SHAMPOO HAIR

When washing the resident's hair, the nurse aide should :

Protect the resident's eyes

Shampoo and conditioners used by the nurse aide to clean and condition the resident's hair and scalp contain chemicals. These chemicals can cause eye irritation such as stinging, burning, and watering of the eyes, which may result in discomfort or eye injury for the resident.

MEASURE AND RECORD RESIDENT'S HEIGHT AND WEIGHT

If a resident and a wheelchair weighs a total of 189 pounds and the wheelchair weighs 30 pounds by itself, how much does the resident weigh:

159 pounds.

Weight of resident + weight of the wheelchair = 189 lbs

Minus the weight of the wheelchair alone        =  -30 lbs

Equals the resident's weight                          = 159 lbs

MEASURE AND RECORD RESIDENT'S HEIGHT AND WEIGHT

If a resident's height is 63 inches, what is the height in feet and inches :

5 feet 3 inches

Resident's height = 63 inches (Notes : 1 foot = 12 inches)

63 divided by 12 = 5 with a reminder of 3

ASSIST RESIDENT IN DRESSING AND UNDRESSING

When helping a resident dress, the nurse aide should :

encourage the resident to do as much as possible

The residents should always be encouraged to do as much as possible for themselves. This increases residents' feelings of being self-sufficient, which promotes dignity and self-esteem as well as psychological and emotional well-being. Dressing and undressing can also provide residents with physical activity which helps prevent stiffness.

CARE FOR TOENAILS AND FINGERNAILS

The nurse aide should trim the resident's fingernails

after soaking the hands

Soaking the fingernail for ten to twenty minutes directly prior to trimming softens the nails and makes it easier to trim the nails without damaging surrounding tissue.

MAKE UNOCCUPIED BED

When making an unoccupied bed, the nurse aide should :

place bed in high, flat position

Placing the bed in a high position reduces the amount of bending the nurse aide must do while making the bed, thus promoting the use of good body mechanics. Placing the bed in a flat position allows the nurse aide to tightly tuck the linens without wrinkles.

CALCULATE, REPORT AND RECORD FOOD AND FLUID INTAKE

When caring for a resident who is on intake and output, what should the nurse aide record as intake?

All liquids the resident ingests by mouthm I.V.,  and tube feeding.

Intake and output is kept to monitor and evaluate the resident's fluid balance and kidney function. To evaluate fluid intake, all liquids ingested via the resident's mouth, I.V. therapy, or tube feeding must be measured and record.

POSITION RESIDENT

Supine position means lying on the :

Back

The supine (or dorsal recumbent) position is a back-lying position. Good alignment involves having the bed flat, supporting the head and shoulders with pillow, and placing arms and hands by the resident's side.

MEASURE AND RECORD PULSE

When taking a radial pulse, the nurse aide's fingers are placed on the :

inside of wrist, thumb side

The radial pulse is felt by placing the first three fingers of one hand against the radial artery. The radial artery is  located on the thumb side, on the inside of the wrist.

ASSIST RESIDENT WITH PASSIVE RANGE OF MOTION EXERCISES

Passive range-of-motion exercise is usually needed for the resident who :

cannot exercise

Passice range of motion exercises involve having another person (the nurse aide) move the resident's joints through their range of motion when the person is unable to do so alone.

GIVE RESIDENT BED BATH

When giving a complete bed bath, which area on the resident should be the last area to be cleaned :

Perinneal (genital) area

A complete bed bath involves washing the resident's entire body while the resident remains in bed. The face, hands, arms, and chest are washed, the water changed; the legs and feet are then washed, the water changed. The perineal area is washed last because it is most likely to contain harmful bacteria.

MAKE OCCUPIED BED

When making an ocupied bed, the resident must be :

positioned in good body alignment

When making an occupied bed, the nurse aide should position the resident on the far side of the bed away from the nurse aide (make sure the side rail on the far side is locked in the up position). Adjust the pillow for the resident's comfort and ensure that the resident's body is in good alignment. Having the resident's body out of alignment may apply unusual pressure on sensitive areas.

CLEAN AND DISINFECT UNIT

The most important reason for cleaning the resident's living area is to :

lessen the danger of infection

Germ control measures, such as cleaning the resident's living area, prevent the spread of pathogens (germs) which spread communicable or contagious disease. Thus, cleaning reduces reducing the danger of infection to the resident.

MOVE RESIDENT WHO CAN STAND TO & FROM WHEELCHAIR

When assisting a resident with a left-side weakness from the bed to a wheelchair using a standing-pivot transfer, the best place for the nurse aide to stand is :

in front on the left side of the resident

When using a standing-pivot transfer to assist a resident who can stand from a bed to a wheelchair, the nurse aide positions himself or herself in front of the resident on the affected side. Then the nurse aide stabilizes the resident's foot and knee on the resident's weak side with his or her own foot and knee.

ADMINISTER ORAL HYGIENE FOR UNCONSCIOUS RESIDENT

When doing oral hygiene for an unconscious resident, the nurse aide should use a :

sponge-tipped applicator

When performing oral hygiene on an unconscious resident, the nurse aide positions the resident's head so it is turned well to the side. A padded tongue blade is used to keep the resident's mouth open while cleaning the inside of the mouth with sponge-tipped applicators.

MEASURE AND RECORD BLOOD PRESSURE

If a resident's blood pressure reading is 130/80, what is the systolic pressure ?

130

The systolic blood pressure is the first reading and the highest number; the diastolic blood pressure is the second reading and the lower number. When a nurse aide records a resident's blood pressure, the systolic pressure reading is recorded over the diastolic pressure.

WASH HANDS ASEPTICALLY

Before giving a back rub, the nurse aide should :

wash his/her own hands

The easiest and most important way for a nurse aide to prevent the spread of infection is to wash his/her own hands with soap and water. The nurse aide's hands should be washed prior to every resident care activity.

MEASURE AND RECORD TEMPERATURE

Temperature of a resident woth a fever should be taken at least every :

4 hours

Elevated resident temperatures must be carefully monitored for change. When a resident is experiencing fever, the nurse aide should check the resident's temperature at least once every four hours.

MEASURE AND RECORD RESPIRATION

when counting respirations, the nurse aide should observe the resident for :

30 seconds

Respirations are counted by watching the rise and fall of the resident's chest. Respirations are counted for thirty seconds and the number is multiplied by two to get the total number of respirations in one minute.

SERVE AND COLLECT TRAY

the best way to verify residents when distributing food trays is to :

check identification information

When a nurse aide is distributing food trays to residents, the nurse aide identifies the resident by verifying the resident's identification information (I.D. bracelets, charts, photographs, etc.) with the food tray dietary card information.

WRITE REPORTS CONCERNING RESIDENT CARE CONDITION, ACCIDENT AND INCIDENTS

if an accident or mistake occurs while performing a task, the nurse aide should :

report the mistake to the supervisor

Nurse aides must report all accidents and errors  immediately to the supervisor. This includes accidents and errors involving residents, visitors, and staff. Accidents or mistakes are reported to ensure resident safety, protect resident rights, and ensure that future mistakes may be avoided.

COLLECT SPECIMENT FROM RESIDENT IN ISOLATION

A speciment collect from an isolation unit should be :

double -bagged before being removed from room area

All items that are to be removed from an isolation unit must be double-bagged. The item, including specimens, must be placed in a bag inside the isolation unit. Then, the bag containing the item is placed inside another bag at the door of the isolation unit, which should be held open by a person standing outside the isolation unit.

DRAPE  FOR PHYSICAL EXAM/TREATMENT

During a physical exam, the nurse aide should provide for the resident's privacy by :

Drawing curtains around the bed

During a physical examination, the nurse aide provides for the resident's privacy throughout the examination by screening (pulling the curtain around the bed), closing doors, and draping so that only the body part being examined is exposed.

PLACE AND RECEIVE TELPHONE CALLS

When answering the telphone for an alert resident who is out of the room, the nurse aide should :

take the message and have the resident return the call.

When the nurse aide answers the phone in a resident room, the nurse aide should give a courteous greeting,  identify the area, and give his or her name. For example "Good afternoon, Mr. Smith's room, Jane Doe speaking". The nurse aide should always have a pencil and paper ready to write down any messages for the resident.

PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT FOR RESIDENT AND FAMILY

When a resident wishes to talk with a minister, the nurse  aide should :

assure resident the request will be given to the supervisor.

If resident request  a visit from a member of the clergy, the nurse aide must promptly report the request to the supervising nurse.

MAINTAIN RESIDENT'S RIGHT TO QUALITY CARE

When a resident or visitor makes the nurse aide angry, the nurse aide should :

maintain composure and replay politely

the resident's Bill of Rights states that the resident be treated with consideration and respect at all times. ORB requirements state that residents have the rights to be free from verbal, sexual, physical or mental abuse. Verbal abuse can be described as the use of oral or written words or statements that speak badly of, sneer at, criticize, or condemn the resident. Verbal abuse also includes unkind gestures. The nurse aides must not lose their tempers with a resident. Instead, nurse aides must strive at all times to maintain their composure, replay politely, and treat the resident with respect.

PUT ON AND REMOVE GOWN, MASK AND GLOVES TO CARE FOR ISOLATION RESIDENT.

When leaving an isolation unit, what should the nurse aide do before removing the mask ?

Wash hands in an aseptic manner.

Hands are washed before putting on an isolation mask and before undoing the isolation mask ties for removal of the isolation mask. Only the ties are touched during isolation mask removal.

GIVE RESIDENT BATH OR SHOWER

The temperature of the water for a tub bath should be :

approximately 105 degrees

When giving a resident a tub bath, th e nurse aide should fill the tub halfway full of water. The water temperature for a tub bath should be 105 degrees F (41 degrees C).

TRANSPORT RESIDENT BY WHEELCHAIR

The safest way to move two residents in wheelchairs is to 

push one wheelchair at a time.

When a nurse aide transports a resident using a wheelchair, the nurse aide should handle only one wheelchair at a time. This ensures maximum control of the wheelchair and centers the nurse aide's attention on the resident being transported; thus, maximizing the resident's safety.

APPLY ICE BAG

When  a nurse aide is preparing an ice bag to be applied to a resident, it is best to use crushed ice in the bag because the ice bag will be :

easier to mold to the body part.

An ice bag filled with crushed ice or ice chips can be molded to the resident's body part more easily. Also, there is less air space between the ice, which provides for more even cooling.

ASSESS RESIDENT'S LEVEL OF ORIENTATION

A nurse aide would best test a resident's level of orientation by using :

recreation.

Resident's participation in residential and family group activities such as social, recreational, religious and community activities promotes the dignity, self-esteem, physicl, psychological and emotional well-being of the resident. Participation in these types of activities can be used to observe and maintain residetn's level of orientation. Recreational activities provide social opportunities and are mentally stimulating.

IDENTIFY AND REPORT SUSPECTED RESIDENT ABUSE OR NEGLECT

wish to protect the family member

Helping the abused elderly is not always easy or possible. Sometimes the elderly are abused by a family member. The elderly resident may deny the abuse in an effort to protect the family member from getting in trouble or may fear loss of support from the family member.

ADDRES THE RESIDENT BY THE NAME OF HIS/HER CHOICE

The person who makes the ultimate decision as to the name that the nurse aide will use when addressing the resident is the :

resident

Personal choice is one of the resident's rights as established by OBRA. personal choice is important for quality of life, dignity, and self-respect. The nurse aide must allow the resident's personal preferences whenever it is safely possible.

APPLY LOTION (IF NOT MEDICATED)

If a nurse aide applies petroleum jelly to an irritated spot on a resident's skin, the petroleum jelly is considered to be a (an) :

topical ointment

Non-medicated lotions or creams which are applied to a resident's skin to protect the skin from drying and irritation are referred to as topical ointments.

GIVE THERAPEUTIC BATH (IF NOT MEDICATED)

An example of a therapeutic bath that a resident might receive would be a :

whirlpool bath

A therapeutic bath would include any bath serving primarily to maintain/ restore health or to have a beneficial effect on the resident's mental health. Therapeutic baths would include whirpool baths, sitz baths, and hot soaks.

ADMINISTER SITZ BATH

When administering a sitz bath to a resident, it is extremely important that the nurse aide observes the patient frequently for signs of :

faintness.

The sitz bath increases the flow of blood to the pelvic area causing less blood to flow to other body parts. As a result, the resident may begin to feel faint, weak or tired. The nurse aide must observe the resident frequently for signs of faintness, weakness, or fatigue and take precautions to keep the resident safe from injury.

ADMINISTER HOT SOAK

When administering a hot soak, the resident's body part should remain in the soak for 

15-20 minutes.

A hot soak involves putting a resident's body part into a container of water for a period of fifteen to twenty minutes. Fifteen to twenty minutes allows the blood vessels to dilate, increading circulation to the area.

ASSIST RESIDENT WITH ACTIVE RANGE OF MOTION EXERCISES

The nurse has provided the nurse aide with an active range of motion order for the resident which states "repeat pronation an supination 5 to 6 times for each arm". The nurse aide should :

Instruct the resident to hold the arm straight and turn the hand so the palm is down, then turn the hand so the palm is up.

Active range of motion means that the resident performs the exercise under the supervision of the nurse aide.

Pronation of the forearm involves the resident holding the arm straight and turning the hand so that the palm is down. Supination involves turning the hand so the palm is up while holding the arm straight.

CALCULATE, REPORT AND RECORD FOOD AND FLUID INTAKE.

Conversion Factors

GIVE BACKRUB TO RESIDENT

When giving a resident a backrub, kneading refers to :

gently grasping the resident's skin between the thumb and fingers.

When a nurse aide gives a resident a backrub, kneading is performed by gently grasping the resident's skin between the thumb and fingers and then releasing the skin. The procedure is repeated for half of the back starting at the buttocks and moving up to the shoulder and for the other half of the back starting at the shoulder and working down to the buttocks.

APPLY WARM COMPRESS

After applying a warm compress to a resident, the compress is covered with plastic and wrapped in a bath towel to :

keep the compress warm

After applying a warm compress to a resident's body part, the compress is wrapped in plastic and a towel to keep the compress warm. Plastic holds the heat inside the compress and the towel further insulates the compress, which helps maintain the warmth.

OBTAIN RESIDENT DATA THROUGH RESIDENT AND FAMILY INTERVIEWS.

What resident data would the nurse aide usually obtain from the resident's family?

Favorite clothing or personal items

Family members can provide the nurse aide with resident information concerning the resident's personal likes and dislikes, such as favorite clothing or personal items, which will enhance the resident's quality of life and promote a home-like environment.

OBSERVE AND REPORT RESIDENT DATA (VERBAL)

A nurse aide who reports a resident's symtoms, such as abdominal pain an nausea, to the nurse is reporting what kind of data?

Subjective

Things a resident tells a nurse aide that the nurse aide cannot observe through his or her senses such as a resident's pain or nausea are reported to the nurse as subjective data (symptoms).

DEMOSNTRATE PROFFESSIONAL ETHICS

An important aspect of identifying with the resident is the nurse aide's ability to :

recognize and respect the resident's culture and religion.

Culture and religion influence the lives of most people.

Beliefs, values,habits, diet, etc., can vary between residents and nurse aides. The nurse aide must try to become familiar with the beliefs and culture of the resident, so as to better recognize understand, and respect the resident's rights to his/her beliefs, values and opinions.

ASSIST RESIDENT TO EXERCISE CITIZENSHIP RIGHTS

Which of the following would not be considered a way for a nurse aide to assist a resident to exercise sitizenship rights to be informed and involves?

Share intimate details about other residents and staff with the resident.

Information about a resident's care, treat,emt. amd condition must be kept confidential at all times. The resident's right to privacy includes all medical and personal information/affairs. A nurse aide must never share intimate details about other residents or staff with the resident.

FOLLOW RESIDNT'S RECREATION/ACTIVITY PLAN

Which activity would be an acceptable diversional activity for a nurse aide to suggest for a resident?

Participation in scheduled recreation.

Activities are important for a resident's quality of life. OBRA requires that nursing facilities provide scheduled recreational activities that meet residents' interests as well as their physical, mental and psychosocial needs. Residents should be encouraged to participate in scheduled activities such as recreation activities. These activities promote the resident's personal choices, as well as physical, intellectual, social and emotional well-being.

APPLY BRACE

When applying an ankle foot orthosis (AFO) on a resident, the nurse aide first positions the AFO :

inside the resident's shoe

An ankle-foot orthosis (AFO) is first positioned in the shoe; then, the foot is inserted and the device is then secured in place with the calf strap.

ASSIST RESIDENT WITH WALKING

When assisting a resident with walking, if the resident begins to fall the nurse aide should support the falling resident by holding the resident :

under the arms.

When a resident is falling, there is a natural tendency for the nurse aide to try to prevent the fall. However, an effort to prevent the fall can cause even greater injuries to both the resident and the the nurse aide. If a residetn begins to fall, the nurse aide can best control the fall by grasping the resident under the arms while moving, so the resident's buttocks rest on the aide's legs, and then easing the resident to the floor b allowing the resident to slide doen the nurse aide's leg to the floor. The nurse aide should bend at the hip and knees as he or she lowers the resident. This allows the nurse aide to control the direction of the fall while providing the maximum protection of the resident's head.

ANSWER CALL SIGNAL

What will happen when a resident presses the signal light button in most long-term care facility cal system?

A light above the resident's door comes on.

the call signal system allows the resident to signal the nurse aide when help is needed. The signal light button at the bedside is connected to a light above the room door in the outside hall and to al light panel or intercom system at the nurses' station. When the resident presses the signal light button, the lighs above the door and at the nurses' station come on. The nurse aide shuts off the light at the bedside when the resident has received the needed help.

MEASURE AND RECORD PULSE

[image]

At which of the locations shown in the above diagram would the nurse aide take a femoral pulse?

Location 5

The femoral artery is the large artery which emerges from the pelvis to nourish the lower extremity. It produces an obvious pulse which can be easily felt in the crease between the thigh and abdomen at about its middle.

MEASURE AND RECORD TEMPERATURE 

When would the nurse aide take an axillary temperature ?

MEASURE AND RECORD BLOOD PRESSURE

[image]

At which of the locations shown in the above diagram would the nurse aide place the stethoscope when taking a blood pressure reading?

Location 4

When measuring a resident's blood pressure, the diaphragm of the stethoscope is placed firmly over the brachial artery, which is located at the inner aspect of the elbow. The entire diaphragm must be in contact with the skin to obtain an accurate reading.

COMMUNICATE WITH LIMITED ENGLISH PROFICIENT RESIDENT

When trying to communicate with a resident who has limited English proficiency, it may be necessary for the nurse aide to :

use sign language and gestures.

When trying to communicate with limited English proficient residents, sometimes the nurse aide must use other means than verbal communication. Nonverbal communication includes gestures, signs, facial expressions, body movements, touch, etc. Common nonverbal methods include sign language, gestures and written notes.

ASSIST WITH REMOVAL OF FECAL IMPACTION

Which of the following would most likely cause a resident to suffer a fecal impaction?

Being at risk for constipation

A fecal impaction results if constipation is not relieved. The ressident cannot defecate and more water is absorbed  from the already hardened feces. Common causes of constipation include diet, ignoring the urge to defecate, decreased fluid intake, inactivity, medications and certain diseases.

PROVIDE CARE FOR RESIDENT WITH FEVER

an emergency treatment that a nurse aide can use to help bring down a high fever in a resident is to :

Sponge the resident's skin, allowing the water to evaporate

the sponge bath is used to reduce body temperature when the resident has a high fever. As the water evaporates from the body, a cooling effect occures.

telling the resident the date and time.

A reality orientation activity used at the beginning of each day involves telling the resident the date and time each morning and then repeating the information as often as necessary during the day and evening.

PROVIDE CARE FOR EYEGLASSES/CONTACTS

When cleaning a resident's eyeglasses which have plastic lenses, the nurse aide should dry the glasses using a :

soft cloth

plastic eyeglass lenses are easily scratched. Special cleaning solution and soft cloths/tissues are needed for cleaning adn drying plastic lenses.

PROVIDE ASSISTANCE TO VISUALLY IMPAIRED RESIDENT

When assisting a resident who has just returned from having cataract surgery, the nurse aide should follow the same procedures used for a :

blind resident

A resident may have to wear an eye shield or patch for several days after cataract surgery. The shield protects the eye from injury. Measures for the blind person are practical when cataract eye shields are worn. Even if only one shield is worn, there may be temporary vision loss in the other eye.

PROVIDE ASSISTANCE TO HYSTERICAL OR DISORIENTED RESIDENT

When a resident displays signs of disorentation the nurse aide can provide the resident the most assistance by :

providing slow, simple instructions and explanations

Disorentation occurs in some elderly residents and residents with certain diseases. These residents have reduced awarness of their surroundings. They have difficulty understanding what is happening to and aroun them. The nurse aide can be of most assistance to a disoriented resident by providing a slow, simple explanation of what is happening and explain all instructions slowly and simply so the resident can understand.

PROVIDE ASSISTANCE TO A RESIDENT WITH SEIZURES

What should a nurse aide do when a resident experiences a seizure?

Protect the resident's head

Placing a pillow, folded blanket, or towel under the resident's head or cradling the resident's head in his or her lap protects the resident's head from striking hard surfaces.

FOLLOW LICENSED STAFF'S INSTRUCTIONS FOR PROVIDING ASSISTANCE TO A RESIDENT WITH BURNS

A resident has obtainde a minor burn (slight reddening of the skin) on a finger from a cigarette; to lessen the discomfort for the resident the nurse aide should :

submerge the burn area in cold water

Minor burns involve a limited surface and a slight reddening of the skin. A good first-aid measure for the usual minor burn of the finger or hand is to immediately dip the burned area into cold water. This stops the pain almost at once and tends to reduce the degree of tissue damage.

SETUP STERILE TRAY FOR PROCEDURES (OPEN STERILE PACKEGES AND TRANSFER CONTENTS)

When removing sterile items from a sterile package and placing them on the sterile tray in preparation for a procedure the nurse aide should :

let the items slide from the package to the tray

When removing sterile items from a sterile package and placing them on a sterile tray, it is of utmost importance that the nurse aide does not touch the sterile items. The transfer of a sterile item from its package to the sterile tray without touching the item can be accomplished by letting the sterile item slide from its package directly into position on the sterile tray.

FOLLOW R.A.C.E GUIDELINES TO PROTECT RESIDENT FROM FIRE (REMOVE, ACTIVATE, CONTAIN, EXTINGUISH)

The first thing the nurse aide does when following the R.A.C.E guidelines for protecting a resident is to :

remove the resident from the danger area

R.A.C.E. stands for Remove, Active, Contain, Extinguish. The first step is to REMOVE the resident from the danger area. The second step is the ACTIVATE the fire alarm system. The third step is to CONTAIN the fire. And the forth step is to EXTINGUISH the fire if possible.

GIVE ENEMA

How long should it take to administer a 750 ml tap water enema to an adult resident?

10 to 15 minutes

Comfort and safety measures must be practiced at all times when administering an enema to a resident. The solution is administered slowly to avoid resident discomfort. It usally requires ten to fifteen minutes to administer 750 ml of solution.

PROVIDE CARE FOR TERMINALLY ILL RESIDENT

A terminally ill resident who is in the second stage of the 5 stages of dying is most likely to :

make the nurse aide a target of anger

Anger is the second stage of dying. Tesidents in this stage feel anger and rage and tend to blame others. The health team and family often become the target of this anger.

Remember that anger is  a normal, healty reaction for a dying resident. Do not take the resident's anger personally.

ACCESS THE LIST OF EMERGENCY TELEPHONE NUMBERS FOR HOUSEHOLD OR NURSING UNIT

Where should a home health care aide place emergency numbers in the resident's home?

Next to all phones in the residence

A home health care aide should post emergency numbers next to every phone in the resident's home. This allows emergency calls to be placed quickly and effectively from any phone in the resident's home.

ASSIST THE  PREPARATION OF SPECIMEN FOR TRANSFER TO LABORATORY

When collecting a specimen to be transferred to the laboratory, the nurse aide should label the specimen container:

before collecting the specimen

Specimen containers should be labeled with the resident's data just prior to collecting the specimen to avoid specimen spillage or contamination. Information must ve recorded using permanent ink. Avoid using pencil, ballpoint pen, or non-permanent marker ink as they can smear or run if touched or gotten wet.

USE SAFETY PRECAUTIONS WITH THERAPEUTIC AND ELECTRICAL EQUIPMENT

What should a nurse aid do if a frayed cord is discovered on a piece of electrical equipment that is being used with a resident.

Stop the procedure, mark the equipment as broken, and report the equipment to maintenance for repair or disposal

At no time should defective or dangerous equipment be used on or around a resident. If a defect is discovered on a piece of equipment while it is being used on a resident, the procedure must be stopped immediately, and the equipment marked and reported to maintenance for repair or disposal.

ASSIST RESIDENT IN PERFORMING ORAL HYGIENE

W position, the dental floss is being held in preparation for flossing the resident's :

upper teeth.

When flossing the resident's upper teeth, the nurse aide holds the floss between the middle fingers of each hand with the floss stretched over the thumbs. When flossing lower teeth, the floss is held with the index fingers (U position).

RECORD SUBJECTIVE AND OBJECTIVE RESIDENT DATA (WRITTEN)

What was the resident's recorded pulse on 3/28/96 at 8:00pm

84

The pulse count recorded in the pulse box under the 8:00 p.m column on 3/28/96 is 84

OBSERVE AND REPORT DATA (VERBAL)

On what day and time did the resident experience the highest recorded temperature?

3/29/96 at 8:00 p.m.

The highest recorded temperature on the temperature chart (the highest peak) was 102 degrees Fareinheit, which occurred on 3/29/96 at 8:00pm

RECOGNIZE AND REPORT ABNORMAL SIGNS AND SYMPTOMS OF COMMON DISEASES AND CONDITIONS

On what day and time did the resident experience low blood pressure?

CHECK CURRENT DOCUMENTATION OF RESIDENT STATUS AND CARE

What was the resident's recorded pulse and respirations on 3/31/96 at 12:00 a.m.

88 and 20

The pulse rate recorded int he pusle box for 3/31/96 at 12 :00 a.m. was 88 and the respiration recorded in the respiration box was 20.

ASSIST WITH UNIT ADMITTING PROCEDURES

What task is often assigned to nurse aides during admission of a resident?

Taking current vital signs

Taking vital signs is a task that is within the job description of a nurse aide. The other three tasks (issuing identification number, making next doctor's appointment, recording complete medical history) are outside of the nurse aide job duties. 

ASSIST WITH PREOPERATIVE AND POSTOPERATIVE CARE

What is the nurse aide's responsibility while caring for a resident with a surgical bandage (dressing)?

Observe and report the condition to the nurse

The nurse is reponsible for dressings. The nurse aide is trained to obeserve and report changes.

MAKE A SHOPPING LIST

Nurse aide's product preferences

Certain factores are considered when a nurse aide prepares a shopping list for a resident. These factors include the resident's diet, food preferences, and the budget available gor groceries. The nurse aide should not let any personal preferences on types and brands influence the shopping for the resident.

TRANPORT RESIDENT BY WHEELCHAIR

When transporting a non-mobile resident down a ramp in a wheelchair the nurse aide should :

tilt the wheechair back 30 degrees and ease down the ramp in a forward direction.

When a nurse aide must push a resident down a ramp, the wheelchair should be tilted backward by pushing the foot down on the tipping levers until the chair reaches the balance position, which is a tilt of approximately of 30 degrees. The nurse aide should then ease the wheelchair down the ramp in a forward direction while maintaining the chair in its balanced position.

TRANSPORT RESIDENT BY STRETCHER

A resident being transported by a stretcher must :

not be left unattended

Stretchers are used to transport residents who are helpless and cannot sit up, residents who must remain in a lying position, an for seriously ill residents. Residents being transported by stretcher must be moved in a feet first direction with a helper at the head of the stretcher that observes the resident's breathing and color. A resident on  astretcher must never be left alone.

SET UP HUMIDIFIER

The primary purpose of setting up a humicifier in a resident's room is to :

add moisture to the air

Humidifiers are devices designed to disperse water vapor into the air in the resident's room. The humidifier's primary pupose is to add unheated moisture to the air which can have a soothing affect on the resident's nose, throat and bronchial passages in various repiratory illnesses.

IMPLEMENT NURSING MEASURES TO PROMOTE COMFORT, REST AND SLEEP

Which of the following should a nurse aide encourage if the resident has been experiencing nausea and vomiting?

sucking on small ice chips or sipping on a cold carbonated drink to refresh the resident.

Several things can be tried in order to help make a resident who is experiencing nausea more comfortable, while maintaining the resident's fluid intake. One is to give the resident small ships of ice to suck on. Also small sips of chilled or cold liquids at intervals of several minutes can help. Sips of cold carbonated drinks such as ginger ale or lemon-lime soda may also be successful. Solid foods and large amounts of liquid will most likely cause vomiting and should be avoided during nausea.

PROVIDE SKIN CARE

White flakes on the shoulders of a resident's clothing is most likely a sign of :

dry scalp

White flakes on skin on the shouders of resident's clothing is usually a sign of a condition of the scalp often referred to as dandruff. Dandruff results from a disturbance of the hair follicle-connected sebaceous (oil) gland which results in dry scalp and flaking of the dry skin.

TURN AN POSITION THE RESIDENT

[image]

The resident pictured above has been placed in which position ?

Lateral 

A resident placed in a lateral or side-lying position lies on one side or the other. Good body alignment includes placing a pillow under the head and shoulders and suporting the upper leg and thigh with a pillow. A small pillow is also positioned under the upper arm and a pillow is placed against the resident's back

MEASURE AND RECORD TEMPERATURE

The resident pictured above would be positioned to facilitate which procedure?

Rectal temperature

When positioning a resident for a rectal temperature, the nurse aide positions the resident in a lateral (side-lying) position to facilitate access to the resident's anal area. The Sims position, which is a lateral side lying position with upper leg sharply flexed so it is not on the lower leg, is commonly used  to take rectal temperature.

ASSIST WITH CARE FOR DECUBITUS ULCER

Which of the body locations on the resident would be most likely to develop pressure sores if the resident was left in the position shown above for a long period of time :

Hips

A decubitus ulcer (pressure or bed sores) usually occurs over bony areas called pressure points because these points bear the weight of the body in a particular position. Pressure points for residents placed in a lateral side-lying position include the ankle, knee, hip, ear, shoulder and side of the head.

A resident tells the nurse aide that his mouth is dry. The nurse aide knows that this resident is not allowed to eat or drink anything. The nurse aide should:

1. give the resident a glass of ice chips
2. tell the resident there is nothing the aide can do
3. clean the resident's mouth with a moist swab or washcloth
4. give the resident small sips of juice or water

 When a resident's family comes to the facility to visit the resident, the nurse aide should bring the family to the:

1. residents' lounge
2. sun room
3. cafeteria
4. waiting area

The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is:

(A) help the client into a sitting position

(B) call for assistance from the nurse in charge

(C) offer the client a drink of water

(D) check for signs of injury

Proper use of a waist restraint requires that the nurse aide:

(A) release the restraint every four hours

(B) watch for skin irritation

(C) tie restraints to the siderail (D) apply the restraint tightly so the client cannot move

 A safety device used to assist a DEPENDENT client from a bed to a chair is called a:

(A) posey vest

(B) hand roll

(C) transfer/gait belt

(D) foot board

A new client refuses to wear a clothing protector at lunch. The nurse aide

(A) tell the client that he must wear it

(B) put the clothing protector on the client

(C) report this to the nurse in charge

(D) respect the client’s wishes

A goal for an extended care facility (ECF) the nurse is that she not to swear to nurses and aid.When she calls you by your name instead of swearing at you, your appropriate action is to :

A.    smile and give the appropriate reward.
B.    continue whatever task that is being done.
C.    tease the resident about not swearing.
D.    tell all of the staff that she didn’t swear.

A

The correct answer is A. You want to positively reinforce the resident’s appropriate behavior, so smiling and rewarding her good behavior is the best action.

An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to

A.    turn on the light.
B.    speak quietly and calmly.
C.    touch her shoulder.
D.    shout her name.

B

The correct answer is B. Do not startle the resident, as this may agitate her. Speak as you enter the room.

All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by

A.    OBRA.
B.    OSHA.
C.    CDC.
D.    FDA.

A

The correct answer is A. OBRA stands for the “Omnibus Budget and Reform Act.”

While making rounds at 4:00am, a nurse aide finds a patient lying on the floor. What should she or he do first?

A.    Call 911/000.
B.    Perform CPR.
C.    Call for another nurse aide.
D.    Assess the patient’s vital signs.

D

The correct answer is D. Always check for vital signs; the patient may have fainted.

The hot water bottle is an example of a

A.    local dry heat application.
B.    generalized dry heat application.
C.    local moist heat application.
D.    generalized moist heat application.

A

The correct answer is A. A hot water bottle applied by itself is dry heat.

A female client’s perineal area should be cleansed before which specimen is collected?

A.    24-hour urine specimen
B.    midstream clean-catch urine specimen
C.    pediatric routine urine specimen
D.    routine urine specimen

The correct answer is B. The clean-catch specimen requires cleaning the perineum.

B

The correct answer is B. The clean-catch specimen requires cleaning the perineum.

When giving information to the charge nurse for an incident report, you should

A.    write in the client’s chart that an incident occurred.
B.    keep the report in your personal file.
C.    state the facts clearly.
D.    give your opinions as to the cause of the incident.

Mrs. Wilkes is scheduled for a partial bed bath. This means you must wash her

A.    face, neck, ears, arms, and hands.
B.    face, underarms, hands, and buttocks.
C.    face, hands, underarms, and legs.
D.    face, hands, underarms, buttocks, and genitals.

The correct answer is D. Partial bed bath is generally given before breakfast because of incontinence. You want the patient to feel comfortable and clean.

Nonskids shoes may stick to the carpeting, causing falls.

Leather or synthetic shoe sole may be more appropriate for a carpeted surface.