Which of the following needs to be reported to the nurse?

Correct Answer: A

Rationale: The correct answer is A because burning or pressure when urinating can indicate a urinary tract infection or other issue that requires medical attention. This symptom may suggest an underlying infection or inflammation in the urinary system. Reporting this to the nurse promptly can lead to early diagnosis and treatment. Choices B, C, and D are incorrect as they do not indicate any immediate health concern. Urinary output within the range of 1200 to 1500 mL per day is considered normal. The color of urine can vary based on hydration levels and dietary intake, so pale yellow or clear urine is not necessarily alarming.

Correct Answer: A

Rationale: Step 1: Angina is chest pain or discomfort caused by reduced blood flow to the heart muscle. Step 2: Emotional distress can trigger angina episodes, so reducing distress is important. Step 3: Managing stress can help prevent angina attacks and improve overall well-being. Step 4: Choice A is correct because emotional distress can worsen angina symptoms. Summary: Choice B is incorrect because only healthcare professionals can administer nitroglycerin. Choice C is incorrect because large meals can strain the heart and worsen angina. Choice D is incorrect because while exercise is important, it should be done in moderation for angina patients.

Correct Answer: B

Rationale: Phantom sensation refers to feeling sensations in the amputated limb location. This happens due to the brain still receiving signals from the missing limb. Choice B is correct as it accurately describes this phenomenon. Choice A is incorrect as phantom sensation is a real experience. Choice C is incorrect as it refers to a different condition, while Choice D is incorrect as it does not relate to phantom sensation.

Correct Answer: A

Rationale: The correct answer, A, is true because skills used over a lifetime are typically stored in long-term memory, which is less affected by Alzheimer's disease. This allows individuals to retain those skills longer compared to newly acquired skills. Choice B is incorrect because residents with AD may exhibit different signs and symptoms at different times due to the progressive nature of the disease. Choice C is incorrect as NAs should encourage residents to perform tasks independently to maintain their sense of autonomy. Choice D is incorrect because Alzheimer's disease is not a normal part of aging but rather a neurodegenerative disorder.

Correct Answer: A

Rationale: Rationale for Choice A: - Inspecting and cleaning the resident's feet daily helps to identify any potential issues early on, such as cuts or sores. - Diabetic individuals are at a higher risk for foot complications, so regular monitoring is crucial to prevent infections. - Cleaning the feet daily can help maintain good hygiene and prevent issues from escalating. Summary of Incorrect Choices: - Choice B (clipping toenails frequently) can increase the risk of injury and infections if not done correctly. - Choice C (using lotion between toes) can trap moisture and lead to fungal infections. - Choice D (using hot water for bathing) can actually cause burns or dry out the skin, increasing the risk of injury.