The most important thing a nursing assistant can do to prevent the spread of disease is to

Correct Answer: C

Rationale: Step-by-step rationale for why choice C is correct: 1. Handwashing is the most effective way to prevent the spread of disease. 2. Proper hand hygiene reduces the transmission of pathogens. 3. Nursing assistants have frequent contact with patients, making handwashing crucial. 4. Gloves and PPE are important but handwashing is more effective. 5. Vaccinations protect individuals but do not prevent the spread of disease. 6. Using lotions is important for skin health but does not prevent disease transmission.

Correct Answer: D

Rationale: The correct answer is D: Facial droop. Facial droop is a common sign of stroke due to the weakness or paralysis of facial muscles. This occurs because of disruption in blood flow to the brain, affecting nerve function. It is essential to recognize facial droop promptly as it can indicate a stroke, prompting immediate medical attention. The other choices, abdominal pain, gasping for air, and low blood pressure, are not typical signs of a stroke and do not directly relate to the neurological symptoms associated with a stroke.

Correct Answer: A

Rationale: The correct answer is A: Leave the unit tidy. It is important for a nursing assistant to maintain a clean and organized environment for the resident's safety and well-being. Leaving the unit tidy ensures that the resident can move around safely and comfortably. Moving the resident's belongings (B) without permission can be seen as invasive and disrespectful. Leaving spills for the next shift (C) can pose a hazard to the resident and others. Locking the resident's door (D) can impede emergency access and violate the resident's privacy. Therefore, the best practice is to leave the unit tidy to promote a safe and respectful environment.

Correct Answer: C

Rationale: The correct answer is C because the decision on which bath to give a resident should involve input from both the doctor and the resident. The doctor can provide medical expertise to ensure the bath is safe and appropriate for the resident's health needs. Involving the resident in the decision empowers them to have a say in their care, promoting autonomy and person-centered care. The physical therapist (choice A) may not have the medical knowledge required for this decision. The nursing assistant (choice B) typically follows the care plan and does not have the authority to make medical decisions. The resident's family (choice D) may provide valuable input, but ultimately the decision should be made by the medical professional and the resident themselves.

Correct Answer: D

Rationale: The correct answer is D because when a person is confused or disoriented, they may not be able to cooperate in holding the thermometer properly or keeping their mouth closed during the reading, leading to inaccurate results. Therefore, it is crucial not to take an oral temperature in such cases to ensure the accuracy of the measurement. Choice A (The person has influenza) is not a valid reason to avoid taking an oral temperature. Influenza itself does not prevent the accurate measurement of oral temperature. Choice B (The person almost certainly has a fever) does not necessarily indicate that an oral temperature should not be taken. It is still important to assess the person's temperature accurately to confirm the presence of a fever. Choice C (The person is over six years old) is irrelevant to the decision of not taking an oral temperature. Age alone does not impact the ability to take an oral temperature accurately.