A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for them? (Select All that Apply.)

Explanation:

A. Place the head of the client's bed flat:

This action is not appropriate because lying flat can worsen dyspnea in many cases. It can restrict lung expansion and make breathing more difficult. Instead, the nurse should elevate the head of the bed or position the client in a semi-Fowler's or high-Fowler's position to facilitate easier breathing.

B. Perform nasotracheal suctioning for the client:

Nasotracheal suctioning is not indicated for dyspnea unless there is a specific medical reason, such as airway obstruction or excessive secretions. Performing suctioning without a clear indication can cause discomfort and may not address the underlying cause of dyspnea.

C. Increase the heat in the client's room:

Adjusting the room temperature is generally not a direct intervention for dyspnea. While maintaining a comfortable environment is important, dyspnea is usually managed through other means such as medication and positioning.

D. Administer an opioid narcotic to the client:

This is the most appropriate action among the choices provided. Opioid narcotics, such as morphine, are commonly used to alleviate dyspnea in end-of-life care. They help reduce the sensation of breathlessness, calm respiratory distress, and improve overall comfort for the client.

Explanation:

A. Open access peer-reviewed articles must be purchased by the user.

This statement is not accurate. Open access peer-reviewed articles are freely available to users without the need for purchase. They are published under an open access model, making them accessible to anyone with an internet connection.

B. Peer-reviewed articles are not considered scholarly sources of evidence.

This statement is incorrect. Peer-reviewed articles are indeed considered scholarly sources of evidence. They undergo a rigorous peer-review process where experts in the field review the content for accuracy, validity, and reliability before publication.

C. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles.

This statement is generally not accurate in the context of evidence-based practice. While editorial opinion articles may offer valuable insights and perspectives, they are not subjected to the same level of scrutiny and review as peer-reviewed articles. Peer-reviewed articles are typically considered more reliable and credible sources of evidence in healthcare and academic settings.

D. Peer-reviewed articles have been through laborious review by other professionals.

This statement is correct. Peer-reviewed articles undergo a thorough review process by other professionals in the same field before they are accepted for publication. This review process ensures that the research and information presented in the article meet high standards of quality, accuracy, and validity.