A nurse is assisting with the care of a client.

Exhibits

A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Macular degeneration

Uses a cane to ambulate

Electrical cord on floor over walkway

Grab bar in bathroom

Throw rugs in kitchen

Answer and Explanation

Correct Answer : A,B,C,E

A. Macular degeneration affects central vision, impairing the client’s ability to detect hazards and increasing the risk of falls.

B. Using a cane for ambulation indicates mobility limitations, which can increase fall risk, especially if the cane is used improperly or the client is in unfamiliar surroundings.

C. Electrical cords over walkways are environmental hazards that significantly increase the risk of tripping and falling.

D. Grab bars in the bathroom are a safety feature that reduces fall risk, not a contributing factor.

E. Throw rugs in the kitchen are common tripping hazards, especially for individuals with mobility or vision issues, increasing the likelihood of falls.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Discard your mask after each use: Masks should be discarded after each use to prevent contamination.

B. Touch the front of your mask while wearing it: The front of the mask should never be touched while wearing it to avoid contamination.

C. Position the mask on your face with the flexible metal piece at the bottom: The flexible metal piece should be at the top of the mask to form a seal over the nose.

D. Remove your mask prior to removing your gloves: Gloves should be removed first to minimize contamination, followed by the mask.

A. Fill the client's bathtub with water at 48° C (118.4° F). B. Give the client a long-handled sponge. C. Offer the client bar soap. D. Provide the client with a fixed showerhead.

Correct Answer is B

Explanation

A. Fill the client's bathtub with water at 48° C (118.4° F): This water temperature is too hot for the client, especially with spinal cord injuries that may impair temperature sensation.

B. Give the client a long-handled sponge: This allows the client to reach areas of their body that may be difficult to access, promoting independence.

C. Offer the client bar soap: Bar soap can be drying to the skin. Liquid soap is often a better option.

D. Provide the client with a fixed showerhead: A hand-held showerhead is better as it allows the client more control during bathing.

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A nurse is assisting with the care of a client. Exhibits A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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A nurse is assisting with the care of a client.

Exhibits

A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.