A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

The client has a nonslip bath mat in his shower.

The client uses a raised toilet seat.

The client takes alprazolam.

The client wears fitted slippers.

Answer and Explanation

The Correct Answer is C

A. A nonslip bath mat is a safety measure that should help prevent falls.
B. A raised toilet seat can help prevent falls by making it easier for the client to sit and stand.
C. Alprazolam, a benzodiazepine, can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls in older adults.
D. Wearing fitted slippers is generally a safety measure to prevent falls.

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Correct Answer is A

Explanation

A. Phenytoin suspension needs to be shaken well to ensure the medication is properly mixed and the correct dose is administered.
B. Mouth care is important for general health but is not specifically required before administering phenytoin.
C. Checking the child's blood pressure is not specifically required before administering phenytoin.
D. It is not necessary to ensure the child has not eaten within the hour before administering phenytoin.

Correct Answer is ["250"]

Explanation

To calculate the infusion rate, the total volume of the IV fluid (2000 mL) should be divided by the total time of infusion (8 hours). This results in an infusion rate of 250 mL/hr. Therefore, the nurse should set the IV pump to deliver 250 mL of 0.45% sodium chloride (NaCl) per hour to infuse the total volume over the 8-hour period.

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A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["250"]

Explanation

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