Under which of the following conditions should a nursing assistant not take an oral temperature on a person?

Correct Answer: D

Rationale: The correct answer is D because taking an oral temperature on a person who is confused or disoriented could lead to inaccurate results. A person who is confused may not be able to cooperate or keep the thermometer in their mouth properly, affecting the reading. It is crucial to ensure the person is alert and able to follow instructions for an accurate oral temperature. Choice A (The person has influenza): This is not a valid reason to avoid taking an oral temperature as having influenza does not necessarily impact the accuracy of the reading. Choice B (The person almost certainly has a fever): While the person likely has a fever, it does not directly affect the process of taking an oral temperature if the person is alert and can follow instructions. Choice C (The person is over six years old): Age alone does not determine whether a person should not have their oral temperature taken. It is the person's ability to cooperate and follow instructions that matters.

Correct Answer: A

Rationale: Rationale: A) Encouraging fluid intake and nutritious meals helps maintain proper hydration and bowel function, facilitating normal elimination. B) Encouraging residents to wait to go to the bathroom can lead to urinary retention or constipation. C) Decreasing fiber intake can result in constipation and hinder normal elimination. D) Discouraging physical activity can slow down digestion and worsen elimination issues. In summary, choice A is correct as it directly supports normal elimination by promoting hydration and proper nutrition. Choices B, C, and D are incorrect as they can lead to complications and disrupt normal elimination processes.

Correct Answer: C

Rationale: The correct answer is C. Keeping the genital area clean to prevent infection is crucial in catheter care as it reduces the risk of introducing bacteria into the urinary tract. Cleaning the area helps maintain hygiene and prevents urinary tract infections. A: Hanging the drainage bag higher than the level of the hips or bladder is incorrect as it can cause backflow of urine. B: Disconnecting the catheter when positioning or transferring the resident is incorrect as it can lead to contamination and increase infection risk. D: Hanging the drainage bag from the bedrail is incorrect as it can cause obstruction in the flow of urine and increase the risk of infection.

Correct Answer: D

Rationale: The correct answer is D - Red or a different color than the surrounding area. In a stage 1 pressure injury, the skin appears red due to localized blood flow changes. This indicates tissue damage without skin breakdown. Choices A, B, and C are incorrect as stage 1 injuries do not involve nonintact skin, deep craters, or deep purple discoloration. Skin remains intact in stage 1 injuries, with no visible breaks or open wounds. Deep craters and deep purple color are indicative of more severe pressure injuries.

Correct Answer: A

Rationale: The correct answer is A: Lung strength decreases. As people age, their lung tissue becomes less elastic, chest wall muscles weaken, and lung function decreases. This results in reduced lung strength and capacity. Choice B is incorrect because aging causes the airways to become less elastic, not more elastic. Choice C is incorrect as aging can lead to a weaker cough reflex due to decreased muscle strength. Choice D is incorrect because with age, lung function decreases, leading to lower oxygen levels in the blood, not an increase.