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.
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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Related Questions
Correct Answer is C
Explanation
A. Delegating client care tasks to an assistive personnel Delegation is part of nursing management, not specifically advocacy.
B. Completing an incident report for a medication error This is part of ensuring safety and quality but is not directly related to advocacy.
C. Adhering to the client's refusal of treatment Advocacy involves respecting the client's rights and choices, including the right to refuse treatment.
D. Completing required continuing education courses This is related to professional development, not specifically client advocacy.
Correct Answer is A
Explanation
A. Eat high-carbohydrate foods. High-carbohydrate foods are typically easier to digest and can help manage nausea.
B. Eat 30 min before chemotherapy. Eating just before chemotherapy can increase nausea and vomiting.
C. Eat foods that are warm in temperature. Warm foods can sometimes exacerbate nausea; cool or room-temperature foods are often better tolerated.
D. Eat three large meals each day. Small, frequent meals are recommended to help manage nausea and vomiting.
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