Lesson 5 with Quiz : If your wheels go off the pavement

Bathing a resident without his or her permission is an example of battery. Keeping a resident isolated from others as a form of punishment is an example of involuntary seclusion.

Abuse in nursing facilities, or even suspicion of abuse, should be reported immediately to the nursing assistant’s supervisor. This requires more intervention than the nursing assistant’s scope of practice covers. Waiting or notifying the nurse only about bruises may delay getting the resident help.

MRSA stands for methacillinn-resistant Staphylococcus aureus and is very resistant to most antibiotic treatments.

Frequent hand washing is the best way to prevent infection without a doubt. The other measures are supportive.

Allowing the resident to participate in care will raise their self esteem and allow autonomy. It is inappropriate to clean the perineal area before the face, or to use cool water rather than comfortably warm water.

It is the duty of the nursing assistant to report any red pressure spots on the resident to the nurse. The nursing assistant may not apply any prescription ointments. Talcum powder is not recommended. A second staff member is not needed for perineal care.

It is the duty of the nursing assistant to report any red pressure spots on the resident to the nurse. The nursing assistant may not apply any prescription ointments. Talcum powder is not recommended. A second staff member is not needed for perineal care.

It is necessary to check the shaving instructions in the resident’s plan of care to be aware of any problems clotting and the necessity of using an electric razor as opposed to a traditional one.

Maintaining a routine is incredibly important to Alzheimer’s patients. Hallucinations and a decrease in appetite are common. It is important to frequently reorient the patient.

Lowering the bed to the lowest level is important for safety. Mitering the corners of sheets is recommended, as is raising side rails. Never place soiled linens on the floor.

Any pulse outside the range of 60 to 100 should be reported immediately to the nurse for the resident’s safety.

High Fowlers is a description of the patient sitting straight up in bed, meaning the bed itself has to be at a 90 degree angle to support them.

The nursing assistant should wear a gown and gloves at most as correct contact precautions.

Infection, especially in older clients, tends to cause sudden onset confusion. Tented skin may be normal for an older client, as could pale skin. Aphasia could indicate the onset of a stoke.

NPO is a latin abbreviation that stands for “nil per os” or “nothing by mouth.” It indicates that the client is not allowed food, fluids, or oral medications.

Someone with diabetes should always eat regular meals to keep their blood sugar relatively stable. Numbness in the feet is neuropathy, a common side effect of diabetes.

Residents on bedrest must be turned every 2 hours to maintain skin integrity.

It is important to first assess whether or not the resident is choking. If they are able to answer, air is still moving through the trachea. If they nod yes, but are unable to speak, it is time to begin the Heimlich maneuver. The Heimlich should not be performed on anyone who is able to cough or speak.

HIPPA requires you to keep client’s health information confidential. Period.

Taking the client to the bathroom will most likely prompt a bowel movement, which supports GI tract health. A confused patient may not remember what the urge means.

Diabetic clients often have special instructions regarding nail trimming. Check the chart for specific orders.

Waiting fifteen minutes ensures the temperature of the mouth will be more accurate. Axillary temperatures in the elderly are often not the best measure.

The boots will ensure that the feet are dorsiflexed to prevent contractures and discomfort.

It is very important to report a symptomatic low blood pressure to the nurse for further investigation.