Documentation
You offered a bath to Rich before supper and he stated he would take it before bed. About 8pm you offered Rich a bath or shower and he stated he was too tired and didn't want it. You will document...
Resident refused to complete activity
When caring for a person who is unresponsive, you
Remember hearing is the last to go. Explain what you are doing to him or her.
A person has been on bedrest. You need to have the person walk. What will you do first?
Have the person dangle (or sit on side of bed) before getting out of bed.
A daughter asks you for water for her mom. You respond
I will be happy to do that.
Report the BP to the nurse at one. Prepare to retake the BP again.
Total Dependence
A person you are caring for touches your buttocks several times. You
You need to turn a heavy person in bed. You
Use good body mechanics. Get help.
A person is on a sodium-controlled diet. This means
Canned vegetabels are omitted from his/her diet
Sodium is limited in the preparation
When taking an apical pulse, count the pulse for
1 minute
or if regular 30 sec (multiply by 2) or 15 sec (multiply by 4)
When assisting Harry with toileting, he walks to the bathroom with gait belt, one assist with walker. Harry takes his pants down and sits on toilet. Afterwards, you provide peri-care and Harry pulls his pants back on. You will document...
Partial or moderate assistance
You find a person smoking in the nursing center. You should
Ask the person to put the cigarette out and show them the designated smoking area
When transferring a person from a bed to a wheelchair, you never
Have the person put his or her arms around your neck
You are asked to encourage fluids for a person. You
Keep fluids where the person can reach them.
Offer fluids the person enjoys; increasing their fluid intake.
You are counting respirations on a person. You
You place the walker in front of Daphne, who then stands up and walks to the dining room. You walk beside her with a grip on her gait belt. You will document...
Supervision or touching assistance
When using a wheelchair, you should
Lock both wheels before you transfer a person to and from the wheelchair
A person has a weak left leg. What side should the person hold his/her cane?
Hold the cane in his/her right hand
Before feeding a person, you
wash your hands
You are taking blood pressures on people assigned to you. An older person has a blood pressure (BP) of 188/96mmgHG. You
You deliver Gary's meal tray to him. Open all the containers including the bag of chips. Place the fork in his hand and then he feeds himself. You will document...
Set-up or clean-up assistanc
When bathing a person, you notice a rash that was not there before. You
Tell the nurse and document it in the medical record
Restorative nursing programs help
Jim is diabetic. The nurse administered insulin before the meal. Jim ate 25% of his meal and then walked away from the table. You
Report to the nurse
This morning you weighed Sally on the same scale as yesterday with similar clothing. Yesterday she weight 150#. Today she weigh 156#. You
Report to the nurse at one. Be prepared to weigh again.