The resident consumed 3 ounces of juice. How many milliliters should the nursing assistant document on the flow sheet?
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Solution
D. There are 30 milliliters in each ounce, so 3 ounces is equivalent to 90 milliliters. The choices in answers A, B, and C are incorrect.
A nursing assistant smells smoke in the nursing facility. A resident is found smoking a cigarette. Which of the following actions is correct?
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Solution
C. Smoking inside a building where oxygen is in use is a hazard and residents might have conditions where smoke causes harm. Telling the resident to be more careful so no one catches him or her (A) or doing nothing (D) are ignoring the facility’s policies and putting other residents in harm’s way. Telling the resident that smoking in the building is against the law and to go outside (B) is only partially correct.
The nursing assistant is ready to enter Mrs. Jane Smith’s room to care for her. Which of the following is the best way to approach Mrs. Smith?
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Solution
C. A professional should introduce himself or herself by surname and title, and show respect to the resident by referring to the resident by his or her surname. The options in answers A, B, and D are incorrect because they either do not show respect to the resident or are not professional.
Which of the following terms is used to define when a resident becomes more confused each day during the evening or night hours?
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Solution
D. Residents who are more confused at night or evening hours is referred to as Sundowner’s Syndrome. Alzheimer’s Disease (A) and Dementia (B) are disorders that cause decreased orientation, but are not related to nighttime. Pyschosis (C) is a psychiatric condition that presents with decreased orientation and is not related to a specific time of day.
The nursing assistant is walking a resident around the unit, and the resident starts to fall. The first action of the nursing assistant should be which of the following?
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Solution
B. Easing the resident onto the ground decreases or prevents the chance of injury to the resident and the nursing assistant. Leaving the resident and quickly grabbing the nearest chair (A), getting to the nearest phone and calling for assistance (C), grabbing the resident by the arms and lifting them up (D) might cause harm to the resident.
When a confused resident is placed in restraints by the nurse, the nursing assistant knows which of the following is true?
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Solution
C. Residents who are in restraints are offered food, fluids, and toileting assistance at least every two hours. Answers A, B, and D are examples of isolation or forms of punishment. Restraints are not to be used for punishment but to prevent the resident from harming himself or herself.
When caring for a resident who is anxious, it is important for the nursing assistant to do which of the following?
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Solution
B. Remaining calm and speaking softly helps to reduce the tension in the room. Having restraints available in case of escalation to violence (A), keeping the room bright (C), and turning on the television to distract the resident (D) increase or aggravate the resident’s anxiousness.
When wearing gloves, remember to do which of the following to ensure adequate protection?
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Solution
A. Hands are washed before and after glove use. Washing hands after taking off gloves only (B) and assuming that a small tear will still keep out germs (C) are incorrect uses of gloves and might increase chances of contamination. Always wearing latex gloves because they are less costly (D) is incorrect because the nursing assistant or the resident might be allergic to latex.
Washing your hands appropriately is important to reduce the spread of infection. Which of the following directions is false?
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Solution
C. When hands are visibly soiled, they must be washed with soap and water. Hand sanitizer can be used when they are not visibly soiled. Rubbing hands vigorously with soap and water for at least 30 seconds (A), using a clean paper towel to dry hands (B), and using a paper towel to turn off the faucet (D) are all correct steps in washing your hands.
When helping to lift a resident up in bed, which of the following positions demonstrates proper use of body mechanics?
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Solution
B. The correct position for the nursing assistant when lifting a resident up in bed is to slightly bend the waist, slightly flex the knees, and use his or her leg muscles. The choices in answers A, C, and D do not protect the nursing assistant from injury.