Podcast
Questions and Answers
Nursing assistants are responsible for
Nursing assistants are responsible for
A patient turns on the call light when he needs to urinate. The appropriate action is to
A patient turns on the call light when he needs to urinate. The appropriate action is to
A client is on CMR and in the prone position. The nurse aide finds the client vomiting bright red blood. The nurse aide should first
A client is on CMR and in the prone position. The nurse aide finds the client vomiting bright red blood. The nurse aide should first
When performing catheter care, the nurse aide should wash the catheter
When performing catheter care, the nurse aide should wash the catheter
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A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of
A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of
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H.S. care is care that is given
H.S. care is care that is given
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The best food choices for a geriatric client with no teeth would include
The best food choices for a geriatric client with no teeth would include
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A client's family wants to talk about the client's impending death, but the client does not want to talk about it. The family should be encouraged to
A client's family wants to talk about the client's impending death, but the client does not want to talk about it. The family should be encouraged to
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A nurse aide notices that a water pitcher has spilled onto the floor. The best action for the aide to perform is to
A nurse aide notices that a water pitcher has spilled onto the floor. The best action for the aide to perform is to
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Upon entering a room, the nurse aide notices that a patient is not breathing. The aide's first action is to
Upon entering a room, the nurse aide notices that a patient is not breathing. The aide's first action is to
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When should postmortem care be performed?
When should postmortem care be performed?
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The purpose of correctly positioning the client is to:
The purpose of correctly positioning the client is to:
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A surgical bed should be left in what position?
A surgical bed should be left in what position?
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A female resident's husband has asked for some time alone with his wife in her room. What should the nurse aide do?
A female resident's husband has asked for some time alone with his wife in her room. What should the nurse aide do?
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A resident needs range of motion (ROM) exercises every day. When the nurse aide tries to help her do the exercises, the resident says she will not do them. She says that they are too hard. What is the nurse aide's best response?
A resident needs range of motion (ROM) exercises every day. When the nurse aide tries to help her do the exercises, the resident says she will not do them. She says that they are too hard. What is the nurse aide's best response?
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A nurse aide enters a room to check on a resident who is in restraints. The nurse aide finds that the resident has gotten out of the restraint and is partly out of the bed. What should the nurse aide do?
A nurse aide enters a room to check on a resident who is in restraints. The nurse aide finds that the resident has gotten out of the restraint and is partly out of the bed. What should the nurse aide do?
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A resident does not want to wear her dentures. She says she has a sore in her mouth. The nurse aide should
A resident does not want to wear her dentures. She says she has a sore in her mouth. The nurse aide should
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After a resident has died, the nurse aide is often assigned to do which of the following?
After a resident has died, the nurse aide is often assigned to do which of the following?
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A resident complains that he cannot fall asleep. What can the nurse aide do first to help him relax?
A resident complains that he cannot fall asleep. What can the nurse aide do first to help him relax?
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A resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the nurse aide do to each joint?
A resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the nurse aide do to each joint?
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A sign on the resident's door says NPO. What does this sign tell the nurse aide about the resident?
A sign on the resident's door says NPO. What does this sign tell the nurse aide about the resident?
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A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the nurse aide do first?
A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the nurse aide do first?
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A nurse aide is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the nurse aide do?
A nurse aide is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the nurse aide do?
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A resident is able to dress himself, but he is very slow. What should the nurse aide do to assist this resident to get to breakfast on time?
A resident is able to dress himself, but he is very slow. What should the nurse aide do to assist this resident to get to breakfast on time?
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A nurse aide is caring for a resident on bedrest. The resident is not able to turn herself. What is the longest time that the nurse aide is allowed to leave the resident in one position?
A nurse aide is caring for a resident on bedrest. The resident is not able to turn herself. What is the longest time that the nurse aide is allowed to leave the resident in one position?
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A resident's care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the nurse aide that she is unable to do it now. What should the nurse aide do?
A resident's care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the nurse aide that she is unable to do it now. What should the nurse aide do?
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A nurse aide notices that a resident has very dry skin on the feet. How should the nurse aide care for the resident's feet?
A nurse aide notices that a resident has very dry skin on the feet. How should the nurse aide care for the resident's feet?
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An elderly resident is normally alert, but today she is slightly confused. What should the nurse aide do?
An elderly resident is normally alert, but today she is slightly confused. What should the nurse aide do?
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A nurse aide has found a fire in a resident's waste can. What should the nurse aide do first?
A nurse aide has found a fire in a resident's waste can. What should the nurse aide do first?
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What is the first thing a nurse aide should do after receiving the resident assignments for the shift?
What is the first thing a nurse aide should do after receiving the resident assignments for the shift?
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A nurse aide is walking with a resident. The resident says that she is going to faint. What should the nurse aide do?
A nurse aide is walking with a resident. The resident says that she is going to faint. What should the nurse aide do?
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A resident is upset after a family visit. The resident tells the nurse aide not to allow the family to visit again. Which of the following is the nurse aide's best response?
A resident is upset after a family visit. The resident tells the nurse aide not to allow the family to visit again. Which of the following is the nurse aide's best response?
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A nurse aide is feeding a resident a pureed diet. How should the nurse aide feed the resident?
A nurse aide is feeding a resident a pureed diet. How should the nurse aide feed the resident?
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A resident is on oxygen. He tells the nurse aide that he is not getting enough oxygen through the tubing. What should the nurse aide do first?
A resident is on oxygen. He tells the nurse aide that he is not getting enough oxygen through the tubing. What should the nurse aide do first?
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Which of the following is a true statement about the elderly?
Which of the following is a true statement about the elderly?
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A resident refuses to have a bath and to shave every day. He has not bathed for a week. What should the nurse aide do?
A resident refuses to have a bath and to shave every day. He has not bathed for a week. What should the nurse aide do?
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A resident usually dresses himself for breakfast. Today the nurse aide finds him in pajamas at 10:00 am. What should the nurse aide do?
A resident usually dresses himself for breakfast. Today the nurse aide finds him in pajamas at 10:00 am. What should the nurse aide do?
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A nurse aide finds a male resident in bed with a female resident who is confused. What should the nurse aide do?
A nurse aide finds a male resident in bed with a female resident who is confused. What should the nurse aide do?
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A resident with poor vision was admitted to the unit. What should the nurse aide do to ensure the resident's safety?
A resident with poor vision was admitted to the unit. What should the nurse aide do to ensure the resident's safety?
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When assisting a client in learning how to use a cane, the nurse aide stands:
When assisting a client in learning how to use a cane, the nurse aide stands:
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When working with a client who has urinary retention, the nurse aide can expect that the client will:
When working with a client who has urinary retention, the nurse aide can expect that the client will:
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Aging-related hearing changes result in older clients gradually losing their ability to hear:
Aging-related hearing changes result in older clients gradually losing their ability to hear:
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The best way to safely identify your patient is by:
The best way to safely identify your patient is by:
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A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should:
A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should:
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The proper medical abbreviation for before meals is:
The proper medical abbreviation for before meals is:
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A client diagnosed with hypertension will most likely have a history of:
A client diagnosed with hypertension will most likely have a history of:
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A patient who has difficulty chewing or swallowing will need what type of diet?
A patient who has difficulty chewing or swallowing will need what type of diet?
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An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent?
An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent?
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How often should a patient's intake and output records be totaled?
How often should a patient's intake and output records be totaled?
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Which of the following should the nursing assistant observe and record when admitting a client?
Which of the following should the nursing assistant observe and record when admitting a client?
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When responding to a client on the intercom, the nursing assistant should say:
When responding to a client on the intercom, the nursing assistant should say:
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Which of the following things should the nurse aide do to familiarize new clients with their surroundings?
Which of the following things should the nurse aide do to familiarize new clients with their surroundings?
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When arranging a client's room, the nursing assistant should do all of the following EXCEPT:
When arranging a client's room, the nursing assistant should do all of the following EXCEPT:
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When assisting a client out of bed, the nurse aide should always:
When assisting a client out of bed, the nurse aide should always:
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How often should clients be repositioned during an eight-hour shift?
How often should clients be repositioned during an eight-hour shift?
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Which of the following is the correct procedure for serving a meal to a client who must be fed?
Which of the following is the correct procedure for serving a meal to a client who must be fed?
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The most serious problem that wrinkles in the bedclothes can cause is:
The most serious problem that wrinkles in the bedclothes can cause is:
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Restorative care begins:
Restorative care begins:
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Before placing a client in Fowler's position, the nurse aide should:
Before placing a client in Fowler's position, the nurse aide should:
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During hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to:
During hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to:
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How should a nurse aide dress for a job interview?
How should a nurse aide dress for a job interview?
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An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should:
An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should:
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When lifting a heavy object, the correct method would be to bend at the:
When lifting a heavy object, the correct method would be to bend at the:
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When should nurse aides wash their hands?
When should nurse aides wash their hands?
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When assisting a client with eating, one of the first things the nurse aide should do is:
When assisting a client with eating, one of the first things the nurse aide should do is:
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A patient has a new cast on her right arm. While caring for her, it is important to first observe for:
A patient has a new cast on her right arm. While caring for her, it is important to first observe for:
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Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is:
Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is:
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In caring for a confused elderly man, it is important to remember to:
In caring for a confused elderly man, it is important to remember to:
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Before assisting a client into a wheelchair, the first action would be to check if the:
Before assisting a client into a wheelchair, the first action would be to check if the:
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A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand:
A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand:
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While making rounds at 5:30 A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first?
While making rounds at 5:30 A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first?
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When moving a wheelchair onto an elevator, the nurse aide should stay:
When moving a wheelchair onto an elevator, the nurse aide should stay:
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The Foley bag must be kept lower than the client's bladder so that:
The Foley bag must be kept lower than the client's bladder so that:
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As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first:
As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first:
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When assisting a client who is using the commode, it is important to:
When assisting a client who is using the commode, it is important to:
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Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT:
Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT:
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The purpose of cold applications is usually to:
The purpose of cold applications is usually to:
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The hot water bottle is an example of a:
The hot water bottle is an example of a:
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Clients receiving an enema are usually placed:
Clients receiving an enema are usually placed:
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A female client's perineal area should be cleansed before which specimen is collected?
A female client's perineal area should be cleansed before which specimen is collected?
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The most common site for counting the pulse is the:
The most common site for counting the pulse is the:
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When counting respirations, the nurse aide should:
When counting respirations, the nurse aide should:
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Which of the following is NOT the nurse aide's responsibility when caring for clients who have urinary catheters?
Which of the following is NOT the nurse aide's responsibility when caring for clients who have urinary catheters?
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When giving information to the charge nurse for an incident report, the nurse aide should:
When giving information to the charge nurse for an incident report, the nurse aide should:
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All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by:
All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by:
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A resident is blind. It is important not to:
A resident is blind. It is important not to:
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When family members visit a client, the visitors should:
When family members visit a client, the visitors should:
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A resident asks, "If I need help during the night, who will be there?" The nursing assistant should respond:
A resident asks, "If I need help during the night, who will be there?" The nursing assistant should respond:
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Which of the following is a client's right?
Which of the following is a client's right?
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A resident often cries while she is receiving her P.M. care. What should the nurse aide do?
A resident often cries while she is receiving her P.M. care. What should the nurse aide do?
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When providing denture care, the nurse aide must:
When providing denture care, the nurse aide must:
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Sexuality in long-term-care clients may include all of the following EXCEPT:
Sexuality in long-term-care clients may include all of the following EXCEPT:
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A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client's:
A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client's:
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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:
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:
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If a client objects to certain food for religious or cultural reasons, the appropriate action would be to:
If a client objects to certain food for religious or cultural reasons, the appropriate action would be to:
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The client's religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is to:
The client's religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is to:
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Which type of communication can often be most powerful?
Which type of communication can often be most powerful?
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A client refuses to allow the nurse aide to bathe her. The nurse aide tells the client that she will not be allowed to eat lunch or go to bingo if she does not have her bath. This is an example of:
A client refuses to allow the nurse aide to bathe her. The nurse aide tells the client that she will not be allowed to eat lunch or go to bingo if she does not have her bath. This is an example of:
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On entering a room, an aide notices that the client is not breathing. The aide's first action should be to:
On entering a room, an aide notices that the client is not breathing. The aide's first action should be to:
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A client's dentures are lost. The first action should be to:
A client's dentures are lost. The first action should be to:
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Study Notes
Cane Assistance
- When assisting a client using a cane, position the nurse aide slightly behind the client's weak side to provide support.
Urinary Retention
- Clients with urinary retention commonly experience an inability to urinate.
Hearing Changes in Aging
- Older adults often lose the ability to hear high-pitched sounds due to aging-related hearing changes.
Patient Identification
- The safest method for identifying a patient is by checking the name tag.
Bowel and Bladder Training
- If a patient on a bowel and bladder training program has not had a bowel movement in three days, it is essential to report it to the charge nurse.
Medical Abbreviations
- The abbreviation for "before meals" is "a.c."
Hypertension History
- Patients diagnosed with hypertension typically have a history of high blood pressure.
Diet for Chewing Difficulties
- A client with chewing or swallowing difficulties requires a mechanical soft diet.
Alzheimer’s and Independence
- To help a resident with Alzheimer’s who cannot find her room, placing a familiar object on the door enhances her independence.
Intake and Output Records
- Patient intake and output records should be totaled once each shift.
Observations at Admission
- During client admissions, the nursing assistant should observe and document any bruises.
Responding to Intercom Calls
- When responding to a client on the intercom, provide your name and position for clarity.
Familiarizing Clients
- To help new clients acclimate, demonstrate the location and usage of the call light.
Room Arrangement
- Nursing assistants do not administer medications while arranging a client's room.
Assisting Out of Bed
- Employ proper body mechanics and techniques when helping a client out of bed.
Client Repositioning
- Clients should be repositioned every two hours during an eight-hour shift to prevent discomfort and promote circulation.
Serving Meals
- Meals should be brought to clients ready to be fed to ensure timely and appropriate care.
Bed Wrinkles
- Wrinkles in bed linens can lead to serious skin issues, such as decubitus ulcers (bed sores).
Restorative Care
- Begin restorative care as soon as possible to enhance recovery and rehabilitation.
Fowler's Position
- Always explain the Fowler's position procedure to the client before assisting them.
Handwashing Protocol
- If the inside of the sink is touched during hand washing, repeat the washing process from the beginning.
Job Interview Attire
- A business suit, dress, or dress shirt and pants is the preferred attire for a nurse aide job interview.
Client Safety
- Before leaving a newly admitted ambulatory client alone, ensure they know how to use the call bell.
Lifting Objects
- For safe lifting techniques, bend at the knees while keeping the back straight.
Hand Hygiene
- Nurse aides must wash their hands after providing client care to reduce infection risks.
Assisting with Eating
- The first step in assisting a client with eating is to wash both the nurse aide's and the client's hands.
Cast Care
- When caring for a client with a new cast, check the warmth and color of the fingers for circulation.
Participation in ADLs
- Encouraging clients to participate in activities of daily living is crucial for their rehabilitation.
Confusion in Elderly Care
- Keep bedrails up for safety when caring for a confused elderly client.
Wheelchair Safety
- Confirm that the wheels of a wheelchair are locked before assisting a client into it.
Transferring Clients
- When transferring a client with a weak left side, the nurse aide should position themselves on the left side.
Emergency Response
- If a patient is found lying on the floor, the first action is to assess their pulse and respirations.
Wheelchair Elevator Usage
- When moving a wheelchair onto an elevator, pull it towards you while staying behind the chair.
Foley Bag Position
- A Foley bag must be kept below the client’s bladder to prevent urine from returning and causing infection.
Dietary Restrictions
- If a client’s dietary needs are not met, such as being served pork when it is not permitted, report to the charge nurse.
Effective Communication
- Silent communication can be significantly powerful in patient interactions.
Rights of Clients
- Clients have the right to have their personal information kept confidential.
Emotional Support
- When a resident expresses distress during care, reassure them it is okay to cry and offer support.
Denture Care
- Proper denture care involves placing them on a towel in the sink with cool water to avoid damage.
Client Rights in Sexuality
- Long-term clients may require private time with a partner, but public fondling is considered inappropriate.
Partial Bed Bath Definition
- A partial bed bath for a client includes washing the face, hands, axillae, genitals, and buttocks.
Client Restraint Protocol
- Applying restraints without charge nurse directions could lead to allegations of false imprisonment.
H.S. Care
- H.S. care refers to care provided before bedtime.
Geriatric Diet
- Suitable food choices for clients without teeth include softer options such as baked fish and whipped potatoes.### Client and Family Communication
- Families should discuss impending death privately to support the client's emotional comfort.
Hygiene and Safety Protocols
- If a water pitcher spills, clean it up immediately to prevent accidents.
- Upon entering a room and finding a patient not breathing, prioritize calling for help.
- Postmortem care should begin immediately after the doctor pronounces the patient deceased.
Positioning and Mobility
- Correct positioning of clients prevents skin breakdown, maintains joint function, and increases comfort.
- A surgical bed should be left in the highest position for safety.
- Encourage residents to ambulate according to their care plan, allowing them to choose a more suitable time if needed.
Resident Dignity and Comfort
- Allow private visits for residents and their families when requested.
- If a resident refuses ROM exercises, encourage them by promoting a slow-paced approach.
- Address residents' complaints of discomfort (e.g., sore mouth) by seeking the nurse's assistance rather than dismissing their concerns.
Emergency and Response Situations
- After a resident’s death, aides may be assigned to prepare the body.
- In case of a fire in a resident's area, move residents out of immediate danger first; only use extinguishing methods after ensuring safety.
- If a resident indicates they may faint, assist them by having them sit on the floor carefully.
Communication and Emotional Support
- When residents express feelings of distress or confusion, it's essential to listen and ask about their feelings without dismissing them.
Daily Care and Assistance
- For residents who take time getting dressed, assist by starting the process earlier to make meals on time.
- Help residents maintain their hygiene without forcing them, and support them in expressing needs and wishes.
Safety Considerations for Residents
- For residents with poor vision, facilitate their safety by familiarizing them with the room layout.
- Regularly monitor residents for changes in behavior or health, reporting any concerns to the charge nurse.
General Observations and Reporting
- Report any inappropriate or concerning resident interactions, like unexpected behavior between residents, to the charge nurse.
- Understand that elderly residents may face specific challenges, such as vision problems, which require additional support.
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Description
Test your knowledge with these practice questions designed for the CNA state exam. The questions focus on key nursing assistant concepts, particularly client assistance techniques and care procedures. Ideal for anyone preparing for certification and looking to reinforce their skills.
