Which of the following is not an age-related expected change?

The nursing assistant needs to stand to the side and slightly behind the patient while holding onto the belt (using both hands) when using a gait belt. In all of the other options, the nursing assistant doesn’t have enough direct control over both the belt and the patient while still being able to walk themselves.

B, C, and D are all considered symptoms of a localized infection. However, chills may indicate that of a systemic infection.

Patients' esteem and autonomy will be raised when allowing them to participate in care. It is not appropriate to clean the perineal area before the face, or to utilize cool water rather than comfortably warm water.

The signs of hypoglycemia include sweating, confusion and tremors.

Showing proof of at least 12 hours of CE credits is a must for all nursing assitant. Retaking the exam and performing community service is not required. In addition, there is no waiver or special document created by an employer to exempt a nursing assistant from the continued education.

The most particular sign of fecal impaction is the watery leakage of stool around a blockage, also called a bowel obstruction.

It is probably a sign of DVT post surgery when there is calf pain (especially when in just one leg). Because of this, it must be reported right away. Performing active range of motion might be appropriate, but it’s important to check the cause of the problem first. Selection B should not happen because massaging the leg might put the patient at a greater risk of pulmonary embolism. Selection C of having the patient walk around might be helpful, but again it’s important for the nurse to assist in detecting the situation first.

It is important for the nursing assistant to always begin by cleaning the perineum from the front to the back. They should never clean from the back to the front because this may increase the chance of a urinary tract infection. Prior to cleaning the tubing of the catheter, the nursing assistant needs to check and make sure the catheter is suitably secured to the patient’s leg. This will prevent the catheter from dislodging during cleaning. Because it is necessary to clean everything, including the catheter, option B is not correct. Not cleaning the area opens the patient up to possible infections. Even though the patient has an indwelling catheter, it is still necessary to clean off all the equipment and the perineum as well, so choice B is not accurate. Failure to clean the perineum may open up the possibility of infection. Although option D has the correct order, the correct technique is not used. A nursing assistant should never clean the patient (especially female patients) from the back to the front as it can push bacteria into the vaginal area and cause infections. The cleaning of the catheter material is correct though, as it is important to wash from the area nearest the patient away. This also helps prevent the spread of bacteria into the vaginal area.

WT is the most regularly used abbreviation for “weight.” KG and LB are measurements of weight.

It is the patients' right to make their own, informed, healthcare decisions. This is called self-determination. The others all refer to other rights the patient has.