C. Confidentiality is the right of the resident, so care should not be discussed on an elevator where other people can overhear. The resident’s right to be present when his or her care is discussed (A), the resident’s right to refute any statements made (B), and the resident’s right to medical care (D) are all rights of the resident, but do not apply to this situation.

C. Applying friction is important to remove soil and bacteria from the hands. The other choices are all incorrect. Drying hands on a dirty towel reintroduces soil and bacteria (A). Applying soap to both hands before turning on the water (B) is incorrect because the procedure calls for soap to be applied to one hand while using the other hand to turn on the faucet. Wiping the soiled hand on a towel first (D) is incorrect because soiled hands are washed with soap and water with friction applied.

B. Report all lost items to the charge nurse as soon as possible. Telling the resident to eat without his or her dentures (A) or going through the resident’s belongings to see whether they are hidden (C) are not respectful of the client or his or her belongings. Notifying the resident’s family of the loss (D) is the responsibility of the facility administrator

A. Dentures are expensive and difficult to replace, and loss will cause stress to the resident. Use precaution when cleaning wet dentures by padding the sink so that dentures are less likely to break if the teeth are dropped accidently. Keeping the dentures in a glass (B), placing them on the bedside table (C), or placing them on a paper towel in the sink while washing (D) do not adequately protect the dentures.

C. Washing of the perineum when a resident has an indwelling catheter includes washing from the meatus out to prevent the introduction of bacteria that might be present on the catheter into the urinary tract. Washing from the rectum to the meatus (A) introduces bacteria to the urinary system. Washing the meatus with peroxide (B) is incorrect because peroxide is not a cleanser.
Providing traction to the catheter while washing the meatus (D) causes unnecessary discomfort to the resident.

B. Residents have the right to privacy at all times including when family is visiting. Providing snacks for the resident and family members (A), although hospitable, is not a responsibility of the nursing assistant. Remaining close enough to hear the conversation (C) and leaving the intercom on (D) do not provide privacy.

B. Hypertension is the medical term for high blood pressure. Tachycardia (A) is the term for increased pulse rate. Bradypnea (C) is the term for decreased respiratory rate. Hypotension (D) is the term for low blood pressure.

A. A hand roll is used to prevent contracture to the hand of a resident who is unconscious or has paralysis to the extremity. A cane (B), back support (C), and Ace bandage (D) are assistive or support devices.

C. Whenever a sexual comment is made, the first step is to set boundaries and let the resident know the comment or action is not acceptable. It is also advisable to report the incident to the nurse caring for the resident. Answers A and D might encourage further comments or actions. Answer B focuses on the resident and not the resident’s behavior.

D. The resident has the right to refuse care. The nurse should be informed of the refusal, but this can be done as soon as the nursing assistant is able (B). Informing the resident that everyone must take a bath when it is scheduled (A) or simply proceeding and bathing the resident anyway (C) does not respect the rights of the resident.