A nurse in a long-term care facility is admitting a client who has occasional urinary incontinence. To adhere to The Joint Commission's National Patient Safety Goals, which of the following actions should the nurse plan to take?

Keep the client's bed in its highest position with the side rails up.

Provide adult diapers for the client to wear while in bed.

Store the client's personal possessions in the closet in her room.

Ask the client to give a return demonstration of how to use the call light.

Answer and Explanation

The Correct Answer is D

A. Keep the client's bed in its highest position with the side rails up. Keeping the bed in its highest position increases the risk of falls, especially for a client with urinary incontinence who may attempt to get up quickly. This does not adhere to safety guidelines.
B. Provide adult diapers for the client to wear while in bed. While providing diapers may be necessary, it is not the primary safety intervention. It is more important to address the client's mobility and ensure they can safely access the bathroom.
C. Store the client's personal possessions in the closet in her room. Keeping the room tidy and ensuring personal items are stored safely can reduce clutter and fall risks but does not directly address incontinence management or safety goals.
D. Ask the client to give a return demonstration of how to use the call light. Ensuring the client knows how to use the call light is crucial for safety. It allows them to call for assistance when needed, reducing the risk of falls when they need to use the bathroom.

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Correct Answer is B

Explanation

A. Chronic obstructive pulmonary disease is primarily related to smoking and environmental factors, not obesity.
B. Gastroesophageal reflux disease: This is correct. Obesity increases the risk of GERD due to increased intra-abdominal pressure.
C. Diabetes insipidus is related to ADH deficiency and not associated with obesity.
D. Rheumatoid arthritis is an autoimmune disorder and is not directly linked to obesity.

A. "The client's postoperative antibiotic was administered." B. "The client's partner came to visit today." C. "At 2200, the client's IV fluid bag and tubing will need replacing." D. "Colonoscopy was performed 48 hours ago."

Correct Answer is C

Explanation

A. "The client's postoperative antibiotic was administered." While this information is important, it is not typically included in the change-of-shift report unless there were specific issues related to antibiotic administration (e.g., allergic reactions, missed doses).
B. "The client's partner came to visit today." While this information might be relevant to the client’s social and emotional well-being, it is not critical for the shift report regarding clinical care.
C. "At 2200, the client's IV fluid bag and tubing will need replacing." This statement is important for continuity of care and should be included in the report to ensure that the next shift is aware of necessary actions.
D. "Colonoscopy was performed 48 hours ago." This information is relevant for understanding the client’s postoperative status but is less immediate compared to other details such as current medication administration or upcoming needs.

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A nurse in a long-term care facility is admitting a client who has occasional urinary incontinence. To adhere to The Joint Commission's National Patient Safety Goals, which of the following actions should the nurse plan to take?

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A nurse in a long-term care facility is admitting a client who has occasional urinary incontinence. To adhere to The Joint Commission's National Patient Safety Goals, which of the following actions should the nurse plan to take?