Wound And Skin Isolation

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| By Sylvia9879
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Sylvia9879
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Quizzes Created: 14 | Total Attempts: 27,972
Questions: 91 | Attempts: 826

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Wound And Skin Isolation - Quiz


Questions and Answers
  • 1. 

    For a resident who is classified as wound and skin isolation, the soiled linen should be

    • A.

      Placed in the linen hamper

    • B.

      Discarded

    • C.

      Bagged before removing from the room

    • D.

      Taken directly to the laundry

    Correct Answer
    C. Bagged before removing from the room
    Explanation
    Wound and skin isolation means high likelihood of linen contamination. Therefore, all linens must be double-bagged

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  • 2. 

    On entering a room, you notice that the patient is not breathing. Your first action should be to

    • A.

      Call for help

    • B.

      Lay the resident down on his back

    • C.

      Give four quick breaths

    • D.

      Give 8-10 abdominal thrusts

    Correct Answer
    A. Call for help
    Explanation
    Always cal for help first in an emergency

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  • 3. 

    If a resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing

    • A.

      Back blows

    • B.

      Mouth to mouth ventilations

    • C.

      A finger sweep

    • D.

      Abdominal thrusts

    Correct Answer
    D. Abdominal thrusts
    Explanation
    Abdominal thrusts are always the first step of airway obstructions

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  • 4. 

    When you make bed, you should place the soiled linen

    • A.

      On the bedside table

    • B.

      On he overbed table

    • C.

      In a laundry bag

    • D.

      On a chair

    Correct Answer
    C. In a laundry bag
    Explanation
    Soiled linen should be directly placed in laundry bags to prevent contamination

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  • 5. 

    When making a occupied bed, it is important to

    • A.

      Make half of the bed at one time

    • B.

      Have one side rail up and one down

    • C.

      Make a toe pleat in the top covers

    • D.

      Do all of the above

    Correct Answer
    D. Do all of the above
    Explanation
    When making an occupied bed, it is important to make half of the bed at one time, to have one side rail up and one down, and to makes a tyoe pleat in the top covers

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  • 6. 

    You can prevent decubitus ulcers by

    • A.

      Changing the patient's position frequently

    • B.

      Placing an egg-crate mattress on top of the mattress

    • C.

      Incrfeasing the patient's vitamin C consumption

    • D.

      Doing both a and b

    Correct Answer
    D. Doing both a and b
    Explanation
    a and b are correct, there are no data to suggest that choice c is correct

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  • 7. 

    After positioning a patient, it is most important to

    • A.

      Examine the resident thoroughly

    • B.

      Close the door to the resident's room so she can rest

    • C.

      Offer the patient a drink of juice

    • D.

      Check hte positon of nonfunctional limbs

    Correct Answer
    D. Check hte positon of nonfunctional limbs
    Explanation
    A patient may be lying on a nonfunctional limb and have no awareness of it

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  • 8. 

    The first step in getting a residnet up to walk is to

    • A.

      Sit the resident on the side of the bed

    • B.

      Put the resident's slippers on

    • C.

      Check the activity order

    • D.

      Tell the resident what you want him to do

    Correct Answer
    C. Check the activity order
    Explanation
    Always make sure the resident is allowed to get up first

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  • 9. 

    As you are transferring a patient, the resident becomes weak and starts to fall. You should

    • A.

      Hold the patient's transfer belt and lean away formt he fall

    • B.

      Call for help

    • C.

      Grasp the transfer belt and lower the residnet to the floor along your bent leg

    • D.

      Hold the resident tightly and lean backwards

    Correct Answer
    C. Grasp the transfer belt and lower the residnet to the floor along your bent leg
    Explanation
    Grasp the transfer belt and lower the resident to the floor along your bent leg

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  • 10. 

    The patient's TPR is 98.8-80-30. The finding that should be reported at once is

    • A.

      Pulse

    • B.

      Temperature

    • C.

      Respiration

    • D.

      All of the above

    Correct Answer
    C. Respiration
    Explanation
    Only respiration s are out of normal range

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  • 11. 

    Which of the following can cause an inaccurate oral temperature reading?

    • A.

      Drinking hot or cold liquids within 10 minutes of the reading

    • B.

      Failure to shake down a mercury thermometer

    • C.

      Vigorous exercise prior to measuring temperature

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Drinking hot or cold liquids within 10 minutes of the reading can affect the oral temperature reading because it can alter the temperature inside the mouth. Failure to shake down a mercury thermometer can also lead to an inaccurate reading as it may not reset the thermometer to the correct starting point. Vigorous exercise prior to measuring temperature can cause the body temperature to temporarily rise, resulting in an inaccurate reading. Therefore, all of the above factors can contribute to an inaccurate oral temperature reading.

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  • 12. 

    Accurate daily wights are measured  15

    • A.

      At the same time each day

    • B.

      With the resident fully clothed

    • C.

      In the morning

    • D.

      All of the above

    Correct Answer
    A. At the same time each day
    Explanation
    Weight may fluctuate during the day, so to be accurate you must weigh residnets at the same time each day

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  • 13. 

    The first step in performing any procedure is to

    • A.

      Expalin step in performing any procedure

    • B.

      Gather needed equipment

    • C.

      Wash your hands

    • D.

      Provide privacy

    Correct Answer
    C. Wash your hands
    Explanation
    Infection control(handwashing) is always the first step in a procedure

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  • 14. 

    The most important factor in preventing the spread of infection is to

    • A.

      Place hte residnt in isolation

    • B.

      Handwash between resident contacts

    • C.

      Clean the unit each day

    • D.

      Wear sterile gloves to care for all residents

    Correct Answer
    B. Handwash between resident contacts
    Explanation
    The most important factor in preventing the spread of infection is to wash your hands between resident contacts

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  • 15. 

    In the event of a fire ina resident;s room, your first actio should be to

    • A.

      Notify the head nurse

    • B.

      Turn in a fire alarm

    • C.

      Get the resident to a safe place

    • D.

      Get the fire extinguisher

    Correct Answer
    C. Get the resident to a safe place
    Explanation
    Always remove the resident from danger first

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  • 16. 

    Safe use of oxygen therapy includes

    • A.

      Always setting the flowmeter at 2-3 liters per minute

    • B.

      Using wool blankets only

    • C.

      Cleansing the nasal prongs each shift with alcohol

    • D.

      Posting a "no smoking" sign on hte door

    Correct Answer
    D. Posting a "no smoking" sign on hte door
    Explanation
    Choice a is wrong bec the flow is set by the physician. Choice b is wrong bec wool can cause sparks, and c is wrong bec alcohol causes drying. Therefore, only choice d is correct

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  • 17. 

    When you perform CPR, the patient should be lying

    • A.

      Flat on a hard surface

    • B.

      With head and shoulders elevated

    • C.

      With the head and feet rasied slightly

    • D.

      None of the above

    Correct Answer
    A. Flat on a hard surface
    Explanation
    The patient must be flat on a hard surface or the compressions will be inadequate to circulate blood.

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  • 18. 

    You have come upon a patient lying on the floor who is not moving. Your first action should be to

    • A.

      Call for help

    • B.

      Gently shake the victim and ask, Are you all right?"

    • C.

      Check to see if the patient is breathing

    • D.

      Check to see if the patient has a pulse

    Correct Answer
    B. Gently shake the victim and ask, Are you all right?"
    Explanation
    Determine that there is a problem before calling for help

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  • 19. 

    If a resident asks a question you cannot answer, you should

    • A.

      Tell the residnet you will look it up

    • B.

      Ask the charge nurse to talk to the resident about it

    • C.

      Call the doctor to talk to the resident

    • D.

      Tel the resident that you cannot answer the question

    Correct Answer
    B. Ask the charge nurse to talk to the resident about it
    Explanation
    Always refer such questions to the charge nurse to handle

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  • 20. 

    Which of the following best describes nail care?

    • A.

      Nail care is not needed for the elderly

    • B.

      Use scissors for all nail care

    • C.

      All residents need nail care

    • D.

      Check with the LPN for nail care instructions

    Correct Answer
    C. All residents need nail care
    Explanation
    All residents need nail care. The nursing assistant should be able to obtain information needed from the care plan

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  • 21. 

    When performiong perinal care on a male, always

    • A.

      Clean the scrotum first

    • B.

      Retract the foreskin if uncircumcised

    • C.

      Clean form front to back

    • D.

      Hold the penis at a 90 degree angle

    Correct Answer
    B. Retract the foreskin if uncircumcised
    Explanation
    Material may build up underthe foreskin in uncircumcised males unless the foreskin is retracted for cleaning

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  • 22. 

    When giving a resident a shower, you should

    • A.

      Use a bath blanket

    • B.

      Wear a raincoat to protect yourself

    • C.

      Place the resident in a shower chair

    • D.

      Run water at 135 degrees F

    Correct Answer
    C. Place the resident in a shower chair
    Explanation
    Bec residents may become faint during a shower, they should always be sitting down

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  • 23. 

    The purpose of the cleaning bath is to

    • A.

      Provide cleanliness

    • B.

      Promote circulatiuon

    • C.

      Observe skin condition

    • D.

      Do all of the above

    Correct Answer
    D. Do all of the above
    Explanation
    A bath correctly given promotes circulation at the same time as it provides an excellent opportunity to observe the skin

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  • 24. 

    The reason for rubbing a patient's back include

    • A.

      Improving circulation

    • B.

      Incrasing one-on-one interaction time

    • C.

      Relaxing the resident

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    A correctly given backrub improves circulation, thus relaxing the patient while giving you an opportunity for one on one interaction

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  • 25. 

    The procecure for bathing that prevents damage to the skin is to

    • A.

      Rub carefully with a rough washcloth

    • B.

      Use a large amount of lotion

    • C.

      Rinse well and dry thoroughly

    • D.

      Apply a generous amount fo talcum powder after the bath

    Correct Answer
    C. Rinse well and dry thoroughly
    Explanation
    The best way to prevent skin breakdown is to rinse and dry well

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  • 26. 

    The patient's elbows are dry and red. You should

    • A.

      Report this to the charge nurse

    • B.

      Rub them with lotion

    • C.

      Apply elbow protectors

    • D.

      Sll of the above

    Correct Answer
    C. Apply elbow protectors
    Explanation
    rubbing alcohol wil dry the skin, talcum powder may be inhaled and accumulates in folds, and baby oil is too greasy

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  • 27. 

    The preferred substance for a back rub is

    • A.

      Alcohol

    • B.

      Talcum powder

    • C.

      Lotion

    • D.

      Baby oil

    Correct Answer
    C. Lotion
    Explanation
    Lotion is the preferred substance for a back rub because it provides lubrication for smooth and gentle massaging. It is easily absorbed by the skin, leaving it moisturized and soft. Alcohol can be drying and irritating to the skin, talcum powder may cause allergies or respiratory issues when inhaled, and baby oil can be too greasy and may clog pores. Lotion is a versatile option that offers the right balance of slipperiness and hydration for an effective and enjoyable back rub.

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  • 28. 

    A decubitus ulcer is caused by

    • A.

      Poor circulation

    • B.

      Pressure on the skin

    • C.

      Poor nutrition

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    A decubitus ulcer, also known as a pressure ulcer or bed sore, is caused by a combination of factors including poor circulation, pressure on the skin, and poor nutrition. Poor circulation restricts blood flow to the affected area, leading to tissue damage. Prolonged pressure on the skin, especially in individuals who are immobile or bedridden, can cause tissue breakdown. Inadequate nutrition weakens the skin and reduces its ability to withstand pressure. Therefore, all of the above factors contribute to the development of a decubitus ulcer.

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  • 29. 

    You should shampoo a resident's hair to improve

    • A.

      Circulation to the scalp

    • B.

      The resident's general appearance

    • C.

      The resident's feeling of well-being

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    a b c are all common causes of decubitus ulcers, therefore d is the best answer

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  • 30. 

    When shampooing a patient's hair, it si important to

    • A.

      Rinse thoroughly

    • B.

      Protect the eyes

    • C.

      Provide for privacy

    • D.

      Do all of the above

    Correct Answer
    D. Do all of the above
    Explanation
    a b c are all correct, tehrefore, d is the best answer

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  • 31. 

    Which statement about trimminmg a diabetic's toenails is correct?

    • A.

      You should always cut the toenails in a rounded pattern

    • B.

      Be sure you have the doctor's order before beginning

    • C.

      Always use safety/bandage scissors on diabetic residents

    • D.

      A nursing assistant may not trim a diabetic's toenails

    Correct Answer
    D. A nursing assistant may not trim a diabetic's toenails
    Explanation
    The diabetic often has extremely poor circulation to the feet, and any injury could lead to amputation

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  • 32. 

    Which of hte following statements about dressing residents is true?

    • A.

      It is not necessary for handicapped residents to dress in street clothes

    • B.

      Residens like staff members to dress them

    • C.

      Residents are concerned about how they look

    • D.

      Residents are used to being dressed in front of others

    Correct Answer
    C. Residents are concerned about how they look
    Explanation
    Choice c is the only answer that addresses resident privacy, modesty, and personal choice

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  • 33. 

    Which of the following activities ahould be included in personal daily hygiene?

    • A.

      Shaving male residents

    • B.

      Hair care

    • C.

      Oral hygiene

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Residents should reveive hair care, oral hygiene, and shaving on a daily basis

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  • 34. 

    You are removing a soiled gown from a resident who has an IV. You should

    • A.

      Remove the opposite arm from the gown first

    • B.

      Have the nurse remove the IV needle

    • C.

      Disconnect the bag and tubing

    • D.

      Slip the gown over the IV solution bag

    Correct Answer
    A. Remove the opposite arm from the gown first
    Explanation
    remove the sleeve from th earm without tubing first

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  • 35. 

    The preferred way to remove a bedpan from a resident who is unable to lift her buttocks is to

    • A.

      Use a mechanical lifting device

    • B.

      Have another nursing assistant lift the resident

    • C.

      Turn the patient to the side while holding the pan

    • D.

      Slowly slide the pan from under ther resident

    Correct Answer
    C. Turn the patient to the side while holding the pan
    Explanation
    Turning the resident is the easiest method, and it is important to hold the pan to prevent spilling he contents.A fracture-type bedpan can be used by any patient who should not be lifted or turned.

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  • 36. 

    If you patient does not eat all the food on his tray, the first thing you should do is

    • A.

      Notify the charge nurse

    • B.

      Ask the resident why

    • C.

      Remove the tray

    • D.

      Urge the patient to eat all the food

    Correct Answer
    B. Ask the resident why
    Explanation
    The patient may not be eating due to personal dislike fo the food. Asking first allows you to request a replacement if teh problem is this simple.

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  • 37. 

    The resident states that a mistake has been made: there is salt on her tray, although the doctor has ordered a low salt diet. You should

    • A.

      Explain this means no salt when preparing food

    • B.

      Tell the patient not to use the salt

    • C.

      Check hte diet order with the nurse

    • D.

      Cal the kitchen for a new tray

    Correct Answer
    C. Check hte diet order with the nurse
    Explanation
    Any diet question must be answered before the resident eats

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  • 38. 

    If a resident is receiving forced fluid treatment, you should

    • A.

      Provide at least 2000 ml of fluid per shift

    • B.

      Provide high-protein fluids

    • C.

      Offer liquids every two hours

    • D.

      Do all of the above

    Correct Answer
    C. Offer liquids every two hours
    Explanation
    Choice a is incorrect bec the doctor should specify the amount of liquid. Choice b is incorrect bec a force-fluid diet is different from high-protein fluids. Choice d cannot be correct if a and b are incorrect

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  • 39. 

    The main safety factor in transferring a patient is to

    • A.

      Always transfer slowly

    • B.

      Raise the side rails

    • C.

      Secure adequate assistance

    • D.

      Make sure the resident is not tired

    Correct Answer
    C. Secure adequate assistance
    Explanation
    Transferring safely means planning ahead, including obtaining help

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  • 40. 

    A resident who is too large for staff memebers to tranfer safely is

    • A.

      Moved wit a mechanical lifting device

    • B.

      Placed on a calorie-controlled diet

    • C.

      Left in bed, but turned every two hours

    • D.

      Left in bed, but repositioned every hour

    Correct Answer
    A. Moved wit a mechanical lifting device
    Explanation
    Use a mechanical device to protect both the resident and the staff

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  • 41. 

    Before transferring a resident from the bed to a wheelchair, you should sit him on the edge of the bed for a few minutes to

    • A.

      Rearrange his gown or clothing

    • B.

      Prevent orthostatic hypotension

    • C.

      Position and secure the wheelchair

    • D.

      Rest and remove the transfer belt

    Correct Answer
    B. Prevent orthostatic hypotension
    Explanation
    Orthostatic hypotension is the light-headed feeling we all get when we rise too fast

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  • 42. 

    At the beginning of your shift, you give a resident a water pitcher containing 270ml (9 oz) of water. At the end of your shift, yo unote that 35 ml of water is left in the pitcher. How much wate has been consumed?

    • A.

      35 ml

    • B.

      135 ml

    • C.

      175 ml

    • D.

      235 ml

    Correct Answer
    D. 235 ml
    Explanation
    The correct answer is obtained by subtracting the amount of fluid left from the fluid amount the resident started with.

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  • 43. 

    When a resident is on I & O, which of the following are measured?

    • A.

      Liquids other than water

    • B.

      See through liquids only

    • C.

      Milk, ice cream, and carbonated beverages

    • D.

      All substances that are fluid at room temperature

    Correct Answer
    D. All substances that are fluid at room temperature
    Explanation
    All items that are liquid at room temperature are considered fluid (for example, ice cream, gelatin dessert, and so on)

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  • 44. 

    Decubitus ulcers may develop in patients who are

    • A.

      Incontinent

    • B.

      Paralyzed

    • C.

      Poorly noruished

    • D.

      Al of the above

    Correct Answer
    D. Al of the above
    Explanation
    Any patietn who is bedbound may develop a decubitus ulcer. ?Those who also are incontinent, paralyzed, or poorly nourished will develop ulcers more rapidly.

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  • 45. 

    The proper procedure for washing the female resident's perineal area is to

    • A.

      Clean from front to back

    • B.

      Clean the rectal area last

    • C.

      Pat dry thoroughly

    • D.

      Do all of the above

    Correct Answer
    D. Do all of the above
    Explanation
    clean females from front to back to prevent contamination, and clean the rectal area last for the same reason. Patting the area dry is important as moisture increases the risk of bacteria growth

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  • 46. 

    Frequent mouth care should be given to residents who

    • A.

      Receive oxygen therapy

    • B.

      Are unconscious

    • C.

      Receive tube feedings

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    All of the residents mentioned have high risk of mouth breathing, therefore, they all should be receiving frequent mouth care

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  • 47. 

    Using the Bass method,a patient's teeth are to be brushed

    • A.

      Up and down

    • B.

      For at least ten minutes

    • C.

      With circular motions

    • D.

      All of the above

    Correct Answer
    C. With circular motions
    Explanation
    A circular motion cleans tooth surfaces best

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  • 48. 

    When a resident complains that his dentures are hurting, you should

    • A.

      Encourage him to wear the dentures more often

    • B.

      Report the complaint to the charge nurse

    • C.

      Report the complaint to the physician

    • D.

      Put the dentures on the bedside table

    Correct Answer
    B. Report the complaint to the charge nurse
    Explanation
    Always bring such complaints to the charge nurse

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  • 49. 

    The first thing you should do before giving a patient a tub bath is to

    • A.

      Make sure the tub is clean

    • B.

      Check the temperature of the water

    • C.

      Make sure there is an order for it

    • D.

      Gather necessary supplies

    Correct Answer
    C. Make sure there is an order for it
    Explanation
    Always check for an order on the care plan before performing any activity

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  • 50. 

    The resident's religion forbids eating pork.

    • A.

      Tell the residnet to eat it because she should needs protein

    • B.

      Tell the residndet it's all right sicne her doctor ordered the diet

    • C.

      Tell the resident that restrictions don't pertain in times of illness

    • D.

      Ask the nurse to call the kitchen

    Correct Answer
    C. Tell the resident that restrictions don't pertain in times of illness
    Explanation
    The other answers do not address the resident's right to practice religion or her right to choice

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