1. What would be the BEST equipment for a nurse aide to use when assisting a client with ostomy care?
A. A urinal
B. A bedpan
C. A specimen cup Correct
D. A bedside commode
Explanation
A specimen cup is the most appropriate equipment for ostomy care, as it is used to collect and dispose of output from the ostomy pouch, ensuring proper hygiene and accurate monitoring of the output. Urinals are for urinary collection, bedpans are for bowel movements in bed, and bedside commodes are for toileting, none of which are suitable for ostomy care.
2. A sputum specimen is from the:
A. bowel
B. bladder
C. lungs Correct
D. skin
Explanation
A sputum specimen consists of mucus or phlegm coughed up from the lungs, typically collected for diagnostic testing to assess respiratory conditions. It does not originate from the bowel, bladder, or skin, which are unrelated to respiratory secretions.
3. Which of the following is an example of a delegated task that a nurse aide might be asked to perform?
A. Update a client's family on the client's condition
B. Get the vital signs from a client who feels ill Correct
C. Work with a client on swallowing exercises immediately after a stroke
D. Remove from a client an indwelling urinary catheter that is leaking
Explanation
Taking vital signs, such as temperature, pulse, and respiration, is a common delegated task within a nurse aide's scope of practice. Updating a client's family, performing specialized swallowing exercises, or removing an indwelling catheter are tasks typically reserved for licensed professionals like nurses or therapists due to their complexity and risk.
4. To prevent the spread of infection, the nurse aide SHOULD:
A. practice standard precautions Correct
B. wear gloves for all client care
C. follow confidentiality regulations
D. strictly follow clients' rights
Explanation
Practicing standard precautions, such as hand hygiene, using gloves when needed, and proper disposal of contaminated items, is the most effective way to prevent infection spread. Wearing gloves for all care is unnecessary and wasteful, while confidentiality and clients' rights, though important, do not directly address infection control.
5. When cleansing the perineum of a client, the nurse aide SHOULD wash and dry from the:
A. side of a thigh to the side of the other thigh
B. genital to the rectal area Correct
C. buttocks to the abdomen
D. rectal to the genital area
Explanation
Washing from the genital to the rectal area (front to back) prevents the spread of bacteria from the anal area to the cleaner genital area, reducing the risk of urinary tract infections. Other methods risk contamination or are not standard practice.