Nursing Assistant Exam 5quiz

Promote ADL and independent

When giving daily care, it is important to observe the general appearance of the individual, including their overall physical condition and any signs of discomfort or distress. Observing the mental condition involves assessing their cognitive abilities, mood, and behavior. Additionally, monitoring the skin condition is essential to identify any abnormalities, such as rashes, wounds, or pressure ulcers. Therefore, all of the above observations are necessary to ensure proper daily care and address any potential issues promptly.

When a resident sits up and dangles her legs before getting up, it is important to watch for sudden paleness, excessive sweating, and increased respirations. These signs may indicate that the resident is experiencing orthostatic hypotension, a drop in blood pressure when changing positions. Sudden paleness can occur due to decreased blood flow to the skin, excessive sweating can be a compensatory response to maintain blood pressure, and increased respirations help to increase oxygen intake. Therefore, all of the above signs should be monitored to ensure the resident's safety and well-being.

The correct answer is "all of the above" because before any transfer, it is important to have the nurse's approval to ensure the safety and well-being of the patient. Additionally, knowing the proper procedure is crucial to prevent any injuries or complications during the transfer. Lastly, using a transfer belt if needed helps in providing proper support and stability to the patient during the transfer process. Therefore, all of these factors are essential before any transfer takes place.

Wrinkles in the bedclothes can irritate the patient's skin. When the patient lies on wrinkled bedclothes, the friction between the fabric and the skin can cause discomfort and irritation. This can lead to redness, itching, and even skin breakdown in some cases. It is important to keep the bedclothes smooth and wrinkle-free to ensure the patient's comfort and prevent skin irritation.

Lack of peristalsis causes all of these symptoms and must be documented and reported

The correct answer is frequent urination with burning sensation. This is because urinary tract infections often cause irritation and inflammation in the urinary tract, leading to a frequent need to urinate. The burning sensation is a common symptom of the infection and is caused by the inflammation and irritation in the urinary tract. Other symptoms mentioned in the options, such as extreme thirst, lack of appetite, stomach pain, and no bowel movement, are not typically associated with urinary tract infections.

When assisting a patient with eating, it is important to prioritize hygiene and prevent the spread of germs. Washing your hands and the patient's hands before handling food helps to reduce the risk of contamination and foodborne illnesses. This step ensures that both you and the patient have clean hands, creating a safe environment for mealtime.

Negligence is an unintentional act of injury

An opening in the skin predisposes the patient to and must be checked by the nurse

Exercise promotes and improves circulation in bedridden patients

Soiled linen should be directly placed in laundry bags to prevent contaimination

Promotes communication and continuity of care

The correct answer is to ask the nurse to call the kitchen. This is because the resident's religion forbids eating pork, so it would be respectful and considerate to accommodate their dietary restrictions. By asking the nurse to call the kitchen, they can inquire about alternative meal options that do not include pork.

Take care of spills immediately, or patient may be injured while waiting for housekeeping

Examples of prostheses include artificial limbs, hearing aids, and dentures

You must ensure that the tube is not dislodged

A plate guard can be used to prevent food from falling off the plate and make it easier for the resident to scoop the food onto the spoon. A build-up spoon has a larger handle that can be easier to grip and control for someone with a paralyzed left arm. Both of these aids can help the resident with a paralyzed left arm to feed herself independently. A zipper pull is not relevant to feeding and therefore not included in the correct answer.

The family should expect and be allowed privacy time with their loved one

Never leave a patient alone in the time of an emergency.Get help immediately

standing behind him and using a transfer belt protects both the client and the aide

Federal and state laws require reporting of any abuse, whether it comes from staff, family or other residents.

Urinary retention refers to the inability to urinate. This condition occurs when the bladder is unable to empty completely or at all, leading to a buildup of urine. It can be caused by various factors such as blockages in the urinary tract, nerve problems, or weakened bladder muscles. Urinary retention can be painful and uncomfortable, and medical intervention may be required to relieve the condition.

In a situation where a patient is not breathing, the first and most important action to take is to call for help. This is crucial as it ensures that additional medical assistance is on the way and can provide further support and expertise in dealing with the situation. Calling for help should always be the initial step before proceeding with any other actions.

Keeping the bedrails up except when you are at the bedside is important in caring for a confused elderly man because it helps to ensure his safety. Confused individuals may have difficulty understanding their surroundings and may try to get out of bed, which can lead to falls and injuries. By keeping the bedrails up, it helps to prevent the patient from accidentally falling out of bed when there is no one present to supervise. However, when the caregiver is at the bedside, the bedrails can be lowered to allow for easier access and mobility for the patient.

When making an occupied bed, it is important to do all of the above. Making half of the bed at one time ensures that the patient remains comfortable and undisturbed. Having one side rail up and one down ensures the patient's safety and allows for easy access. Making a toe pleat in the top covers helps to prevent pressure ulcers and allows for better foot movement. Therefore, all of these actions are necessary when making an occupied bed.

Don't reinforce negative behavior. The care plan should communicate what the staff is to do should the resident engage in undesirable behavior

Rehab should always be part of the care plan

As long term care providers, nursing assistants must respect the resident's right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other resident's rights

elevating a paralyze limb will help prevent edema and injury

A resident who is eating poorly should be offered dietary supplements. This is because dietary supplements can provide essential nutrients that the resident may be lacking due to their poor diet. By offering dietary supplements, the resident can still receive the necessary vitamins and minerals to maintain their overall health and well-being, even if they are not consuming a balanced diet.

choose a fracture pan so Mr. Brook will have a minimal distance to lift his hips

A positive behavior affects attitude and builds self-esteem

Passive ROM should always be given with the bath on an unconscious patient

You cannot disconnect the bag without an order, but you still must ensure that the bag remains below the bladder level

Sexual desire is related to emotions as well as physical ability, so all the answers listed may be correct for different individuals

Abdominal thrusts are always the first step for airway obstructions

Regular diet is not considered a special or therapeutic diet because it does not have any specific restrictions or modifications. It includes a variety of foods and is suitable for individuals without any dietary restrictions or medical conditions. In contrast, the other options listed (diabetic, low salt, bland) are all special or therapeutic diets that are designed to meet specific dietary needs or address certain health conditions.

Objective means something you can see, feel, smell or touch

Never extend the joint to the point of pain

Choice a is incorrect because important patient information would be missed if you never shared information with anyone. Choice d is the correct ans because both b and c are true

Any chest pain should be reported immediately as it may be a sign of heart attack

Only A is an acute change

H.S. care refers to the care that is provided before bedtime. This type of care includes various activities such as assisting with personal hygiene, administering medications, and ensuring the patient is comfortable and ready for sleep. It is an important part of a patient's daily routine and helps promote a restful night's sleep.

All items that are liquid at room temperature are considered fluid (for example, ice cream gelatin, dessert, and so on)

Always wipe from the front to the back to prevent rectal germs from entering the vagina or urinary tract

S & A is a diabetic test done on urine, before meals

Keep the resident in bed to prevent a fall, but allow privacy while voiding

AROM means the patient performs his or her own exercises

A hot water bottle is a specific device that provides localized heat by using dry heat. It is designed to be filled with hot water and placed directly on the body to provide warmth and comfort. Unlike generalized heat applications, such as heating pads or electric blankets, the hot water bottle targets a specific area and does not involve the use of moisture. Therefore, it can be classified as a local dry heat application.