A resident who is ambulatory can

Correct Answer: C

Rationale: The correct answer is C because being ambulatory means the ability to walk. Thus, a resident who is ambulatory can get out of bed and walk. This is a basic functional ability associated with ambulation. Choices A, B, and D are incorrect as they do not directly relate to the concept of ambulatory status. Feeding oneself, remembering who and where one is, and speaking clearly are important skills but not specifically tied to ambulation.

Correct Answer: A

Rationale: Proteins are the correct answer because they are essential for tissue growth and repair. Proteins provide the building blocks (amino acids) necessary for cell regeneration and repair processes. Fats primarily serve as an energy source, carbohydrates are mainly for energy production, and while water is crucial for overall bodily functions, it does not directly facilitate tissue growth and repair like proteins do.

Correct Answer: A

Rationale: The correct answer is A: Skin that appears tight, smooth, and shiny. Fluid overload leads to increased fluid accumulation in the body, resulting in edema. This excess fluid can cause the skin to appear tight, smooth, and shiny due to swelling. B: Weight loss is not a symptom of fluid overload, as it is typically associated with fluid deficit or dehydration. C: Increased urine output is a symptom of fluid excess, not fluid overload. In fluid overload, the body struggles to eliminate the excess fluid, leading to edema and decreased urine output. D: Decreased heart rate is not a direct symptom of fluid overload. In fact, fluid overload can strain the heart, leading to an increased heart rate as the heart works harder to pump the excess fluid.

Correct Answer: A

Rationale: Correct Answer: A Rationale: Wiping from front to back prevents the spread of bacteria from the anal area to the vaginal area, reducing the risk of urinary tract infections. It is important to maintain proper hygiene to prevent infections in the perineal area. Summary of Incorrect Choices: B: Wiping from back to front can introduce bacteria from the anal area to the vaginal area, increasing the risk of infections. C: Wiping the anal area first can transfer bacteria to the vaginal area, leading to infections. D: Using the same area of the washcloth for each stroke can spread bacteria and increase the risk of cross-contamination.

Correct Answer: A

Rationale: The correct answer is A: First-degree (superficial) burn. This type of burn affects only the epidermis, causing redness and pain. The epidermis is the outer layer of the skin, so a burn that affects only this layer is classified as a first-degree burn. Choices B, C, and D are incorrect because they describe burns that penetrate deeper layers of the skin. Second-degree burns (B) involve the epidermis and part of the dermis, causing blisters and more severe pain. Third-degree burns (C) damage all layers of the skin and may result in numbness due to nerve damage. Scalds (D) refer to burns caused by hot liquids or steam, but the severity of the burn depends on the depth of tissue damage, not just the cause.