Residents might experience which of the following due to decreased intestinal motility?
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Solution
C. Constipation is a problem with aging. The intestinal motility slows and leads to constipation. Diarrhea (A), bloating (B), and decreased appetite (D) are not due to aging, but might be signs of other problems.
What is the appropriate action of the nursing assistant when the resident asks for time alone with her husband?
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Solution
B. The facility should provide the resident privacy for sexual expression. Many residents have an active sex life in long-term care facilities. Leaving the door open (A) or telling the resident to ask the husband to come at a later time (C) is a violation of the resident’s rights. Calling the physician is not under the nursing assistant’s scope of practice (D).
Of the following signs, which one is not a sign of infection?
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Solution
D. Shortness of breath is not a sign of infection. Fever (A), swelling (B), and redness (C) are all signs of an active infection.
Select the appropriate action of the nursing assistant when a resident refuses to transfer out of the bed into the chair.
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Solution
D. The resident has a right to refuse treatment. If the nursing assistant threatens the resident if he or she continues to refuse transfer (A), ignores the resident and transfers him or her anyway (B), or calls for help to transfer the resident because he or she might become agitated (C), the nursing assistant is not honoring the right of the resident.
Which of the following complications should be reported immediately to the nurse?
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Solution
B. Any problems with airway, breathing, or circulation should be reported immediately. Incontinence (A), a weak leg (C), and increased hunger (D) should be reported but not immediately.
Which of the following is the responsibility of the nursing assistant when caring for a resident who is receiving intravenous therapy?
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Solution
C. The nursing assistant has two main responsibilities with intravenous infusions. One is to check
that the fluid is infusing and second to report any problems immediately. Assessing the site for swelling, redness, or bruising (A) and monitoring the site, tubing, and infusion solution (B) are responsibilities of the nurse. Because the nursing assistant always has a responsibility to report any problems with the resident or the treatment, he or she is responsible for monitoring the infusion (D).
Select the appropriate medical term for the abnormal shortening of muscle tissue.
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Solution
D. With a contracture, the muscle prevents the joint from moving. With arthritis (A), the joint still moves but might be stiff and painful. A sprain (B) involves injury to the muscle or ligaments not the bone. A fracture (C) is usually temporary and does not always involve the joint.
Seizures are sometimes known by which of the following?
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Solution
B. Convulsions is a word used sometimes in place of seizures. Sugar in the blood (A) is sometimes
used to describe diabetes. Consumption (C) is used to describe pneumonia or tuberculosis. Heart troubles (D) is used to describe any cardiac-related conditions.
Select the appropriate action by the nursing assistant that demonstrates adherence to the resident’s right to privacy?
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Solution
C. Closing the curtains before beginning a procedure is an example of providing privacy. Assisting the resident onto the bedside commode and forgetting to close the curtains (A), standing beside the resident while he or she talks on the phone (B), and not providing adequate clothing while dressing the resident (D) do not properly provide the resident with his or her right to privacy.
The Patient’s Bill of Rights is a document that lists the guidelines identifying the resident’s treatment, level of care, and services while in the facility. Any complaints or dissatisfaction by the resident in regard to care is considered which of the following?
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Solution
D. A resident files a grievance with administration when the resident feels care or services are not what was promised. Slander is a legal term for making false statements about someone (A). Defamation refers to making a false accusation about a person’s activity (B). Irritating (C) is a term used when referring to emotions.