A nurse is admitting a client to a geriatric medicine unit. Which action would the nurse implement to reduce the clients risk for falling?

Provide the client with a bedpan to reduce ambulating to the restroom

Administer pain medications sparingly in order to minimize any cognitive side effects

Place the client in a shared room with a client who is stable and oriented

Orient the client to the room and environment upon admission

Answer and Explanation

The Correct Answer is D

A. Provide the client with a bedpan to reduce ambulating to the restroom: While limiting unnecessary movement can help prevent falls, using a bedpan is not the best intervention unless the patient is completely immobile.

B. Administer pain medications sparingly in order to minimize any cognitive side effects: Undertreating pain can lead to restlessness and unsteady movement, which may increase fall risk rather than prevent it.

C. Place the client in a shared room with a client who is stable and oriented: Roommate selection does not directly reduce fall risk. A shared room does not guarantee supervision or fall prevention.

D. Orient the client to the room and environment upon admission: Older adults may be disoriented in a new environment, increasing fall risk. Orienting them to the room (call light, bathroom location, bed height) helps them move safely.

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Correct Answer is D

Explanation

Determine the dose per administration:

1000 mg ÷ 250 mg/capsule = 4 capsules per dose

Calculate the total per day:

Since the order is every 12 hours, the medication is given twice a day
4 capsules per dose × 2 doses per day = 8 capsules per day

A. Obtain daily urine specimens by opening the collection drainage system. B. Keep the urine collection bag below the level of the bladder at all times. C. Retract the foreskin to clean the catheter tubing and meatus outward leaving the foreskin retracted. D. Change the indwelling catheter at least every one week.

Correct Answer is B

Explanation

A. Obtain daily urine specimens by opening the collection drainage system: Opening the drainage system increases the risk of introducing bacteria into the catheter, which can lead to infection.

B. Keep the urine collection bag below the level of the bladder at all times: Keeping the bag below the bladder prevents urine from back flowing into the bladder, which reduces the risk of infection.

C. Retract the foreskin to clean the catheter tubing and meatus outward, leaving the foreskin retracted: While the foreskin should be retracted for cleaning, it must always be returned to its normal position to prevent paraphimosis, a condition where the foreskin becomes trapped and restricts blood flow.

D. Change the indwelling catheter at least every one week: Routine catheter changes are not recommended unless there is an indication such as obstruction or infection. Unnecessary changes increase infection risk.

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A nurse is admitting a client to a geriatric medicine unit. Which action would the nurse implement to reduce the clients risk for falling?

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Naxlex Comprehensive Predictor Exams

Order: Ampicillin 1000 mg PO every 12 hours Available: Ampicillin 250 mg capsules How many capsules will you administer per day?

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Correct Answer is B

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