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Question:

Before shaving a resident, which of the following items must the nursing assistant check for in the patient’s care plan?

A Shaving instructions related to problems or issues with clotting.

explanation

In order to be aware of any clotting issues as well as the necessity of using an electric razor as opposed to a traditional razor, a nursing assistant must check the shaving instructions in the patient’s care plan

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Which of the following would you have to report immediately after your patient has received an enema?

If the patient has severe abdominal cramping.

After an enema, your resident shouldn’t have severe cramping; however, mild cramping could occur. The rest of the options are expected responses after a resident receives an enema.

What should you do when observing that a patient is bleeding from an IV site.

notify the RN immediately.

What should the nurse aid do when realizing blood in a patient’s IV tubing?

Notify the IV nurse

The tubing should be clear and the IV site clean and dry when an IV is running well. If blood is noted in the tubing, notify the nurse. It is outside the scope of practice for a nurse aide to do anything with an IV.

How many milliliters do three liquid ounces equal?

90

What should the nursing assistant insert while taking a rectal temperature? The thermometer and __________.

Hold on to the thermometer until it can be removed

A rectal temperature is the most accurate, but needs to be done correctly. Lubricating the thermometer and gently inserting it about one or two inches into the rectum after placing the client in Sim’s position. To prevent it being pushed out or advancing into the rectum, hold the thermometer in place for two minutes. After withdrawing it, wipe it with a gauze pad, read the temperature, and place the thermometer in the “used” container.

A customer is to be assisted out of bed to sit in a wheelchair. The action would make this procedure safe is ______________.

Place the bed in the low position

Starting with the bed in the lowest position keep customer safety during transfer. This allows the customer to conveniently reach the floor when standing and pivoting to sit in the wheelchair. The brakes of the wheelchair should be locked and the footrests completely out of the way.

Which of the four options below is the correct method of making an occupied bed?

Once the procedure is complete, lower the bed to the lowest level.

It is very important for the patient's safety to lower the bed to the lowest level. Mitering the corners of sheets is recommended, raising the bed’s side rails too. Never place soiled linens on the floor to avoid spreading germs.

Out of the options below, which is not a suggested direction to follow when your patient is having chest pains?

Have the patient small sips of water and place them in a downright position.

When a resident is suffering with chest pains, they should not have anything to drink or eat until other members of your healthcare team can assess them. All of the other options are important in the treatment of your resident.

A resident complains that her hand hurts where the IV is running. What is the best thing to do when the nurse aid notices that the hand is puffy?

Notify the IV nurse that the infusion appears to have infiltrated

Infiltration occurs when the IV fluid leaks into the tissue due to a dislodged or misplaced IV catheter . The nurse assistant should supervisor the IV site and mark if it becomes swollen, cool to the touch, or painful. The skin near the IV site may look pale. To avoid pulling the line, always be careful when moving or assisting a customer with an IV.

Regarding measurement of urinary output, which of the following is a correct answer?

300 cc

300 cc is a metric measurement meaning 300 cubic centimeters. In medicine around the world, all length, weight, volume, and temperature measurements use the metric system. The metric system is based on units of ten, and is more precise than other methods of measurement.

The medical term regularly used for ‘burping, belching or passing gas is ________________.

Flatus.

Flatus is the medical term for intestinal gas. Familial is a condition more common in certain families than the general population. Fascia is the medical term for the tissue lining under the skin. Flank is the term used for the side of the back.

What does NOT contribute to skin tears?

The patient or caregiver’s hair length.

The hair length of a resident or caregiver would be the least likely to result in a skin tear. All the other options are considered to be common results of skin tears in both elderly and young residents.

You, as the nursing assistant must wear a mask when entering patient's room. What kind of precautions has your patient been placed on?

Droplet precautions

Masks have to be worn for droplet or respiratory precautions in order to protect both the patient and staff.

You are required to let your patient have the intake of 240 millilitres of juice every two hours. What is the best way to meet this requirement?

An 8 oz. can of juice.

Every ounce is equivalent to 20 milliliters so an 8 oz. can of juice is the exact requirement. Although the other options can be used, they are not the most convenient due to the measurements.

What is a health care agency or program for patients who are dying?

Hospice