Which of the following is the best way for a nursing assistant to care for a resident with a functional barrier?

Correct Answer: D

Rationale: The correct answer is D because using a communication board helps the resident with a functional barrier to communicate effectively. By using the board, the resident can ask questions and express their needs despite any limitations they may have. This approach promotes autonomy and maintains the resident's dignity. Choice A is incorrect as preventing the resident from resting goes against their well-being and comfort. Choice B is incorrect because removing oxygen can endanger the resident's health. Choice C is incorrect as encouraging the resident to speak quickly could lead to frustration and may not be suitable for someone with a functional barrier affecting their speech.

Correct Answer: C

Rationale: The correct answer is C: Locking the stretcher and bed wheels before transferring. This is important for safety to prevent any movement of the bed or stretcher during the transfer, which could potentially lead to accidents or injuries. By locking the wheels, the surfaces will remain stable and secure, ensuring a smooth and safe transfer process. Explanation: 1. Locking the wheels ensures stability and prevents unintended movement during the transfer. 2. Prevents the bed or stretcher from rolling or shifting, reducing the risk of falls or accidents. 3. Secures the positioning of the surfaces, making it easier and safer for the nursing assistant to transfer the resident without any unexpected movements. Summary: A: Ensuring that the linen is tightly tucked is not directly related to the safety of the transfer process. B: Elevating the bed and stretcher to the highest position may not be necessary and does not address the safety measure of locking the wheels. D: Positioning the bed and stretcher six inches apart

Correct Answer: C

Rationale: The correct answer is C: From front to back. This method prevents contamination of the urinary tract with bacteria from the anal area, reducing the risk of urinary tract infections. Cleaning from back to front (choice D) can introduce harmful bacteria to the urethra. Using soap (choice A) can disrupt the natural pH and flora of the perineal area. Using a special oil (choice B) is not necessary and may not effectively remove bacteria. Therefore, choice C is the most appropriate and hygienic method for perineal care.

Correct Answer: C

Rationale: The correct answer is C (58 beats per minute) because a normal adult radial pulse rate typically ranges from 60-100 beats per minute. Therefore, a count of 58 would be considered below the normal range. Choices A and B fall within the normal range, while choice D is above the normal range. The abnormality in choice C warrants further investigation as it may indicate bradycardia or other underlying health conditions.

Correct Answer: D

Rationale: The correct answer is D: Ulcerative colitis. This chronic inflammatory disease specifically affects the large intestine or colon, causing ulcers and inflammation in the colon's lining. Malabsorption (A) is a condition where the small intestine cannot absorb nutrients properly. Fecal impaction (B) is a severe constipation issue, not related to chronic inflammation. Crohn's disease (C) is a separate inflammatory bowel disease that can affect any part of the digestive tract, not just the colon. Ulcerative colitis is the only choice that accurately describes a chronic inflammatory disease specific to the large intestine.