When using sterile gloves what is one important step that the nursing assistant should take?

Correct Answer: B

Rationale: In the context of caring for a patient with Alzheimer's disease, it is crucial for nursing assistants to adhere to proper infection control practices to ensure the safety and well-being of the patient. The correct answer, B) Ensure sterile glove expiration date is current, is essential because using expired sterile gloves can compromise the sterility of the procedure, leading to potential infections for the patient. Nursing assistants must always check the expiration date of sterile gloves before use to maintain aseptic technique. Option A) Apply gloves before entering the room is incorrect as gloves should be put on just before beginning the procedure to minimize contamination. Option C) Open dressing packages with sterile gloves on is incorrect because sterile gloves should only be worn during the actual procedure to maintain sterility. Option D) Change gloves only once during sterile dressing changes is incorrect as gloves should be changed as needed to prevent cross-contamination and maintain cleanliness. Educationally, understanding the importance of using sterile gloves correctly in patient care is fundamental for nursing assistants to provide safe and effective care. Reinforcing the significance of proper infection control practices can help prevent the spread of infections among vulnerable populations, such as patients with Alzheimer's disease.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Pathologic fracture. A pathologic fracture occurs in a bone that is weakened by a disease such as cancer. The educational context here is crucial for healthcare professionals to understand the implications of underlying diseases on bone health. Option A) Compound fracture refers to a fracture where the broken bone pierces the skin, which is not specific to a bone weakened by a disease. Option B) Comminuted fracture involves the bone breaking into multiple pieces, usually due to a significant force, rather than being weakened by a disease. Option C) Greenstick fracture is a type of fracture commonly seen in children where the bone bends and cracks but does not completely break, and it is not related to bone weakening by disease. Understanding the concept of pathologic fractures is essential in the care of patients with conditions like cancer, osteoporosis, or other diseases that can compromise bone strength. Healthcare providers must be able to recognize and manage these fractures appropriately to provide optimal care for patients with underlying health conditions.

Correct Answer: D

Rationale: In the context of caring for a patient with Alzheimer's disease, understanding the basic concepts of the human body's regulatory systems is crucial. The correct answer to the question, "What part of the body regulates calcium and phosphate in the bloodstream?" is option D) Parathyroid glands. The parathyroid glands are small glands located behind the thyroid gland in the neck. They play a vital role in regulating calcium and phosphate levels in the bloodstream through the secretion of parathyroid hormone (PTH). PTH helps to increase calcium levels in the blood by stimulating the release of calcium from the bones and enhancing calcium absorption in the intestines while decreasing excretion by the kidneys. This process is essential for maintaining proper bone health and nerve function. Now, let's discuss why the other options are incorrect: A) Thyroid gland: While the thyroid gland plays a crucial role in regulating metabolism through the secretion of hormones like thyroxine, it is not primarily responsible for regulating calcium and phosphate levels in the bloodstream. B) The pancreas: The pancreas is involved in regulating blood sugar levels through the secretion of insulin and glucagon, but it is not directly responsible for regulating calcium and phosphate. C) Adrenal glands: The adrenal glands produce hormones like cortisol and adrenaline, which are involved in the body's stress response and metabolism. They do not play a significant role in regulating calcium and phosphate levels. Understanding the role of the parathyroid glands in maintaining calcium and phosphate balance is essential for healthcare providers caring for patients with Alzheimer's disease. Disruptions in these electrolyte levels can have significant implications for bone health, muscle function, and overall well-being. Therefore, a solid grasp of this basic concept is fundamental in providing comprehensive care for individuals with Alzheimer's disease.

Correct Answer: C

Rationale: In this question, the correct answer is C) Hemorrhage. A hemorrhage refers to a sudden loss of blood, which can indeed cause the spleen to release up to a pint of blood. This is an important concept to understand when caring for a patient with Alzheimer's disease, as they may be at an increased risk of falls or injuries that could result in a hemorrhage. Option A, Hypotension, refers to low blood pressure and is not directly related to the spleen releasing blood. Option B, Hemorrhoid, is a localized condition involving swollen blood vessels in the rectum and is not associated with sudden blood loss from the spleen. Option D, Hemoptysis, refers to coughing up blood from the respiratory tract and is not related to the spleen's capacity for sudden blood release. Understanding the implications of hemorrhage in patients with Alzheimer's is crucial for healthcare providers to promptly recognize and manage such emergencies. This knowledge can help in providing timely and appropriate care to these vulnerable individuals, ensuring their safety and well-being in healthcare settings.

Correct Answer: A

Rationale: In the context of caring for a patient with Alzheimer's who requires tube feeding, it is crucial to understand the possible complications that may arise. The correct answer, A) Aspiration, is a significant concern with tube feeding. Aspiration occurs when food or liquid enters the airway instead of the esophagus, leading to respiratory issues such as pneumonia. Patients with Alzheimer's may have difficulty swallowing or coordinating the muscles involved in the swallowing process, increasing the risk of aspiration. Option B) Cystitis, is incorrect because cystitis refers to inflammation of the bladder and is not directly related to tube feeding. Option C) Loose lead, is also incorrect as it is not a known complication of tube feeding. Option D) Phlebitis, is incorrect as phlebitis is inflammation of a vein, which is not typically associated with tube feeding complications. Educationally, understanding the potential complications of tube feeding in patients with Alzheimer's is essential for providing safe and effective care. Nurses and healthcare providers must be vigilant in monitoring for signs of aspiration, implementing proper feeding techniques, and collaborating with other healthcare team members to prevent and manage complications effectively.