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Postpone ADLs until an occupational therapist determines the client's abilities. Delaying ADLs can lead to decreased independence and a decline in the client's physical condition. The nurse should assess the client's abilities and provide appropriate assistance.

Eliminate daily care that is not essential for the client's recovery. All aspects of daily care contribute to the client's overall well-being and quality of life. Eliminating non-essential care can negatively impact the client's mental and physical health.

Determine the client's preferences. While it is important to consider the client's preferences, it is not the primary action. Informing the client of the schedule helps with planning and consistency.

Place throw rugs over thresholds between rooms.Throw rugs can be a tripping hazard, especially for older adults who may have difficulty with balance and mobility.

Set the water heater to 54.5° C (130° F). This temperature is too high and can cause burns. It is recommended to set the water heater to no higher than 48.9° C (120° F) to prevent scalding.

Set the home thermostat to 26° C (79° F).This temperature might be uncomfortable and is not directly related to safety. It is more important to ensure the home is at a comfortable and safe temperature, typically around 21-23° C (70-73° F).

Draw up the formula into a syringe. This step is premature and should be done after confirming the tube placement and checking for residual volume.

Flush the nasogastric tube with 30 mL of water. Flushing is important but should be done after confirming tube placement.

Measure the total volume of gastric residual. Measuring residual volume is important but should be done after confirming tube placement.

Instruct the client to use the call light for assistance.This is important but should be done after ensuring the alarm is working correctly.

Document the type of alarm used. Documentation is necessary but should follow ensuring the device is functioning.

Apply the sensor pad to the client's bed. This step is necessary but should follow testing the alarm and battery to ensure they are functioning.

"Let's focus on something positive and not discuss the fire today." This response is dismissive and invalidates the client's feelings and experiences.

"I think you should move in with your parents temporarily." This response is prescriptive and assumes that the nurse knows what is best for the client without understanding her specific needs and circumstances.

"I don't believe that you will experience long-term effects from this." This response minimizes the client's potential trauma and does not acknowledge the serious impact such an event can have.

Emphysema This condition is primarily related to smoking and other respiratory irritants, not directly to obesity.

Hyperthyroidism Obesity is typically associated with hypothyroidism, not hyperthyroidism.

Hypotension Obesity is more commonly associated with hypertension (high blood pressure), not hypotension (low blood pressure).

The parent of a school age child who has cystic fibrosis While personal experiences can be helpful, they may not provide comprehensive, evidence-based information.

A commercial website that ends in ".com" Commercial websites can have biased or non-evidence-based information.

An assistive personnel who cares for a child who has cystic fibrosis While they may have practical insights, they are not typically the best source for detailed, evidence-based information.

Apply olive or mineral oil to the skin areas that were exposed to the plant. Oils can spread the urushiol (the irritant in poison ivy) and worsen the reaction.

Scrub both arms and hands with antibacterial soap and hot water. Hot water can open pores and increase absorption of urushiol; antibacterial soap is not necessary.

Have the child avoid contact with other family members. While it's important to prevent the spread of urushiol, the immediate priority is to wash it off.

Flush the port with heparin prior to administering the medication. Heparin is not typically used to flush the port before administering IV medications; saline is generally used for flushing.

Pinch the tubing below the injection port prior to administration. Pinching the tubing can help ensure the medication goes into the client quickly but should be done only if specified by protocol.

Administer the medication over 10 seconds. Fentanyl should be administered slowly over 1-2 minutes to prevent rapid administration-related side effects like hypotension or respiratory depression.