A nurse is reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select all that apply.)
Ensure the client wears nonskid slippers when walking around the house.
Attach full-length side rails to the client's bed.
Install a raised toilet seat in the client's bathroom.
Encourage an annual review of the medications the client is taking.
Place throw rugs on uncarpeted floors in the client's home.
Correct Answer : A,C,D
Ensure the client wears nonskid slippers when walking around the house.
Explanation: Nonskid slippers provide better traction and stability, reducing the risk of slipping.
B.Attach full-length side rails to the client's bed.
Explanation: Side rails can pose a risk of entrapment and may not prevent falls. The use of side rails is associated with safety concerns, and their use should be carefully evaluated.
C.Install a raised toilet seat in the client's bathroom.
Explanation: A raised toilet seat makes it easier for the client to sit down and stand up, reducing the risk of falls in the bathroom.
D.Encourage an annual review of the medications the client is taking.
Explanation: Medication reviews help identify drugs that may increase the risk of falls or interactions that could affect balance or cognitive function.
E.Place throw rugs on uncarpeted floors in the client's home.
Explanation: Throw rugs can be tripping hazards, especially for older adults with mobility issues. It's safer to have clear, unobstructed pathways in the home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A client with schizophrenia exhibiting apathy may require attention, but it may not be an immediate priority unless there are signs of deterioration or safety concerns.
B. A client with an anxiety disorder appearing restless may be experiencing distress, but it is not necessarily indicative of an immediate safety or crisis situation.
C. A client with major depressive disorder reporting hopelessness raises significant concern, as it may indicate an increased risk of self-harm or suicide. Clients expressing hopelessness should be assessed promptly to determine the level of risk and implement appropriate interventions.
D. A client with bipolar disorder exhibiting provocative behavior may pose a potential risk, but the level of urgency is typically higher for a client expressing hopelessness and depressive
Correct Answer is ["3"]
Explanation
To calculate the volume (mL) that the nurse should administer, you can use the following formula:
- Volume (mL) = Dose (mg)/Concentration (mg/mL)
In this case:
- Volume = 30 mg/10 mg/mL
- Volume=3mL
Therefore, the nurse should administer 3 mL of furosemide 30 mg IM.
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