The health care provider has not ordered the use of a restraint for an alert patient at high risk for falling. The nurse should implement which side rail use?

Four -length rails

One-length rail

Two full-length rails

No side rails

Answer and Explanation

The Correct Answer is B

A. Four-length rails.

Explanation: Four-length rails fully enclose the bed and can be considered a more restrictive measure. They may be used when a restraint order is in place, but for an alert patient without such an order, less restrictive alternatives are preferred.

B. One-length rail.

Explanation: Using one-length rails can be a less restrictive alternative when a patient is at high risk for falling. The use of one side rail allows for some protection against falls without fully restraining the patient. This approach helps maintain the patient's mobility and autonomy while still providing a safety measure.

C. Two full-length rails.

Explanation: While using two full-length rails is less restrictive than four-length rails, it is still more restrictive than using only one side rail. The goal is to balance fall prevention with the patient's autonomy.

D. No side rails.

Explanation: Using no side rails may not provide adequate protection for an alert patient at high risk for falling. While avoiding restraints is essential, implementing at least one side rail is a reasonable compromise to enhance safety without fully restricting the patient's movement.

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Correct Answer is ["A","B","C"]

Explanation

Medicare supplemental insurance, commonly known as Medigap, does not have a Part 8. The options provided seem to be a combination of different parts of Medicare and supplementary insurance.

A. It covers the costs of outpatient services.

Explanation: This statement is generally true, but it is associated with Medicare Part B, which covers outpatient services. Medigap plans can help cover some of the out-of-pocket costs associated with Medicare Part B services.

B. It must be purchased and is a subsidized medical policy.

Explanation: This statement is partially true. Medigap policies must be purchased, but they are not subsidized. Individuals pay private insurance companies for Medigap coverage to help pay for certain costs not covered by Original Medicare (Parts A and B).

C. It covers the costs of speech therapy.

Explanation: This statement is generally true. Medigap plans may cover part or all of the costs associated with Medicare-approved services, including speech therapy.

D. It covers medication costs.

Explanation: This statement is not entirely accurate. Medigap plans do not cover prescription drugs. Coverage for prescription medications is typically provided through Medicare Part D, which is a separate prescription drug coverage plan.

A. Tell her to use an assistive device until her balance improves. B. Provide information on group exercises for balance training. C. Instruct her to enroll in a general exercise program for 8 weeks. D. Help her to learn how to exercise the core group of muscles.

Correct Answer is B

Explanation

A. Tell her to use an assistive device until her balance improves.

Explanation: While using an assistive device may provide support, it is not a comprehensive solution for improving balance. Addressing balance issues usually involves a combination of exercises and interventions tailored to the individual's needs.

B. Provide information on group exercises for balance training.

Explanation: Group exercises specifically designed for balance training can be beneficial for an older adult who is recovering from balance issues and falls. These programs often include exercises targeting stability, coordination, and strength, and they are led by professionals who can provide guidance and supervision. Group exercises also offer a social component, promoting motivation and adherence to the program.

C. Instruct her to enroll in a general exercise program for 8 weeks.

Explanation: A general exercise program may not specifically focus on balance training. Tailoring the program to address balance issues is more appropriate for the client's needs.

D. Help her to learn how to exercise the core group of muscles.

Explanation: While exercising the core muscles can contribute to overall stability, a broader approach that includes balance-specific exercises is preferable for someone recovering from balance issues and falls. Balance training often involves exercises that target various muscle groups involved in maintaining stability.

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The health care provider has not ordered the use of a restraint for an alert patient at high risk for falling. The nurse should implement which side rail use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements are true about Medicare-part 8 supplemental insurance? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

The nurse wants to suggest exercise program options for an older client who is recovering losing her balance and falling. Which nursing intervention is suitable for this older adult?

Correct Answer is B

Explanation

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