The correct answer is OBRA. OBRA stands for the Omnibus Budget Reconciliation Act, which is a federal law that sets the requirements for long-term care nurse aides. It mandates that all nurse aides must undergo competency evaluation and complete a specific education course in order to work in long-term care facilities. OSHA (Occupational Safety and Health Administration), CDC (Centers for Disease Control and Prevention), and FDA (Food and Drug Administration) do not have jurisdiction over the requirements for long-term care nurse aides.
Before bathing a client, the nursing assistant should close the door and pull the curtain to ensure the client's privacy and maintain a comfortable environment. This step is important to respect the client's dignity and promote a sense of security during the bathing process. Gathering a change of clothing and checking for a doctor's order may also be necessary, but these steps are not directly related to ensuring privacy and comfort during the bathing process. Therefore, the correct answer is to close the door and pull the curtain.
In a long-term care facility, it is important for family members to attend care-planning meetings. These meetings involve discussing the client's care plan, progress, and any changes or updates that need to be made. By attending these meetings, family members can actively participate in decision-making and ensure that the client's needs and preferences are being met. It also allows for open communication between the facility staff and the family, fostering a collaborative approach to the client's care.
The first thing the nurse aide should do when assisting a client with eating is to wash his/her hands and the client's hands. This is important to maintain proper hygiene and prevent the spread of germs. By washing their hands, the nurse aide can ensure that they are providing a clean and safe environment for the client. Additionally, washing the client's hands can help prevent any contamination from their hands to the food they are about to eat.
The correct answer is to speak quietly and calmly. This is because the resident may be agitated and turning on the light or shouting her name may further agitate her. By speaking quietly and calmly, the nurse aide can help to soothe the resident and create a calm environment, which is important for the resident's well-being.
To guard against breaking the dentures, it is necessary to either line the emesis basin with a paper towel or fill the sink with water. This is because dentures are fragile and can easily break if dropped onto a hard surface like a sink. By using a paper towel or filling the sink with water, there is a cushioning effect that helps protect the dentures from impact and reduces the risk of them breaking.
When assisting a client to use the bedside commode, it is important to leave the call light within reach so that the client can easily call for assistance if needed. Placing toilet tissue close by ensures that the client has easy access to it for personal hygiene. Returning to check on the client periodically is crucial to ensure their safety and well-being while using the commode. Therefore, all of the above options are important when assisting a client to use the bedside commode.
Before assisting a client into a wheelchair, the first action would be to check if the wheels of the chair are locked. This is important to ensure the client's safety and stability while transferring into the wheelchair. If the wheels are not locked, there is a risk of the chair moving or rolling away, potentially causing harm to the client. Therefore, it is crucial to confirm that the wheels are securely locked before assisting the client into the wheelchair.
When giving an unconscious patient a bath, it is important to perform a passive range of motion to all joints. This means gently moving each joint through its full range of motion without the patient's active participation. This helps to prevent stiffness, contractures, and muscle atrophy that can occur when a person is immobile for an extended period of time. It also promotes circulation and helps maintain joint flexibility. The charge nurse or physical therapist may assist in this process, but it does not necessarily require a doctor's order.
Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is necessary for rehabilitation. These activities are essential for maintaining and improving the client's physical and mental well-being. By actively participating in ADLs, the client can regain their independence, improve their motor skills, and enhance their overall quality of life. Rehabilitation aims to restore the client's functional abilities, and engagement in ADLs plays a crucial role in achieving this goal.
When lifting a heavy object, it is important to protect your back and use proper lifting techniques. Bending at the knees allows you to engage the strong muscles in your legs, which can handle the weight more effectively than your back. Keeping your back straight helps to maintain proper alignment and minimize the risk of injury. This method distributes the weight evenly and reduces strain on the back, making it the correct and safest way to lift a heavy object.
