What is one helpful way for a nursing assistant to reduce and manage stress?

Correct Answer: B

Rationale: The correct answer is B because seeking help from a supervisor is an appropriate way for a nursing assistant to reduce and manage stress. By reaching out to a supervisor, the nursing assistant can receive guidance, support, and resources to address the sources of stress effectively. This can help in developing coping strategies and creating a healthier work environment. Talking to a resident about her stress (choice A) may not be appropriate as it can blur professional boundaries. Multitasking excessively (choice C) can lead to increased stress and decreased efficiency. Increasing caffeine intake (choice D) is not a healthy or sustainable way to manage stress.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) dehydration. When a patient experiences food poisoning with severe vomiting and diarrhea, they are at a high risk of dehydration. Vomiting and diarrhea lead to a significant loss of fluids and electrolytes from the body, which can quickly result in dehydration if not adequately addressed. Dehydration can further exacerbate the patient's condition and lead to serious complications if left untreated. Option A) edema is incorrect because edema refers to the accumulation of excessive fluid in the body's tissues, which is the opposite of the fluid loss seen in dehydration. Option C) jaundice is incorrect as it is a condition characterized by yellowing of the skin and eyes due to an excess of bilirubin in the blood, commonly seen in liver disorders, not directly related to food poisoning with vomiting and diarrhea. Option D) eczema is a skin condition characterized by red, itchy, and inflamed skin patches, which is not directly related to the acute illness described in the question. Educationally, understanding the potential complications of acute illnesses like food poisoning is crucial for healthcare providers to provide appropriate care and interventions to prevent further health deterioration in patients. Recognizing the signs and symptoms of dehydration and knowing how to manage it effectively is fundamental in post-operative care and general patient management.

Correct Answer: A

Rationale: In the context of basic post-operative care, understanding range-of-motion exercises is crucial for nurses to promote optimal patient recovery. The correct term for the movement described, where the foot is bent so that the toes point towards the knee, is dorsiflexion (Option A). Dorsiflexion refers to the movement at the ankle joint where the top of the foot is brought towards the shin, increasing the angle between the foot and the leg. This movement helps in maintaining flexibility and strength in the ankle joint, essential for preventing complications like contractures post-surgery. Inversion (Option B) is the movement where the sole of the foot turns inward, rotation (Option C) involves a circular movement around an axis, and eversion (Option D) is the opposite of inversion where the sole of the foot turns outward. These movements are not specifically related to the described action of pointing the toes towards the knee. For nurses, understanding these terms and their correct application is vital in providing effective post-operative care, preventing complications, and promoting the patient's recovery process by ensuring proper movement and joint flexibility.

Correct Answer: B

Rationale: The correct answer is B) Do ROM exercises two times a day, each exercise two to five times. Rationale: Passive range-of-motion exercises are essential in preventing complications such as contractures and muscle atrophy in post-operative patients. Doing ROM exercises twice a day helps maintain joint mobility and prevent stiffness. Performing each exercise two to five times ensures an adequate range of motion is achieved without causing overexertion. Option A is incorrect because asking the patient to demonstrate ROM does not actively engage the patient in the exercises, which are meant to be performed passively by the caregiver. Option C is incorrect as it relies on family members to perform ROM exercises, which may not always be feasible or consistent, leading to potential gaps in care. Option D is incorrect because moving joints until the patient complains of pain can cause harm and should never be the goal of ROM exercises. Pain is a sign of potential injury and should be avoided during passive ROM exercises. Educational context: It's crucial for nurses to understand the principles of passive ROM exercises to provide optimal post-operative care. By implementing a structured plan like the one in option B, nurses can promote patient recovery, prevent complications, and improve overall outcomes. Understanding the rationale behind the correct approach ensures safe and effective care for post-operative patients.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) urinary tract infection (UTI). A patient experiencing frequent urination, burning on urination, and odorous urine is exhibiting classic symptoms of a UTI. A UTI is characterized by inflammation of the urinary tract usually caused by bacteria. The symptoms described – frequent urination (urgency), burning sensation (dysuria), and odorous urine – are indicative of a bacterial infection in the urinary system. Option A) stress incontinence refers to the leakage of urine during physical activity or exertion, not typically associated with the symptoms described. Option B) urge incontinence involves a sudden urge to urinate leading to involuntary leakage, but it does not typically present with the specific symptoms of burning and odorous urine. Option D) lower colon infection would manifest with symptoms related to the gastrointestinal system, such as diarrhea, abdominal pain, and fever, rather than urinary symptoms. For nurses, recognizing these distinct symptoms is crucial in providing appropriate care to the patient. Understanding the differences between these conditions allows for accurate assessment and timely intervention, improving patient outcomes. It is essential for nurses to have a strong foundation in recognizing common post-operative complications like UTIs to ensure comprehensive patient care.