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 because placing the wheelchair on the resident's left side allows for easier transfer of the resident from bed to wheelchair, utilizing the stronger leg for support. Placing the wheelchair on the resident's weaker side (choice B) may cause imbalance and increase risk of falls. Placing it on the resident's right side (choice C) may obstruct the transfer. Placing it on the affected side (choice D) could potentially cause discomfort or injury to the weaker leg.

Correct Answer: B

Rationale: The correct answer is B because observing skin closely for changes and answering call lights promptly are essential aspects of bowel retraining. By observing the skin, the nursing assistant can detect any signs of skin breakdown due to incontinence and take necessary actions. Answering call lights promptly ensures timely assistance with toileting needs, which is crucial for successful bowel retraining. Choice A is incorrect as offering praise sparingly and restricting fluids after dinner are not relevant to bowel retraining. Choice C is incorrect as using gloves is necessary for hygiene, and offering foods not included in the diet order can disrupt the retraining process. Choice D is incorrect as ignoring episodes of incontinence and pushing independent perineal care can hinder the retraining progress and potentially lead to complications.

Correct Answer: C

Rationale: Rationale: Choice C is correct because reporting blood in the urine promptly is crucial in monitoring the resident's condition and detecting any complications. Blood in the urine may indicate an exacerbation of the kidney stones or other underlying issues. Straining urine for kidney stones is important, but it should be done for all urine, not just early morning urine (Choice D). Decreasing fluid intake (Choice A) is not recommended, as adequate hydration helps prevent kidney stone formation. Discarding kidney stones found in filters (Choice B) is unnecessary as they may be needed for analysis to determine the type of stones and guide treatment.

Correct Answer: A

Rationale: The correct answer is A because leaving an ice bag on the body for longer than 20 minutes can cause blood vessels to open due to a process called vasodilation. This occurs as a response to the cold temperature, which causes the blood vessels to dilate in an attempt to bring more warm blood to the area. This can lead to increased blood flow and potential tissue damage. Option B is incorrect as prolonged use of ice can actually slow down the clotting process and increase bleeding. Option C is incorrect as leaving an ice bag on the body does not cause fever. Option D is incorrect as prolonged application of ice can actually lead to increased swelling due to the increased blood flow to the area.

Correct Answer: C

Rationale: The correct answer is C: Have the resident rinse mouth with water before the collection. This step helps to ensure that the sputum sample collected is not contaminated with food particles or debris from the mouth, providing a more accurate representation of the respiratory secretions. Rinsing with water helps to clear the mouth and throat of any potential contaminants, making the collection process more effective. Explanation for other choices: A: Having the resident eat dinner prior to the sputum collection can introduce food particles into the sample, leading to contamination and inaccurate results. B: Asking the resident to rinse with mouthwash before the collection can introduce chemicals that may interfere with the accuracy of the test results. D: Collecting the specimen at night just before the resident goes to bed does not address the need to clear the mouth of potential contaminants before the collection.