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The Nursing Assistant Is Caring for a Resident Who Needs

Question 4

Multiple Choice

The nursing assistant is caring for a resident who needs to use the bathroom and suddenly begins acting strangely. The resident states, "Why are there so many children in the strawberry patch?" and is stepping and staggering over large areas on the floor. The nursing assistant observes the resident has a nonraised red rash. Which action should the nursing assistant take first?


A) Tell the nurse about the unusual change in behavior and have the nurse assess the resident.
B) Help the resident to the toilet and observe the color, odor, and consistency of the urine.
C) Take a set of vital signs and report any unusual changes from the resident's baseline.
D) Observe the extent of the rash and report all the areas on the body affected to the nurse.

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