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 ["20"]

Explanation

To calculate the amount of carbamazepine oral suspension needed for each dose, divide the total daily dose by the concentration of the suspension and then by the number of doses per day.

- 800 mg / 20 mg/mL / 2 = 20 mL

The nurse should administer 20 mL of carbamazepine oral suspension with each dose.

A. Date of birth B. Diagnosis C. Identification number D. Name E. Room Number

Correct Answer is ["A","C","D"]

Explanation

A. Date of birth is a commonly used identifier to confirm the client's identity.

B. Diagnosis is not an appropriate identifiers for confirming a client's identity.

C. Identification number is a unique identifier assigned to each client, helping ensure accurate identification.
D. Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity.
E. Room number is not an appropriate identifiers for confirming a client's identity.

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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

Correct Answer is ["20"]

Explanation

A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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