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 D

Explanation

A. "Take meperidine 30 minutes before aerobic activity." Meperidine (Demerol) is not recommended for long-term use in older adults due to its side effects and potential for dependence. It is not an appropriate medication for managing rheumatoid arthritis or exercise-related pain.
B. "Take a 2-hour nap in the afternoon." While short naps can be beneficial, a 2-hour nap might interfere with nighttime sleep, exacerbating fatigue. Naps should be limited to 20-30 minutes.
C. "Avoid exercising on days when you feel tired." Regular, gentle exercise is beneficial for managing rheumatoid arthritis and fatigue. It helps maintain joint function and reduce stiffness. Avoiding exercise altogether can lead to increased stiffness and fatigue.
D. "Plan your daily schedule in advance." Planning activities in advance can help manage energy levels and avoid overexertion, which is crucial for managing fatigue in rheumatoid arthritis.

A. "Websites that sell health care products provide the most unbiased health information." B. "The most credible and efficient websites for locating scholarly health information end in .com." C. "Dependable websites containing health information keep their commercial sponsors anonymous." D. "My provider is responsible for showing me how to evaluate health information on the Internet."

Correct Answer is D

Explanation

A. "Websites that sell health care products provide the most unbiased health information." Websites that sell products may have a conflict of interest and may not provide the most unbiased information.
B. "The most credible and efficient websites for locating scholarly health information end in .com." Credible health information is more commonly found on websites ending in .gov, .edu, or .org, rather than .com.
C. "Dependable websites containing health information keep their commercial sponsors anonymous." Transparency about commercial sponsors is important for credibility; anonymous sponsorships may indicate a lack of transparency.
D. "My provider is responsible for showing me how to evaluate health information on the Internet." This is correct. Providers can guide patients on evaluating the credibility and reliability of health information found online.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an older adult client who has rheumatoid arthritis and reports fatigue. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is teaching a client about the use of electronic resources to research health information. Which of the following client responses indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?

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A nurse manager is preparing an educational program for newly licensed nurses about psychosocial changes associated with aging. Which of the following information should the nurse manager include in the teaching?

While accessing social media, a nurse finds that a coworker has posted photos and positive comments about a client on their unit. Which of the following actions should the nurse take to adhere to HIPAA guidelines?