While visiting with a resident

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Nosebleeds can sometimes be associated with oral bleeding. 2. Checking the resident's mouth can help identify any additional bleeding sites. 3. It is important to assess and address all bleeding areas promptly. 4. This step ensures a comprehensive assessment and appropriate intervention. Summary of why other choices are incorrect: A. Elevating the head of the bed may not directly address the resident's bleeding issue. C. Counting the resident's respirations is unrelated to managing a nosebleed. D. Checking the resident's mouth is the most relevant action to assess and manage potential oral bleeding.

Correct Answer: B

Rationale: The correct answer is B: Apnea. Apnea refers to the absence of breathing. Dyspnea (A) is difficulty breathing, eupnea (C) is normal breathing, and orthopnea (D) is difficulty breathing when lying flat. Apnea specifically indicates the complete cessation of breathing, making it the correct choice in this context.

Correct Answer: A

Rationale: The correct answer is A: Increases urine formation. Diuretics work by increasing urine production in the kidneys, leading to the removal of excess fluid and salts from the body. This helps to reduce blood pressure and treat conditions like edema and heart failure. Choice B is incorrect because diuretics actually increase urine output. Choice C is incorrect as diuretics can lead to potassium depletion rather than an increase. Choice D is incorrect because diuretics reduce fluid volume in the body by increasing urine formation.

Correct Answer: D

Rationale: The correct answer is D because creating a sign to hang near the bed to alert all staff is crucial to ensure proper handling of the 24-hour urine specimen. This helps prevent accidental disposal of the collected urine and ensures that all staff members are aware of the ongoing collection process. A: Using a specimen kit to collect the urine is important, but creating a sign is more crucial for staff awareness. B: Cleaning the perineal area before collecting the specimen is not directly related to the task of ensuring proper handling of the 24-hour urine specimen. C: Using strainers to filter all urine from the resident is not necessary for collecting a 24-hour urine specimen and may not be practical in this context.

Correct Answer: C

Rationale: The correct answer is C - a draining wound. A sterile dressing is necessary for a draining wound to prevent infection and promote healing. Step 1: A paper cut (Choice A) is a minor wound that does not require a sterile dressing. Step 2: An intact wound (Choice B) does not need a sterile dressing unless there is a risk of infection. Step 3: A clean dry wound (Choice D) also does not require a sterile dressing unless there is a change in the wound status. Overall, a draining wound poses a higher risk of infection, making it essential to apply a sterile dressing to maintain a clean environment and prevent complications.