Which of the following is an effective way for a nursing assistant to help prevent dehydration?

Correct Answer: A

Rationale: The correct answer is A because encouraging the resident to drink every time the nursing assistant sees them promotes regular fluid intake, preventing dehydration. This approach ensures the resident stays hydrated throughout the day. Choice B is incorrect because insisting on a specific type of drink may not be suitable for the resident's preferences or dietary restrictions. Choice C is incorrect as withholding fluids can lead to dehydration, especially in incontinent residents who may already have difficulty staying hydrated. Choice D is incorrect as leaving a carton of milk does not actively encourage the resident to drink and may not address their individual hydration needs.

Correct Answer: D

Rationale: The correct answer is D because as people age, the skin naturally becomes thinner and more fragile due to a decrease in collagen and elastin production. This leads to issues like increased susceptibility to bruising and slower wound healing. A is incorrect as the amount of fat and collagen actually decreases with age. B is incorrect as pressure injuries are not a normal age-related change but can occur due to factors such as immobility. C is incorrect as hair tends to thin and become less dense with age, rather than thickening.

Correct Answer: B

Rationale: The correct answer is B: In the morning. Elastic stockings should be applied in the morning because that's when the legs are least swollen, ensuring proper fit and effectiveness throughout the day. Applying them in the evening may lead to discomfort as legs may be more swollen by then. Mid-afternoon and after exercising are not ideal times as the legs may be more fatigued, making it harder to apply the stockings properly.

Correct Answer: B

Rationale: The correct answer is B: Open fracture. An open fracture involves the skin being broken, allowing the bone to protrude through the skin. This poses a high risk of infection due to exposure of the bone to the external environment. Closed fractures (A) do not involve any break in the skin. Greenstick fractures (C) are incomplete fractures commonly seen in children. Compression fractures (D) occur when bones are crushed, often seen in the spine. Therefore, an open fracture best describes a fracture with an open wound and bone protrusion.

Correct Answer: C

Rationale: The correct answer is C: Mark the bathroom with a sign or picture. This step is essential for a resident with Alzheimer's disease to help them recognize the bathroom easily, reducing confusion and anxiety. By marking the bathroom, the resident can retain their independence and dignity. Choice A is incorrect as withholding fluids can lead to dehydration and worsen incontinence. Choice B is irrelevant and does not address the issue of incontinence. Choice D is incomplete and does not provide any guidance on how to support the resident with incontinence.