A nursing assistant is transferring a resident from her bed into a wheelchair. The resident has a weaker right leg. Where should the NA place the wheelchair?

Correct Answer: A

Rationale: The correct answer is A: On the resident's left side. Placing the wheelchair on the resident's left side ensures that the stronger leg (left leg) is nearer to the wheelchair for support during transfer. This allows the resident to push off the bed with the stronger leg and maintain balance while transferring. Placing the wheelchair on the weaker side (B) or affected side (D) could increase the risk of injury or falls. Placing it on the right side (C) could make transferring more challenging for the resident due to the weaker leg being farther away from the support of the wheelchair.

Correct Answer: B

Rationale: The correct answer is B because observing skin closely for changes and answering call lights promptly are crucial aspects of bowel retraining. Skin changes can indicate potential issues like incontinence-associated dermatitis. Promptly answering call lights ensures timely assistance with toileting needs, promoting continence. Incorrect answer explanations: A: Offering praise and restricting fluids after dinner are not specific guidelines for bowel retraining. C: Avoiding gloves can compromise infection control, and offering foods not included in the diet order can disrupt bowel retraining efforts. D: Ignoring episodes of incontinence can hinder progress in bowel retraining, and pushing independent perineal care may not address underlying issues causing incontinence.

Correct Answer: C

Rationale: The correct answer is C because reporting blood in the urine promptly is crucial in monitoring the resident's condition and identifying any complications related to kidney stones. This step ensures timely medical intervention. A is incorrect as decreasing fluid intake may worsen the condition by leading to dehydration. B is incorrect because discarding kidney stones found in filters prevents analysis by healthcare providers. D is incorrect as straining only early morning urine may miss detecting blood in the urine throughout the day.

Correct Answer: A

Rationale: The correct answer is A because prolonged application of ice causes vasoconstriction, not blood vessels opening. Vasoconstriction reduces blood flow, minimizing tissue damage. Choices B and D are incorrect as ice can increase bleeding and swelling. Choice C is irrelevant as ice does not cause fever.

Correct Answer: C

Rationale: The correct answer is C: Have the resident rinse mouth with water before the collection. This step helps to reduce contamination of the sputum sample with bacteria from the mouth, ensuring a more accurate analysis. Rinsing with mouthwash (choice B) may interfere with the specimen analysis due to the chemicals present. Having the resident eat dinner prior to collection (choice A) can introduce food particles into the sample. Collecting the specimen at night (choice D) does not specifically address the need to reduce mouth contamination.