A nurse is reviewing a newly admitted client's medical record to determine the need to implement fall prevention interventions. The nurse should identify that which of the following findings places the client at risk for a fall?

The client has gastroesophageal reflux disease.

The client is 62 years old.

The client smokes half a pack of cigarettes per day.

The client has urinary incontinence.

Answer and Explanation

The Correct Answer is D

A. The client has gastroesophageal reflux disease. GERD does not typically increase the risk of falls.
B. The client is 62 years old. Age alone does not necessarily indicate a high fall risk, especially if the client is relatively healthy.
C. The client smokes half a pack of cigarettes per day. Smoking is a risk factor for many health issues but is not directly linked to an increased risk of falls.
D. The client has urinary incontinence. This is correct. Urinary incontinence increases the risk of falls, particularly if the client needs to frequently get up quickly to use the bathroom, potentially slipping or tripping.

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Correct Answer is B

Explanation

The correct answer is choiceB. Return to the primary health care provider in 3 days for a follow-up appointment.

Choice A rationale:

Scheduling a home visit in 3 weeks for weight and growth monitoring is not appropriate for a newborn who has recently been treated for jaundice.Close monitoring is essential to ensure that bilirubin levels do not rise again and to assess the baby’s overall health and feeding patterns.

Choice B rationale:

Returning to the primary health care provider in 3 days for a follow-up appointment is the most appropriate action.This allows for early detection of any rebound hyperbilirubinemia and ensures that the baby is feeding well and gaining weight appropriately.

Choice C rationale:

Covering the baby with a phototherapy blanket at home when sleeping is not recommended without medical supervision.Phototherapy should be administered under the guidance of healthcare professionals to monitor the baby’s bilirubin levels and ensure safety.

Choice D rationale:

Returning the baby for immunization in 1 month does not address the immediate need for follow-up care after jaundice treatment.Immunizations are important, but the priority is to monitor the baby’s bilirubin levels and overall health in the short term.

A. Squeeze the handles of extinguisher. B. Pull out the safety pin of the extinguisher. C. Sweep extinguisher from side to side at the base of fire. D. Aim the extinguisher at the base of fire.

Correct Answer is B

Explanation

A. Squeeze the handles of extinguisher. This is done after aiming at the base of the fire and pulling the pin.
B. Pull out the safety pin of the extinguisher. This is the first step to unlock the extinguisher for use.
C. Sweep extinguisher from side to side at the base of fire. This is done after aiming and squeezing the handles.
D. Aim the extinguisher at the base of fire. This is the second step, after pulling the pin.

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A nurse is reviewing a newly admitted client's medical record to determine the need to implement fall prevention interventions. The nurse should identify that which of the following findings places the client at risk for a fall?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge instructions for a newborn who has been hospitalized for a week due to jaundice. The newborn’s gestational age is now 36 weeks. Which of the following is the most appropriate follow-up care?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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