A nurse is assisting with teaching a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident indicates an understanding of the teaching?

"It is a good idea to use the handrails in the bathroom."

"I should use chairs without armrests."

"I should place a throw rug over electrical cords."

"I should get a longer cord for my telephone."

Answer and Explanation

The Correct Answer is A

A. "It is a good idea to use the handrails in the bathroom":

This statement reflects an understanding of the importance of using handrails in the bathroom for stability and support, especially when getting in and out of the bathtub or shower. Using handrails can prevent slips and falls in this high-risk area.

B. "I should use chairs without armrests":

Using chairs without armrests may not necessarily contribute to fall prevention. Chairs with armrests can provide additional support and stability when sitting down or getting up.

C. "I should place a throw rug over electrical cords":

Placing a throw rug over electrical cords creates a tripping hazard. It is not a safe practice and contradicts fall prevention measures. Throw rugs should be secured and not placed over cords.

D. "I should get a longer cord for my telephone":

Getting a longer cord for the telephone may not be directly related to fall prevention. It is important to focus on measures that enhance safety and reduce fall risks, such as proper lighting, clear pathways, and the use of assistive devices.

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Correct Answer is C

Explanation

A. Assist a client to eat who has difficulty seeing the foods on the tray.

Assisting a client with eating is a routine task that an AP can perform, especially when the client has difficulty with vision.

B. Provide postmortem care for a client who has died.

Postmortem care involves preparing the body of a deceased client. While it requires sensitivity, it is a task that can be appropriately delegated to assistive personnel.

C. Observe a confused surgical client who has multiple tubes.

Observing a confused client with multiple tubes requires a level of assessment and decision-making that goes beyond the scope of practice for an assistive personnel (AP). This task involves monitoring the client's condition, recognizing changes, and responding appropriately, which should be performed by a licensed nurse.

D. Deliver a client's urine specimen to the laboratory.

Transporting a urine specimen to the laboratory is a task that an assistive personnel can perform, as it does not involve interpretation or assessment of the specimen.

A. Inject the medication deep into the thigh muscle. B. Easy bruising indicates the medication is effective. C. Expect stools to become black and tarry. D. Use a soft bristle toothbrush.

Correct Answer is D

Explanation

A. Inject the medication deep into the thigh muscle.

This statement is incorrect for subcutaneous heparin administration. Heparin is typically administered subcutaneously in the fatty tissue just under the skin, not into the muscle. Intramuscular injection is not appropriate for heparin.

B. Easy bruising indicates the medication is effective.

This statement is inaccurate. Easy bruising is not an indicator of the effectiveness of heparin. In fact, excessive bruising can be a side effect of anticoagulant therapy, indicating a potential issue with bleeding or clotting.

C. Expect stools to become black and tarry.

This statement is more relevant to medications like iron supplements or upper gastrointestinal bleeding. It is not a common side effect of subcutaneous heparin.

D. Use a soft bristle toothbrush.

This statement is correct. It is important for individuals on anticoagulant therapy, such as heparin, to use a soft bristle toothbrush to minimize the risk of bleeding and gum irritation. Hard bristle toothbrushes can cause gum bleeding, especially in individuals with a tendency for bleeding due to anticoagulant use.

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A nurse is assisting with teaching a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients on a medical surgical unit. Which of the following tasks is unsafe to assign to an assistive personnel (AP)?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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