When providing perineal care for a female resident the nursing assistant should

Correct Answer: A

Rationale: Correct Answer: A Rationale: Wiping from front to back prevents the spread of bacteria from the anal area to the vaginal area, reducing the risk of urinary tract infections. It is important to maintain proper hygiene to prevent infections in the perineal area. Summary of Incorrect Choices: B: Wiping from back to front can introduce bacteria from the anal area to the vaginal area, increasing the risk of infections. C: Wiping the anal area first can transfer bacteria to the vaginal area, leading to infections. D: Using the same area of the washcloth for each stroke can spread bacteria and increase the risk of cross-contamination.

Correct Answer: D

Rationale: The correct answer is D because range of motion exercises help improve muscle tone, strength, and flexibility in patients with congestive heart failure. This can help prevent muscle wasting and improve overall physical function. Choice A is incorrect as high-sodium diet can worsen fluid retention and exacerbate heart failure symptoms. Choice B is incorrect as medications causing a decrease in urinary output can lead to fluid retention and worsen heart failure. Choice C is incorrect as forcing fluids can increase fluid overload in patients with heart failure, putting extra strain on the heart.

Correct Answer: C

Rationale: The correct answer is C: Elevate an extremity that is in a cast. Elevating the extremity helps reduce swelling and promote circulation. This is important for proper healing and preventing complications. Keeping the cast wet or damp (A) can lead to skin irritation and infection. Using a sharp object to remove items in the cast (B) can cause injury. Washing a cast with warm water and soap (D) can weaken the cast material and compromise its integrity.

Correct Answer: A

Rationale: Step-by-step rationale for choice A: 1. Scheduling bathing when the resident is least agitated promotes cooperation. 2. It reduces stress and resistance, making the bathing experience more pleasant. 3. It respects the resident's feelings and autonomy. 4. It ensures safety and quality care. Summary of incorrect choices: B: Rushing the resident through the bath can lead to agitation and resistance. C: Forcing the resident to bathe violates their autonomy and can cause distress.

Correct Answer: D

Rationale: The correct answer is D because HIV can be transmitted through direct contact with contaminated blood, such as through needlestick injuries. Healthcare workers are at risk due to their exposure to blood and bodily fluids. Choices A, B, and C are incorrect because HIV is not transmitted through casual contact like touching objects, sharing toilets, or hugging. HIV is primarily transmitted through blood, semen, vaginal fluids, and breast milk.