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

Correct Answer: A

Rationale: The correct answer is A: Wipe from front to back. This is important to prevent the transfer of bacteria from the anal area to the vaginal area, reducing the risk of urinary tract infections. Start from the front and move towards the back. Choice B is incorrect because wiping from back to front can introduce bacteria into the vaginal area. Choice C is incorrect because wiping the anal area first can lead to contamination of the vaginal area. Choice D is incorrect because using the same area of the washcloth for each stroke can also spread bacteria and increase the risk of infection.

Correct Answer: D

Rationale: The correct answer is D because range of motion exercises can help improve muscle tone in individuals with congestive heart failure, aiding in overall physical functioning and quality of life. It is important for patients with heart failure to maintain muscle strength to support the heart and enhance exercise tolerance. A: Being on a high-sodium diet is not recommended for individuals with congestive heart failure as it can lead to fluid retention and worsen symptoms. B: Medications that cause a decrease in urinary output can exacerbate fluid retention, which is detrimental for individuals with congestive heart failure. C: Having a force fluids medical order is not typically necessary for individuals with congestive heart failure unless there are specific indications, as excessive fluid intake can worsen symptoms and lead to fluid overload.

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, aiding in the healing process. Elevating the casted limb above the heart level also helps to reduce pain and discomfort. A: Keeping the cast wet or damp can lead to skin irritation, infection, and weakening of the cast material. B: Using a sharp object to remove items inside the cast can cause injury to the skin and the underlying tissues. D: Using warm water and soap to wash the cast can weaken the cast material and may lead to skin irritation and infection.

Correct Answer: A

Rationale: The correct answer is A because scheduling bathing when the resident is least agitated helps reduce stress and resistance. This approach promotes a more positive bathing experience and ensures safety. Choice B is incorrect as rushing can lead to accidents and increased agitation. Choice C is incorrect as forcing the resident to bathe can lead to further resistance and distress.

Correct Answer: D

Rationale: The correct answer is D because HIV can be transmitted through contaminated needles, as the virus can enter the bloodstream through needle punctures. Healthcare workers are at risk due to needlestick injuries. A is incorrect because HIV is not transmitted through casual contact like touching objects. B is incorrect because HIV is not spread through toilet use. C is incorrect because HIV is not transmitted through hugging, even if the person has a fever.