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
Before helping a resident to stand who has been lying in bed, the nurse aide needs to
find out what the resident plans to do for the day.
make sure a walker is available for support in case it is needed.
ask if the resident has taken any medication recently.
allow time for the resident to adjust to sitting at the edge of the bed.
When giving perineal care to a male resident who is uncircumcised, the nurse aide should
push the foreskin back to clean.
keep the foreskin in place over the penis.
wipe from the base of the penis towards the tip.
just cleanse the tip and directly over the urethra.
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 get the smoke out of the room.
Yell Fire! along with the room number.
Remove the resident from the room.
Which foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
A resident tells the nurse aide about being bored. The resident says, My days seem to last forever. What should the nurse aide do?
Tell the resident, I know what you mean. My days seem long too.
Ask the charge nurse if the resident can have some medication.
Ask about activities the resident has enjoyed in the past.
Tell the resident to check the activity schedule.
The purpose of a gait or transfer belt is to
limit physical contact with ill residents who are transferred or walked.
protect the nurse aides back when walking or transferring a resident.
help steady and support a resident when transferring or walking.
allow residents to transfer or walk independently.
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 residents 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.
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.
A nurse aide hears another staff member yelling and cursing at a resident. This is an example of
resident neglect.
resident abuse.
nurse aide carelessness.
nurse aide noncompliance.
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.
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.
The use of a physical restraint helps
control a residents behavior.
protect the resident from injury.
make staff members jobs easier.
decrease how often staff need to check the resident.
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.
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.
A nurse aide enters a room just as a residents 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.
While helping the resident to get dressed, the nurse aide observes that the residents breathing is faster. The resident says she feels tired. What should be the nurse aides first action?
Dress the resident quickly.
Check the residents vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.
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 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.
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.
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 is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept?
At the nurses station.
On the isolation cart outside the residents room.
In the dirty utility room.
In the residents room.
What is the best reason for giving frequent perineal care to residents?
It increases comfort.
It decreases sexual responses.
It helps prevent skin breakdown.
It prevents incontinence.
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
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.
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 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.
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?
Dont 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 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.
A resident says, I am not going to eat this food. It is poisoned, What is the best response by the nurse aide?
Offer to taste all the food first to prove it is not poisoned.
Report to the charge nurse that the resident is acting crazy.
Ask if there is something else the resident would like to eat.
Leave the resident alone because the resident will eat when hungry enough.
A resident says she is 5 feet 6 inches tall. When the nurse aide measures the residents height, the resident is 5 feet 4 inches. What should the nurse aide do?
Record the residents height as 5 feet 4 inches.
Record the residents height as 5 feet 6 inches.
Explain that older people shrink with aging.
Measure the resident again.