The nurse aide should prioritize the safety of the resident being bathed and immediately go check the door when the nearby alarm goes off. This is important as it could indicate a potential emergency or security breach, and the nurse aide needs to ensure the safety and well-being of all residents. Waiting for the alarm to stop or reporting it to the charge nurse may waste valuable time and potentially put the resident at risk. Stopping the bed bath and checking on the location of all assigned residents is also important, but ensuring the safety of the resident being bathed takes precedence in this situation.
In this situation, the nurse aides should step back to protect themselves from harm while speaking in a calm manner. This response prioritizes the safety of the nurse aides, as they should not put themselves at risk of physical harm. By stepping back, they create distance between themselves and the combative resident, reducing the likelihood of being hit. Speaking in a calm manner can help de-escalate the situation and potentially calm the resident down. It is important for the nurse aide to prioritize their own safety while still attempting to maintain a respectful and calm approach.
The correct answer is to enter the room immediately to provide for the resident's safety. This is the appropriate action because witnessing abuse or harm being inflicted on a resident requires immediate intervention to ensure the resident's well-being. Waiting to confront the nurse aide or checking for signs of injury after the nurse aide leaves the room would delay addressing the immediate safety concern. Contacting the state agency that inspects the nursing facility may be necessary later to report the incident, but the resident's safety should be the priority in this situation.
The best response by the nurse aide is to remain calm and ask what is upsetting the resident. This approach shows empathy and understanding towards the resident's emotions and allows the nurse aide to address the underlying issue. It is important to assess the situation and communicate with the resident in order to find a solution or provide appropriate support. Scolding the residents or removing them from the dining room immediately may escalate the situation further and create a negative atmosphere. Removing the resident's belongings may also be seen as punitive and not address the root cause of the behavior.
The correct answer is to leave residents' beds at the lowest level when care is complete. This is because lowering the bed to the lowest level reduces the risk of falls for the residents. It makes it easier for them to get in and out of bed safely and minimizes the distance they would fall if they accidentally roll out of bed. Keeping the bed at a low level promotes resident safety and helps prevent falls.
The nurse aide correctly follows standard precautions when wearing gloves to remove a resident's bedpan. This is because gloves are required to be worn when there is a potential for contact with bodily fluids or contaminated surfaces. Removing a resident's bedpan involves handling bodily waste, which poses a risk of infection. Wearing gloves helps to protect the nurse aide from coming into direct contact with the waste and prevents the spread of infection to themselves or others.
Residents who are restrained are at a greater risk of developing pressure sores. This is because restraints can limit the resident's ability to move and change positions, leading to prolonged pressure on certain areas of the body. Pressure sores, also known as bedsores or pressure ulcers, are injuries to the skin and underlying tissue caused by prolonged pressure on the skin. These pressure sores can be painful, difficult to treat, and can even lead to serious complications such as infection. Therefore, residents who are restrained are at a higher risk of developing pressure sores.
A slipknot is a type of knot that can be easily untied by pulling on the loose end. This allows for quick removal of the restraint when needed, such as in case of an emergency or when the resident needs to be repositioned or assisted with personal care. The other options do not specifically relate to the purpose of a slipknot, which is to provide a secure yet easily removable restraint.
When a sink has hand-control faucets, it is important for the nurse aide to maintain proper hygiene and prevent the spread of germs. Using a paper towel to turn the water off is recommended because it provides a barrier between the nurse aide's hands and the faucet handle, reducing the risk of contamination. By using a paper towel, the nurse aide can avoid touching the faucet directly, which may be contaminated with bacteria or other pathogens. This helps maintain a clean and safe environment for both the nurse aide and the patients.
When a resident is lying in bed and suddenly becomes short of breath, raising the head of the bed can help improve their breathing. This position, known as Fowler's position, allows for better lung expansion and can relieve breathing difficulties. Asking the resident to take deep breaths may not be effective if they are already struggling to breathe. Taking vital signs may be important, but it is not the immediate action needed to address the resident's shortness of breath. Elevating the resident's feet would not be helpful in this situation.
Having a finding for resident neglect would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse to be ineligible to work in a nursing home. This is because resident neglect is a serious violation of patient care and safety, and it goes against the ethical and professional standards expected of a nurse aide. The nurse aide's ability to provide proper care and ensure the well-being of residents is compromised, making them unfit to work in a nursing home setting.
