What actions should a CNA take if a resident shows symptoms of a urinary tract infection?

• A. Ignore symptoms unless fever is high.
• B. Wait for a nurse's note to trigger action.
• C. Report to nurse; monitor fever, dysuria, frequency; maintain hygiene; record symptoms.
• D. Self-treat with antibiotics.

Answer: (C)

Identifying and acting on possible infections quickly is crucial. The CNA should promptly report any signs of a urinary tract infection to the nurse, while also monitoring for fever, painful urination, increased urinary frequency or urgency, and any changes in the resident’s behavior or mental status. The CNA should document what’s observed, maintain perineal hygiene, and encourage fluids as allowed, all while following standard precautions. Antibiotics and any medical decision are beyond the CNA's scope; they require a nurse's assessment or physician's order, so self-treatment is not appropriate. This combination of swift reporting, careful observation, and good hygiene helps ensure the resident receives timely evaluation and treatment.