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 D

Explanation

A. "I will keep my walker at the end of my bed":

While keeping the walker at the end of the bed may be convenient, it is not a safety measure in itself. It's important for the client to use the walker as needed for support and stability, especially during ambulation.

B. "I will place an area rug at the entry of my bathroom":

Placing area rugs can be a fall hazard, as they may cause tripping. It is generally recommended to have non-slip surfaces, especially in areas prone to moisture like the bathroom.

C. "I will keep the fluorescent ceiling light on in my room at night":

While having adequate lighting is important for preventing falls, leaving a fluorescent ceiling light on all night may not be necessary. Using night lights or low-intensity lighting may be more appropriate to prevent disruption of sleep.

D. "I will place a bath seat in my shower to use when I bathe":

This is the correct statement. Using a bath seat in the shower provides stability and reduces the risk of slipping and falling while bathing. It is a proactive measure to enhance safety in the bathroom.

A. Position the client on her side. B. Maintain the patency of the client's airway. C. Identify the poison the client ingested. D. Measure the client's blood pressure.

Correct Answer is B

Explanation

A. Position the client on her side:

While placing the client on her side is important, especially if there is a risk of aspiration during the seizure, maintaining the airway takes precedence as the priority action.

B. Maintain the patency of the client's airway:

This is the correct answer. Ensuring the airway is open and unobstructed is the immediate priority during a seizure. This involves positioning the client to prevent airway compromise and potentially using suction if necessary.

C. Identify the poison the client ingested:

While identifying the poison is important for subsequent management, it is not the immediate priority during an active seizure. The focus is on stabilizing and ensuring the client's safety.

D. Measure the client's blood pressure:

Monitoring vital signs, including blood pressure, is an essential aspect of care, but it is not the immediate priority during an active seizure. Airway management takes precedence to prevent complications such as hypoxia.

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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 reinforcing teaching about home safety for a client who has a history of falls. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is D

Explanation

A nurse is caring for a client who ingested a poison and is now having seizures. Which of the following is the priority action the nurse should take?

Correct Answer is B

Explanation

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