A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?

Ensure that all area rugs are rubber-backed.

Wear slippers with cloth soles.

Place a towel on the floor outside of the shower.

Place a handrail in the entryway of the house.

Answer and Explanation

The Correct Answer is A

A) Ensure that all area rugs are rubber-backed: Rubber-backed rugs help prevent slips and falls by keeping the rugs securely in place on the floor. This is particularly important for someone recovering from knee surgery to avoid additional injury and ensure a safe home environment.

B) Wear slippers with cloth soles: Slippers with cloth soles can be slippery and increase the risk of falls. It is safer to wear slippers with non-slip soles to provide better traction and stability.

C) Place a towel on the floor outside of the shower: Placing a towel on the floor can create a slipping hazard. Instead, using a non-slip bath mat outside the shower is recommended to prevent falls.

D) Place a handrail in the entryway of the house: While placing a handrail in the entryway can be beneficial, it is not as immediately critical as ensuring that area rugs are rubber-backed to prevent falls throughout the home. Handrails are more commonly recommended for stairs and bathrooms.

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Correct Answer is A

Explanation

A) Doxorubicin hydrochloride: This medication is an anthracycline chemotherapy agent and is considered a hazardous drug. It requires special handling and procedures to manage spills, as it can pose risks to both healthcare workers and the environment. Following facility protocols for biohazardous material spills is essential.

B) Metronidazole: While metronidazole is an antibiotic, it does not typically require the same level of handling as hazardous medications like doxorubicin. It is not classified as a biohazardous material.

C) Ampicillin sodium: This is a penicillin antibiotic and, while it requires standard precautions, it is not considered a hazardous drug. Therefore, it does not necessitate the same stringent procedures for spills.

D) Pheroin: It seems there might be a typographical error here, as "pheroin" does not refer to a known medication. If referring to "heroin," it's an illegal substance and would be handled under specific legal protocols, but not typically categorized as a biohazardous material spill in a healthcare context.

A. Avoid eye contact with the client. B. Encourage the client to lie down in a quiet room. C. Ask the client directly what he is hearing D. Refer to the hallucinations as if they are real.

Correct Answer is C

Explanation

A) Avoid eye contact with the client: Avoiding eye contact can create a sense of distance and may not promote a therapeutic relationship. Establishing appropriate eye contact can help convey attentiveness and support, even in clients experiencing hallucinations.

B) Encourage the client to lie down in a quiet room: While a quiet environment can be calming, simply lying down may not effectively address the hallucinations. Active engagement and coping strategies are often needed to help the client manage their symptoms.

C) Ask the client directly what he is hearing: This action is appropriate and therapeutic. By asking the client about their auditory hallucinations, the nurse validates the client’s experience and can help guide the conversation to better understand their perceptions and needs. This can also assist in developing coping strategies.

D) Refer to the hallucinations as if they are real: Acknowledging hallucinations as real can reinforce the delusional experience rather than helping the client to cope with or understand their symptoms. It is essential to approach the subject sensitively while maintaining a focus on reality, promoting safety and support.

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A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Explanation

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