A charge nurse is teaching a newly licensed nurse about fall prevention. Which of the following should the nurse include in the teaching?

Provide under-bed lighting at night

Lock the wheels on the bed

Keep the bed in the high position

Apply socks on clients when ambulating

Place brakes on the clients’ wheelchairs

Answer and Explanation

The Correct Answer is A

Fall prevention involves managing a patient’s underlying fall risk factors and optimizing the hospital’s physical design and environment1. Providing under-bed lighting at night can help reduce the risk of falls.

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Correct Answer is D

Explanation

Dehydration can cause hypotension, so increasing ﬂuid intake can help to restore ﬂuid levels and improve blood pressure1. Mild dehydration can be treated with ﬂuids and electrolytes, while moderate-to-severe dehydration may require treatment with intravenous ﬂuids and electrolytes2.

A. Remove protective gown before removing gloves. B. Shake bed linens before placing them in a linen bag. C. Use an electronic thermometer to take the client's temperature. D. Remove protective gloves when leaving the client's room.

Correct Answer is A

Explanation

Remove protective gown before removing gloves.

When caring for a client with Clostridium Difficile, it is important to follow strict contact precautions to prevent the spread of the bacteria. The nurse should remove the protective gown before removing gloves to avoid contaminating the gown with any bacteria that may be on the gloves. This helps to minimize the risk of spreading the bacteria to other clients or healthcare workers.

Shake bed linens before placing them in a linen bag.

Shaking bed linens can cause any bacteria that may be on them to become airborne, increasing the risk of spreading the bacteria to other surfaces. Instead, bed linens should be rolled up and placed directly into a linen bag without shaking them.

Use an electronic thermometer to take the client's temperature.

An electronic thermometer is preferred when taking the temperature of a client with Clostridium Difficile because it can be easily disinfected between uses, reducing the risk of spreading the bacteria.

Remove protective gloves when leaving the client's room.

Protective gloves should be removed before leaving the client's room to avoid contaminating other surfaces or spreading the bacteria to other clients or healthcare workers.

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A charge nurse is teaching a newly licensed nurse about fall prevention. Which of the following should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has dehydration and hypotension. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is caring for a client who has a diagnosis of Clostridium Difficile and is placed on constant precautions. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is teaching a class about the eﬀects of bathing in warm water. Which of the following information should the nurse include?

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