Basic Nursing Care Provided by the Nurse Aide

Which of the following is the best example of using reality orientation for a resident with early dementia?

"Look at the time. Lunch is in 30 minutes. Are you feeling hungry?"

Areas of the body where the bone lies close to the skin is known as?

a pressure point

Which of the following describes a resident's concern that needs to be reported to the charge nurse immediately?

a resident who has always been oriented is suddenly scared and confused

An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do?

allow the resident to be alone with her spouse

While helping in the dining room, the nurse aide notices a male resident holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to?

ask if the resident can talk

A resident whose husband died a few years ago, says, "I have got to get dinner started. My husband will be home from work soon." What is the best way for the nurse aide to respond?

ask the resident about her husband's favorite dinners

A nurse aide walks into a resident's room and find a resident on the floor. The resident says, " I fell down and I can not move my arm." What should be the nurse aide's next action?

ask the resident to stay still while the nurse aide calls for help

A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide?

assist the resident and report the change to the charge nurse

"Sundowning" is a term used to describe when residents?

become restless and agitated late in the day

A resident is choking. The first response by the nurse aide should be to?

begin abdominal thrusts

A nurse aide finds a resident who has a history of falls lying on the floor in the resident's room. The resident is crying and says, " I fell again." What should the nurse aide do first?

call for help while keeping the resident calm

A resident usually responds verbally to the nurse aide's greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aide's next action should be to?

call for the charge nurse immediately

While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should?

call the charge nurse and remain with the resident

The heart is an important muscle for which body system?

circulatory system

The normal appearance of urine is?

clear

A resident who must stay in bed is at risk for developing?

footdrop

A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to?

guide the resident from the chair to the floor

While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide?

keep the resident positioned to avoid pressure on the hip

Which of the following is an observation often seen when a resident is impacted?

liquid feces seeping out of the anus

A resident says he is 5 feet 6 inches tall. When the nurse aide measures the resident's height, the resident is 5 feet 4 inches. What should the nurse aide do?

measure the resident again

When counting a resident's pule, the nurse aide should?

notice if the rhythm of the heart-beat is regular

When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear?

purple

A nurse aide is assisting a resident at meal time. The resident grabs his throat and cannot speak. What should the nurse aide do first?

reach around from behind the resident to provide abdominal thrusts

A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should?

recognize the seriousness of the signs and observations and report immediately

A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to?

remove the resident's shoe and inspect the foot

A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first?

report the change to the charge nurse

When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide?

report the observation to the charge nurse

The nurse aide is bathing a resident and notices new swelling in the resident's ankles. Which of the following is the best response by the nurse aide?

report the swelling to the charge nurse

The nurse aide is taking routine vital signs on a resident. The resident's temperature is 101.4º Fahrenheit. The most appropriate response by the nurse aide is to?

report the temperate promptly

When weighing a resident, it is important to make sure the?

scale is balanced or calibrated before helping the resident onto the scale

Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar?

shakiness and trembling

While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action?

stop the dressing to let the resident rest

When a resident is not able to stand, the resident's height is usually measured by?

taking the measurement from head to heels while the resident is flat in bed

Which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation?

the color of the resident's toes

If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the resident's side quickly?

to help prevent aspiration

A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next?

turn the resident on her side

What of the following is generally experienced by a resident with low blood sugar?

weakness

While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to?

wet a towel or napkin with cool water and place against the injured area