A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

Keep the four side rails up on beds at night.

Institute rounds every 2 hr during the day to offer toileting

Accompany residents older than 85 years of age during ambulation

Apply vest restraints on residents who are confused.

Answer and Explanation

The Correct Answer is B

A.   Keeping all four side rails up on beds can increase the risk of entrapment or injury and isn't recommended as a fall prevention strategy.
B.   Instituting regular rounds during the day to offer toileting helps prevent falls related to residents attempting to get to the bathroom independently.
C.   Accompanying older residents during ambulation is helpful but might not be feasible at all times and for all residents.
D.   Using vest restraints can lead to physical and psychological complications and is not recommended due to ethical and safety concerns.

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Correct Answer is A

Explanation

A. Reporting infections like chlamydia to the local health department is crucial for public health monitoring and contact tracing to prevent further spread of the infection.
B. Chlamydia is a bacterial infection, and antiviral creams are not effective against it.
C. While advising the client about preventive measures like condom use is important, reporting the infection is the priority for public health purposes.
D. Contact precautions are not necessary for chlamydia as it is primarily spread through sexual contact and not through casual contact or airborne transmission.

A. MSO4 10 mg IVP q4° prn for pain B. MS 10 mg IV every 4 pm for pain C. Morphine sulfate 10 mg IV q4h IV pm for pain D. Morphine sulfate 10 mg every 4 hours IV prn for pain

Correct Answer is D

Explanation

A. "MSO4 10 mg IVP q4° prn for pain" lacks clarity in abbreviation and dosing instructions.
B. "MS 10 mg IV every 4 pm for pain" contains an unclear frequency and timing.
C. "Morphine sulfate 10 mg IV q4h IV pm for pain" contains redundant dosing information and unclear timing.
D. "Morphine sulfate 10mg every 4 hours IV prn for pain" provides clear and appropriate information regarding medication, dosage, route, frequency, and indication.

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A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is D

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