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. "Increase your intake of dietary calcium." Increasing dietary calcium is recommended for overall health, including potential benefits for colon health. However, it is not the primary recommendation for preventing colon cancer.
B. "Follow a low-residue diet." A low-residue diet is not typically recommended for cancer prevention. It is used in specific situations, like managing inflammatory bowel disease or preparing for certain diagnostic tests.
C. "Limit fruit intake to 8 oz a day." Limiting fruit intake is not advised for cancer prevention. In fact, a diet rich in fruits and vegetables is generally recommended for reducing cancer risk.
D. "Increase your intake of dietary fiber." is a well-established recommendation for reducing the risk of colon cancer. Fiber helps to promote regular bowel movements and can aid in the prevention of cancerous lesions in the colon.

A. Flush the port with heparin prior to administering the medication. B. Inject the medication into the port closest to the client. C. Pinch the tubing below the injection port prior to administration. D. Administer the medication over 10 seconds.

Correct Answer is B

Explanation

A. 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.
B. Inject the medication into the port closest to the client. This ensures the medication is delivered quickly and effectively, minimizing dilution and maximizing its effect.
C. 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.
D. 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.

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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 a young adult client who has a family history of colon cancer about dietary guidelines to help prevent the disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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