A nurse is assisting with the care of a client.

Exhibits

A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Macular degeneration

Uses a cane to ambulate

Electrical cord on floor over walkway

Grab bar in bathroom

Throw rugs in kitchen

Answer and Explanation

Correct Answer : A,B,C,E

A. Macular degeneration affects central vision, impairing the client’s ability to detect hazards and increasing the risk of falls.

B. Using a cane for ambulation indicates mobility limitations, which can increase fall risk, especially if the cane is used improperly or the client is in unfamiliar surroundings.

C. Electrical cords over walkways are environmental hazards that significantly increase the risk of tripping and falling.

D. Grab bars in the bathroom are a safety feature that reduces fall risk, not a contributing factor.

E. Throw rugs in the kitchen are common tripping hazards, especially for individuals with mobility or vision issues, increasing the likelihood of falls.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Start at the client's rectum and clean to the client's perineum: This could cause contamination of the urethra. The correct method is to clean from front to back.

B. Use the same section of washcloth for each area cleaned: This can spread bacteria, so different sections of the washcloth should be used for different areas.

C. Allow the client's perineum to air dry: The perineum should be gently patted dry with a clean towel, not left to air dry.

D. Use soap and water to clean the client's perineum: This is the correct method for perineal care.

A. Include toilet paper with the collected urine. B. The nurse should discard the first void to obtain accurate specimen C. Discard the client's last void at the end of the collection time period. D. Save the first word at the start of the collection time period.

Correct Answer is B

Explanation

A. Toilet paper should not be included in the collection.

B. The first void is discarded to ensure that the collection begins with the correct timing.

C. The last void should be saved, not discarded.

D. The first void should be discarded at the start, not saved.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting with the care of a client. Exhibits A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is preparing to obtain a 24-hr urine collection from a client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with an adolescent client about hygiene. Which of the following instructions should the nurse include?

A charge nurse is assisting in providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include?

A nurse is assisting with teaching a client a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?

A nurse is assisting with the care of a client who is scheduled for a surgical procedure. Exhibits The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.

A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?

A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of beneficence?

A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include?

A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?

A nurse is assisting with the care of a client.

Exhibits

A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.