A home health nurse is evaluating a health aide for a client with Alzheimer’s Disease.
What statement by the health aide would require the nurse to re-evaluate and correct the plan of care?

I make sure all throw rugs are removed from the client’s walking path.

I document my activities with the client before I leave for the day.

If I have any questions about the plan of care, I will contact you.

I give the client his medications when the wife is grocery shopping

Answer and Explanation

The Correct Answer is D

I give the client his medications when the wife is grocery shopping. This statement would require the nurse to re-evaluate and correct the plan of care because home health aides are not allowed to administer medications in most states. Home health aides can only provide medication reminders, help put the medication into the hands of the user, or assist with self-administration of certain forms of medications.

Giving medications to the client without supervision or delegation by a registered nurse or physician is a violation of the scope of practice and could harm the client.

Choice A is wrong because removing throw rugs from the client’s walking path is a safety measure that can prevent falls and injuries for a client with Alzheimer’s disease.

Choice B is wrong because documenting activities with the client before leaving for the day is a professional responsibility that ensures continuity of care and accountability.

Choice C is wrong because contacting the nurse if there are any questions about the plan of care is a sign of good communication and collaboration that can enhance the quality of care for the client.

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Correct Answer is B

Explanation

I should always have my breakfast ready to eat before injecting my morning insulin. This statement confirms that the client understands the importance of matching insulin administration with food intake to prevent hypoglycemia.

Choice A is wrong because hemoglobin A1C should be checked every 3 months, not monthly, to monitor long-term glycemic control.

Choice C is wrong because eating early and taking extra insulin later can cause fluctuations in blood glucose levels and increase the risk of complications.

Choice D is wrong because on sick days, the client should check blood sugar more

often and eat small amounts of carbohydrates to prevent hyperglycemia and ketoacidosis.

A. Apply warm soaks to reduce the inflammation. B. Notify the health care provider immediately of the infection. C. Place the client on contact (wound) precautions. D. Document the findings and continue to monitor the wound.

Correct Answer is D

Explanation

. Document the findings and continue to monitor the wound. This is because a 2-day-old wound that has a crust along the edges, is red and appears slightly swollen is likely in the inflammatory phase of wound healing. This phase is characterized by hemostasis, chemotaxis, and increased vascular permeability, which can

cause redness and swelling. The crust along the edges is formed by the clotting of blood and platelets.

These are normal signs of wound healing and do not indicate infection or complications.

Choice A is wrong because applying warm soaks to reduce inflammation can interfere with the natural process of wound healing and increase the risk of infection.

Choice B is wrong because notifying the health care provider immediately of the infection is not necessary unless there are other signs of infection such as fever, pus, foul odor, or increased pain.

Choice C is wrong because placing the client on contact (wound) precautions is not required for a 2-day-old wound that is not infected or draining. Wound precautions are only indicated for wounds that are colonized or infected by multidrug-resistant organisms.

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A home health nurse is evaluating a health aide for a client with Alzheimer’s Disease. What statement by the health aide would require the nurse to re-evaluate and correct the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being educated about insulin and is able to repeat the newly acquired information using their own words to the nurse. Which of the following statements confirm the teaching has been effective?

Correct Answer is B

Explanation

Which action should the nurse take after assessing a 2-day-old wound that has a crust along the edges, is red and appears slightly swollen?

Correct Answer is D

Explanation

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A home health nurse is evaluating a health aide for a client with Alzheimer’s Disease.
What statement by the health aide would require the nurse to re-evaluate and correct the plan of care?