died.
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
black.
green.
purple.
white.
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.
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.
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.
A resident is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the resident's needs?
Provide total care for the resident.
Set high standards for the resident's achievements.
Help the resident focus on even small accomplishments.
Remind the resident that she will be happier when she is home.
An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do?
Allow the resident to be alone with her spouse.
Suggest that the husband take the resident home for a visit.
Explain that the facilitys policies do not allow for this type of visiting.
Remind the resident that this is a nursing home and not a hotel.
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 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.
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.
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.
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.
Areas of the body where bone lies close to the skin is known as
a skin fold.
a pressure ulcer.
skin breakdown.
a pressure point.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
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 resident reports having a very large bowel movement two days ago. What should the nurse aide do first?
Report this to the charge nurse.
Ask if this is a normal pattern for the resident's body.
Suggest the resident drink more water and increase foods with fiber.
Check if the resident is getting a medication to help with bowel movements.
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.
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.
When preparing to shower a resident, what should the nurse aide do next after checking the water temperature?
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
A resident is restrained. What observation should the nurse aide report to the nurse immediately?
The resident states, I do not like this thing.
The residents position needs to be adjusted.
The resident has suddenly become very agitated.
The restraint was removed according to the care plan schedule.
A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers?
Put hand rolls in the resident's hands.
Avoid raising the head of the resident's bed.
Turn and position the resident according to schedule.
Provide range of motion (ROM) exercises every two hours.