When a resident has kidney stones care by a nursing assistant includes:

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: 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.

Correct Answer: D

Rationale: The correct answer is D: Left. The left cerebral hemisphere controls motor activity on the right side of the body due to the brain's contralateral organization. This means that the left hemisphere is responsible for controlling the opposite side of the body. The other choices are incorrect because the right hemisphere does not control the right side of the body (A), the middle hemisphere is not a recognized brain division (B), and the spinal cord is not directly involved in motor control originating from the brain (C).

Correct Answer: D

Rationale: The correct answer is D because hypothyroidism, a condition where the thyroid gland doesn't produce enough hormones, can lead to brittle hair and nails due to decreased metabolic activity affecting hair and nail growth. Increased hair growth (A) is associated with hyperthyroidism, not hypothyroidism. Weight loss (B) is a symptom of hyperthyroidism where metabolism is increased. Nausea or diarrhea (C) are not typical symptoms of hypothyroidism which usually presents with weight gain and constipation.

Correct Answer: D

Rationale: The correct answer is D: Hyperextended. When a joint is extended beyond its normal range of motion, it is considered hyperextended. This means that the joint is moved past its usual limit in the direction opposite to flexion. Flexion (choice A) is the bending of a joint, not extending it. Opposed (choice B) refers to two things being against each other and is not related to joint motion. Pronation (choice C) is the inward rotation of the forearm, not joint extension. Hyperextension is the only choice that accurately describes the scenario of a joint being extended beyond its normal motion limit.