A nurse is caring for a client who had a cerebrovascular accident and is at risk for falls. The nurse should recognize that which of the following is an appropriate safety precaution?

Monitor the client at least once every hr.

Assign the client to a private room.

Request a PRN prescription for restraints.

Keep four side rails up while the client is in bed.

Answer and Explanation

The Correct Answer is A

A.   Monitoring the client at least once every hour is an appropriate safety precaution to assess the client's condition and prevent falls.
B.   Assigning the client to a private room may not directly address the risk of falls and may not be necessary for fall prevention.
C.   Requesting a PRN prescription for restraints should not be the first line of defense for fall prevention and should only be considered when other interventions are ineffective or inappropriate.
D.   Keeping four side rails up while the client is in bed can be a restraint and may increase the risk of injury. It is not a recommended approach for fall prevention.

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Correct Answer is C

Explanation

A. TENS does not primarily work by providing distraction from pain.

B. While relaxation may be a secondary effect, the primary mechanism of TENS is not to elicit a relaxation response.
C. TENS works by modulating the transmission of the pain impulse, disrupting pain signals from reaching the brain.
D. TENS does not primarily work by promoting increased circulation to the painful area.

A. Support the client in her personal decision. B. Refer the client to a counselor. C. Encourage the client not to give up. D. Suggest that the client talk with a breast cancer survivor.

Correct Answer is A

Explanation

A. Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B. Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C. Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

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A nurse is caring for a client who had a cerebrovascular accident and is at risk for falls. The nurse should recognize that which of the following is an appropriate safety precaution?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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