Safety & Health care Quiz 8

Any skin irritation can cause a decubitus ulcer and needs to be reported

Inhaling the bacteria can cause infection to the health care worker

Smoking may cause a misreading of the patient's body temperature

Mary Jones is in the bargaining stage of dying because she is pleading for more time to live until her grandchild is born. Bargaining is a common stage in the process of dying where individuals try to negotiate or make deals in an attempt to delay or avoid death. In this case, Mary is trying to bargain with her plea, hoping that she can be granted more time to witness the birth of her grandchild.

Injuries should be treated and reported on an incident report because it is important to ensure the safety and well-being of both residents and staff members. Treating injuries promptly can prevent further complications and promote healing. Reporting injuries on an incident report allows for documentation of the incident, which is crucial for identifying patterns, implementing preventive measures, and addressing any potential hazards or risks in the future. It also helps in maintaining transparency and accountability within the organization.

A common sign of approaching death is decreased body functions. As a person nears the end of life, their body begins to shut down and various bodily functions start to decline. This can include decreased heart rate, decreased respiratory rate, decreased blood pressure, and decreased organ function. These changes indicate that the body is no longer able to maintain its normal functions and is a sign that death is approaching.

The correct answer is to check the diet order with the nurse. This is the most appropriate course of action because it allows for verification of the resident's diet order. By confirming with the nurse, you can ensure that there hasn't been a mistake or miscommunication regarding the resident's dietary restrictions. This step is crucial in order to address the resident's concern and provide them with the appropriate meal according to their dietary needs.

Before leaving Mr. Roark alone, it is important to make sure he knows how to use the call light. This is crucial for his safety and well-being as it allows him to call for assistance if he needs it. By ensuring that he is familiar with how to use the call light, it provides him with a sense of control and empowerment in his new environment. It also helps to ensure that his needs can be met promptly and efficiently, promoting a positive and responsive care experience.

Before assisting a resident into a wheelchair, it is important to check if the wheels of the chair are locked. This is crucial for the safety of the resident as locked wheels ensure that the chair remains stable and stationary during the transfer process. If the wheels are not locked, there is a risk of the chair moving or rolling, which could cause the resident to fall or injure themselves. Therefore, checking and ensuring that the wheels are locked is a necessary precaution to prevent accidents and ensure the resident's safety.

The correct answer is to keep the resident covered as much as possible. This is important because it helps to maintain the resident's privacy and dignity during the bed bath. By keeping the resident covered, you are respecting their autonomy and ensuring their comfort throughout the process.

Sputum is the correct answer because it refers to the specimen collected by having the resident cough from the lungs and bronchial tubes. Sputum is a mixture of saliva and mucus that is expelled from the respiratory tract when a person coughs. It is commonly used for diagnostic purposes to analyze for the presence of bacteria, viruses, or other pathogens that may be causing respiratory infections or diseases.

All of the above options are correct because they all play a role in maintaining a sufficient intake of air. The mouth and nasopharynx are responsible for the initial entry of air into the body. The trachea and larynx help in directing the air towards the lungs. Finally, the bronchi and alveoli are involved in the gas exchange process, where oxygen is taken in and carbon dioxide is expelled. Therefore, all of these body parts are necessary for the intake and distribution of air in the respiratory system.

Laundering a nursing uniform after each day's wearing helps prevent the spread of germs. As nurses come into contact with various patients and potentially infectious materials, their uniforms can become contaminated with bacteria and other pathogens. Washing the uniform removes these germs, reducing the risk of spreading infections to other patients or healthcare workers. While looking professional and neat are important aspects of wearing a nursing uniform, the primary reason for laundering it daily is to maintain a hygienic and safe healthcare environment.

Washing with soap and rinsing well is an effective technique to keep the resident's skin clean and healthy. Soap helps to remove dirt, oils, and bacteria from the skin, while rinsing well ensures that all the soap residue is washed away. This helps to maintain the natural balance of the skin and prevent any irritation or dryness. Using perfumed lotion and powders may actually cause skin allergies or irritations, so it is not recommended. Similarly, using cold, clear water and lots of suds may not necessarily provide the same level of cleanliness and may not effectively remove all the dirt and bacteria from the skin.

Both a and b are important in designing a retraining plan. Knowing when the resident needs to toilet naturally is crucial in order to establish a schedule for toileting and prevent accidents. Additionally, understanding the resident's food preferences is important to ensure they are provided with meals they enjoy and are more likely to eat. By considering both of these factors, a retraining plan can be tailored to meet the individual needs and preferences of the resident.

The goal of bladder training is to achieve all of the mentioned outcomes. Bladder training aims to help individuals regain control over their urination, which includes stopping the use of a catheter and gaining voluntary control over the bladder. Additionally, bladder training also helps in preventing skin problems that can be caused by incontinence. Therefore, the correct answer is "all of the above."

Residents who receive oxygen therapy, are unconscious, or receive tube feedings are all at increased risk for oral health issues. Oxygen therapy can cause dry mouth, which can lead to tooth decay and gum disease. Unconscious residents may have difficulty maintaining oral hygiene on their own, so frequent mouth care is necessary to prevent infections. Tube feedings can also increase the risk of oral health problems, as the tube can introduce bacteria into the mouth. Therefore, all of the above residents require frequent mouth care to maintain their oral health.

The correct answer is "do all of the above." This means that the proper procedure for washing the female resident's perineal area is to clean from front to back, clean the rectal area last, and pat dry thoroughly. By following all of these steps, proper hygiene and cleanliness can be maintained, reducing the risk of infection or other complications.

All residents will want to help with their own care and decision because it empowers them to have control over their own lives and promotes a sense of independence and autonomy. It allows them to actively participate in their own healthcare and decision-making processes, ensuring that their individual needs and preferences are taken into consideration. This collaborative approach fosters a sense of ownership and responsibility, leading to better outcomes and overall satisfaction among the residents.

As middle aged adults, parents worry about their teenage children and their elderly parents

The correct answer is "keep him as straight as possible". When placing a resident in good alignment, it is important to ensure that their body is positioned in a straight and aligned manner. This helps to maintain proper posture, prevent muscle imbalances, and reduce the risk of pressure ulcers or injuries. Keeping the resident straight also promotes optimal breathing and circulation.

Before giving any hot or cold treatment, it is important to have a doctor's order. This ensures that the treatment is appropriate and safe for the patient. Without a doctor's order, there is a risk of administering the wrong treatment or causing harm to the patient. It is crucial to follow medical protocols and seek professional guidance before proceeding with any medical procedure.

The correct answer is to stay close by when he eats. This is because Mr. Scranton often chokes while eating, so it is important to be nearby in case he needs assistance. Being close by allows for immediate help if he starts choking, ensuring his safety and well-being.

Bed side rails are used for residents whose doctors order them. This means that the use of bed side rails is not universal for all residents, regardless of age or mental status. Instead, it is specifically prescribed by a doctor for certain residents who may require the additional safety and support provided by bed side rails. This ensures that the use of bed side rails is based on individual medical needs and is not applied indiscriminately to all residents.

It is important to report a damaged piece of equipment immediately because using it anyway or trying to repair it yourself can be dangerous. Reporting it allows the proper authorities or maintenance personnel to assess the damage and take appropriate action to fix or replace the equipment. This ensures the safety of yourself and others who may use the equipment.

The resident's dry and red elbows may indicate a potential skin issue or irritation. It is important to report this to the charge nurse so that appropriate measures can be taken to address the resident's condition. Rubbing them with lotion may provide temporary relief, but it is essential to involve the charge nurse for a proper assessment and guidance. Applying elbow protectors may also be considered, but this decision should be made in consultation with the charge nurse.

The acceptable way to identify a resident is to check the identification band. This is because the identification band is specifically assigned to each resident and contains important information such as their name, date of birth, and medical record number. Checking the identification band ensures accurate identification and helps prevent any mix-ups or confusion regarding the resident's identity.

Residents being concerned about how they look is the most logical and plausible explanation for the given correct answer. It is a common human trait to care about one's appearance, and residents in a care facility would likely have the same concern. This statement aligns with the general understanding of human nature and the desire to present oneself in a favorable manner.

The correct answer is to ask the resident why they did not eat all the food on their tray. This is important because it allows for open communication and understanding of the resident's preferences, dietary restrictions, or any other concerns they may have. It also provides an opportunity to address any potential issues and ensure that the resident's needs are being met.

The preferred way to remove a bedpan from a resident who is unable to lift herself is to turn the resident to the side while holding the bedpan. This method ensures that the resident is supported and comfortable during the process of removing the bedpan. It also minimizes the risk of injury or discomfort for the resident. Using a mechanical lifting device or having another nursing assistant lift the resident may not be necessary or appropriate in this situation. Sliding the pan from under the resident slowly may cause discomfort or potential spills.

Osteoporosis is the correct answer because it is a medical condition characterized by weak and brittle bones. It occurs when the body loses too much bone, makes too little bone, or both. This condition is more common in older individuals, particularly women after menopause. Osteomalacia refers to softening of the bones due to a vitamin D deficiency, osteoarthritis is a degenerative joint disease, and osteosarcoma is a type of bone cancer. Therefore, only osteoporosis accurately describes the condition of brittle bones.

The purpose of using restraints is to protect the resident and others from injury. Restraints are used to limit the movement of an individual who may pose a risk to themselves or others. By restraining the individual, the likelihood of falls, self-harm, or harm to others is reduced. Restraints are typically used as a last resort when other interventions have been unsuccessful in ensuring safety.

When family members bring new clothes for a resident, it is important to make sure that the clothes are labeled with the resident's name. This is necessary to ensure that the clothes are easily identifiable and can be returned to the correct resident if they get misplaced or mixed up with other residents' clothes. Labeling the clothes with the resident's name also helps in maintaining organization and ensuring that each resident's belongings are kept separate.

Placing dentures in a labeled denture cup is the correct answer because it ensures the security of the resident's dentures. By labeling the cup, it becomes easier to identify the owner of the dentures and prevent mix-ups. Additionally, storing dentures in a cup provides a designated and safe place for them, reducing the risk of damage or loss. This method also promotes hygiene as the cup can be easily cleaned and maintained. Therefore, placing dentures in a labeled denture cup is the most secure and practical option among the given choices.

Enlisting the help of the resident is the correct answer because it promotes independence and empowers the resident to participate in their own care. It also respects the resident's personal belongings and allows them to make decisions about what to keep or discard. This approach fosters a sense of dignity and autonomy for the resident, while also ensuring that their preferences and choices are respected.

During the bowel and bladder retraining period, it is important for the nursing assistant to offer water frequently to ensure proper hydration and promote regular bowel and bladder movements. Additionally, seeing that the resident eats a well-balanced diet is crucial for maintaining overall health and preventing constipation. Encouraging the resident to remain active also helps in stimulating bowel and bladder function. Therefore, all of the above options are necessary during the retraining period.

When moving the resident up on the bed, placing the pillow at the head of the bed is the correct answer because it helps to protect her head. Placing the pillow at the head of the bed ensures that her head is properly supported and cushioned during the movement, reducing the risk of any potential injuries or discomfort.

The correct answer is to hold the nourishment and report to the learn leader. This is the appropriate action to take because Mrs. Black is a diabetic and chocolate ice cream is not suitable for her dietary needs. By holding the nourishment and reporting to the learn leader, the situation can be addressed and corrected to ensure Mrs. Black receives an appropriate and safe mid afternoon nourishment.

When assisting Mr. Byrd, a blind resident, with his meal, it is important to identify each item on his tray. This is because Mr. Byrd is unable to see the food and may not be able to distinguish between different items. By identifying each item, you can help him understand what is on his tray and make informed choices about what he wants to eat. Sitting next to him also allows for clear communication and assistance throughout the meal. Feeding him or insisting on using only a spoon may not be necessary or preferred by Mr. Byrd, as he may have his own preferences and abilities to eat independently.

When checking a tray after a resident has eaten, it is important to note the total amount of liquid and solids consumed. This information helps in assessing the resident's nutritional intake and monitoring their eating habits. By recording the amount of food and liquid consumed, caregivers can ensure that the resident is receiving an adequate amount of nutrition and hydration. Additionally, noting any food lost to spills can help in identifying any issues with feeding techniques or the resident's ability to eat independently. Caloric intake can also be determined by tracking the amount of food and liquid consumed.

The correct answer is to report her behavior for evaluation. When an elderly resident starts to wander and become confused, it could be a sign of a medical condition or cognitive decline. Reporting her behavior allows healthcare professionals to assess her condition and provide appropriate care and support. It is important to prioritize the resident's well-being and ensure that she receives the necessary evaluation and assistance.

A clean dressing is not sterile but promotes protection to the skin. A band-aid is an example of a clean dressing

When a resident has a new cast on his right arm, it is important to observe for warmth and color of fingers. This is because a cast can potentially restrict blood flow to the fingers, leading to decreased warmth and a change in color. By monitoring these signs, healthcare providers can identify any circulation problems or complications that may arise from the cast.

As individuals age, the structures in the inner ear responsible for detecting high-pitched sounds tend to deteriorate. This leads to difficulty in hearing and perceiving these specific frequencies, resulting in normal hearing loss in aging. It is important to note that this type of hearing loss does not affect the ability to hear all sounds or loud sounds, but specifically impacts the perception of high-pitched sounds. Rapid speech, on the other hand, may be affected by other factors such as cognitive decline or processing speed, but it is not directly related to normal age-related hearing loss.

Lack of movement can lead to the wasting or shrinking of muscle tissue, which is known as atrophy. When muscles are not used or exercised regularly, they can become weaker and smaller in size. This can occur due to various reasons such as immobilization, prolonged bed rest, or lack of physical activity. Atrophy can have negative effects on muscle strength and overall physical function.

If your resident has a fractured hip, there must be a physician's order for a moving technique

Turning a resident from side to side allows you to help him move

If a resident objects to certain foods for religious or cultural reasons, the appropriate response would be to offer to get something different for him. This shows respect for his beliefs and ensures that his dietary needs are met. It is important to accommodate residents' preferences and provide them with suitable alternatives that align with their religious or cultural requirements.

Before starting any bath, it is important to suggest that the resident use the bathroom or bedpan. This is necessary to ensure that the resident relieves themselves before getting into the bath, as it can be difficult for them to do so once they are in the water. This step helps to prevent any accidents or discomfort during the bath and ensures the resident's comfort and hygiene.

Reporting the complaint to the charge nurse is the correct answer because the charge nurse is responsible for overseeing the care of the residents and addressing any concerns or complaints. They can assess the situation, determine if any adjustments or interventions are needed, and communicate with the appropriate healthcare professionals, such as the physician, if necessary. Encouraging the resident to wear the dentures more often may exacerbate the issue if there is a problem with the fit or if the dentures need adjustment. Putting the dentures on the bedside table does not address the complaint or provide any resolution.