A nurse is supervising an assistive personnel (AP. who is caring for a client who is at risk for falls. For which of the following actions by the AP should the nurse intervene?

Assists the client to the bathroom every 2 hr

Locks the wheels on the client's bed

Raises all four side rails on the client's bed

Clears furniture from the path leading to the bathroom

Answer and Explanation

The Correct Answer is C

A. Assisting the client to the bathroom at regular intervals helps prevent falls due to toileting needs.

B. Locking the wheels on the bed prevents unwanted movement and reduces the risk of falls when the client is in bed.

C. Raising all four side rails is considered a restraint, which can increase the risk of falls or injury if the client tries to climb over them. Restraints should be avoided unless absolutely necessary and prescribed by a healthcare provider. In most cases, raising two side rails is sufficient to prevent the client from accidentally rolling out of bed while allowing them to safely exit the bed.

D. Clearing the path from obstacles and furniture reduces the risk of falls by providing a safe and unobstructed route to the bathroom.

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Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}

Explanation

When interpreting test results, particularly for an infectious disease like tuberculosis (TB), the nurse must prioritize specific infection control measures to prevent the spread of the disease.

The correct actions are:

Wear an N95 respirator mask: This mask is essential for protecting the nurse and others from inhaling airborne pathogens that the client with TB might expel.
Place the client in a room with negative air pressure: This type of room ensures that airborne contaminants do not escape into the hallway or other areas, thereby containing the infection and protecting others in the healthcare facility.

These measures are critical in managing the spread of TB and ensuring the safety of both healthcare workers and other patients.

A. Place the bedside table 2 feet away from the bed. B. Move the client's bed to the main floor of the house. C. Keep lighting in the home dim. D. Place area rugs on slick floor surfaces.

Correct Answer is B

Explanation

A. Incorrect. Placing the bedside table within easy reach of the bed is important to prevent falls, rather than placing it away from the bed.
B. Correct. Moving the client's bed to the main floor of the house reduces the need to use stairs, which can be a fall risk for clients at risk of falls.
C. Incorrect. Keeping the lighting dim increases the risk of falls. Adequate lighting is important to prevent falls.
D. Incorrect. Area rugs on slick floor surfaces can be hazardous and increase the risk of falls.
They should be removed or secured properly.

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A nurse is supervising an assistive personnel (AP. who is caring for a client who is at risk for falls. For which of the following actions by the AP should the nurse intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse reviews the client's test results. Exhibits Complete the following sentence by using the list of options. The nurse should and

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}

Explanation

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Correct Answer is B

Explanation

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