When beginning to weigh a resident, the scale should be balanced at

Correct Answer: A

Rationale: The correct answer is A: Zero. When weighing a resident, the scale must be balanced at zero to ensure an accurate measurement of the resident's weight. This is because zero represents the starting point or baseline weight. If the scale is not balanced at zero, the weight measurement will be inaccurate. Choices B, C, and D are incorrect because they are not the correct starting point for weighing the resident. Five pounds, ten pounds, and negative two pounds are arbitrary values that do not accurately reflect the resident's actual weight. It is crucial to always ensure the scale is balanced at zero before weighing to obtain precise and reliable weight measurements.

Correct Answer: D

Rationale: The correct answer is D: Perineum. The perineum is an area of the body that should be washed daily to maintain hygiene and prevent infections. It is the area between the genitals and the anus and tends to accumulate sweat and bacteria. Washing the perineum daily helps keep this area clean and reduces the risk of infections. A: Hair does not need to be washed every day as it can lead to dryness and damage. B: Knees do not require daily washing unless they are visibly dirty or exposed to contaminants. C: Chest does not necessarily need to be washed daily unless there is a specific reason such as excessive sweating or dirt accumulation. In summary, the perineum should be washed daily for hygiene purposes, while the other body parts do not require daily washing unless there are specific circumstances that warrant it.

Correct Answer: D

Rationale: The correct answer is D: Dyspnea. Dyspnea is the medical term for difficulty breathing. "Dys-" means difficult or painful, and "-pnea" refers to breathing. Therefore, dyspnea specifically describes the sensation of discomfort or difficulty when breathing. A: Eupnea means normal, unlabored breathing, so it is the opposite of difficulty breathing. B: Apnea is the absence of breathing, not difficulty breathing. C: Tachypnea is rapid breathing, not specifically difficulty breathing. In summary, dyspnea accurately represents the concept of difficulty breathing, making it the correct choice over the other options.

Correct Answer: D

Rationale: The correct answer is D because coughing or choking while eating can indicate a swallowing difficulty, leading to unintended weight loss due to inadequate intake. This should be reported to the nurse for further evaluation and management. A: Eating lean cuts of meat is a healthy dietary choice and does not necessarily indicate unintended weight loss. B: Eating dessert before dinner is a behavioral choice and not directly related to unintended weight loss. C: Avoiding fried foods and sweets can be part of a conscious effort to make healthier food choices and does not necessarily indicate unintended weight loss.

Correct Answer: D

Rationale: The correct answer is D: Excessive cleaning and wiping of the area. Hemorrhoids are swollen veins in the rectum and anus, and excessive cleaning and wiping can irritate and worsen the condition. It is important to be gentle and use soft materials to clean the area to prevent further irritation and discomfort. A: Fiber in the diet is actually beneficial for individuals with hemorrhoids as it helps soften the stool and reduce straining during bowel movements. B: Excessive intake of water is also important as it helps prevent constipation, a common trigger for hemorrhoids. C: Sitz baths can help reduce pain and inflammation associated with hemorrhoids by promoting blood flow and relaxing the muscles, so they are recommended for relief.