Which of the following actions helps to prevent skin tears?
Keeping side rails raised
Using less lotion on the skin
Sliding the resident up in the bed
Dressing the resident in long sleeves
Correct Answer :
D. Dressing the resident in long sleeves
Related Questions
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 a right of nursing home residents?
To select the staff that will provide their care
To have designated smoking areas in the facility
To make decisions about their care and treatment
To have activities offered throughout the day and evening shift
A resident reports that his wrist watch is missing. The nurse aide should ask
if the resident thinks someone took it.
if the resident has checked the lost and found box.
who was assigned to the resident on the previous shift.
for permission to help look around the resident's room.
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.
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.
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.
A resident is being showered while sitting in a shower chair. The resident says, I feel weak. I think I am going to faint. The nurse aide's immediate concerns are calling for help and
making sure the water temperature is proper.
getting the resident back to her room right away.
finishing the shower quickly by washing only soiled areas.
keeping the resident safe and comfortable.
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.
A resident is NPO because of nausea. What should the nurse aide do?
Give the resident fluids in small amounts.
Provide the resident with a small cup of ice chips.
Ask if the resident can handle any fluids with the nausea.
Remove any fluids at the bedside including the water pitcher.
The term vital signs refers to
any important information about a resident's condition.
the color, condition, and appearance of the skin.
fluid intake and output, as well as bowel movements.
temperature, pulse, and respirations.
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.
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 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.
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.
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 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.
What should a nurse aide do with a used disposable razor?
Throw the razor away in a trash can.
Place the razor in a sharps container immediately.
Clean, rinse, and dry the razor so it can be used again.
Wrap the razor in a paper towel until it can be thrown away.
Which of the following is generally experienced by a resident with low blood sugar?
Fever
Weakness
Sour breath
Frequent urination
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.
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.
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
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.
A resident with dementia says, I need to get home. My daughters school bus is coming soon. The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide?
Lets go see if Bingo has started yet. You love Bingo.
Remember you are in a nursing home. Your daughter is all grown up.
Do you mean your greatgranddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
When moving a resident in bed, a lift or turning sheet may be used to help prevent
atrophy.
shearing.
infections.
contractures.
The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident?
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?
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.
A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately?
The resident's fingers are cold and blue in color.
The splint was removed as scheduled in the care plan.
The resident asks to have the splint removed for a few minutes.
The resident asks the nurse aide to reposition the arm with the splint.
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first?
Try to get the resident to take a few sips of water through a straw.
Reach around from behind the resident to provide abdominal thrusts.
Pat the resident's back and then reach in his mouth to remove the blockage.
Ask the resident to take a deep breath and cough.
A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should
check the resident's arms and jaw for possible injury or bruising.
check the care plan to see if the resident is on heart attack precautions.
ask if the resident might have eaten something that has upset her stomach.
recognize the seriousness of the signs and observations and report immediately.
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.