Answered

  1. A patient with thyroid disease reports feeling unusually tired and cold compared with usual. What should the HCA do?
ADocument and report the change rather than diagnosing the cause
BTell the patient to stop treatment
CEncourage extreme exercise
DIgnore the complaint


  1. A patient with diabetes is unusually thirsty and urinating frequently. Which action is most appropriate?
ARecognize these as potentially significant changes and report them for assessment
BAssume the patient is simply bored
CRestrict fluids without instruction
DGive insulin without a prescription



Integumentary System

  1. An HCA is caring for an immobile patient. Which finding should raise concern for an early pressure injury?
APersistent redness over a bony area
BWarm hands after exercise
CNormal skin colour
DClean fingernails


  1. What is the best action to reduce pressure injury risk in a patient who cannot reposition independently?
AReposition according to the care plan and use appropriate pressure-relieving measures
BKeep the patient in one position
CMassage directly over reddened skin
DAvoid checking the skin


  1. A patient has fragile skin and develops a small tear during transfer. What should the HCA do?

Verified Answer :

Final answer:

In patient care, it is essential to recognize significant symptoms and report them for assessment rather than diagnosing on your own. Proper actions, like documenting changes and implementing care plans for vulnerable patients, are critical for effective healthcare. This approach helps prevent complications, such as pressure injuries and poor outcomes.


Explanation:

Patient Care and Response to Symptoms

When caring for patients with specific health conditions, it is vital for healthcare assistants (HCAs) to recognize and appropriately respond to significant symptoms. In the case of a patient with thyroid disease reporting unusual tiredness and sensitivity to cold, the most appropriate action is to document and report the change rather than diagnosing the cause (Option A). It is essential to communicate these symptoms to a registered nurse or physician for further assessment. Documenting any changes in a patient's condition is crucial for safe patient care and continuity of care.

Similarly, for a diabetic patient experiencing unusual thirst and frequent urination, these symptoms can indicate potentially serious changes in their condition, such as hyperglycemia. The correct response, therefore, is to recognize these as potentially significant changes and report them for assessment (Option A). Prompt reporting can lead to appropriate treatment adjustments, safeguarding the patient’s health.

Pressure Injury Prevention

For an immobile patient, persistent redness over a bony area is a significant sign that requires attention (Option A). This could indicate an early stage of skin breakdown or pressure injury, necessitating intervention.

To reduce pressure injury risk for a patient unable to reposition independently, the best action is to reposition according to the care plan and use appropriate pressure-relieving measures (Option A). Regular repositioning and the use of specialized cushions can help maintain skin integrity and prevent injury.

Finally, if a patient with fragile skin develops a small tear during transfer, careful wound care is necessary to ensure proper healing and prevent infection.


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