A nurse is assisting with the care of a client.

Exhibits

A nurse in a provider's 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.

Uses a cane to ambulate

Throw rugs in kitchen

Electrical cord on floor over walkway

Grab bar in bathroom

Macular degeneration

Answer and Explanation

Correct Answer : B,C,E

A.   While a cane can be helpful for balance, it doesn't necessarily increase fall risk. In fact, it can help reduce the risk.
B.   Throw rugs can be tripping hazards, especially for individuals with visual impairments like macular degeneration.
C.   Electrical cords can cause tripping and falls, especially in areas with high foot traffic.
D.   A grab bar can actually help prevent falls, especially in the bathroom where there is a risk of slipping.
E.   This eye condition can impair vision, making it difficult to see obstacles and potential hazards, increasing the risk of falls.

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Correct Answer is A

Explanation

A. Electronic health records (EHRs) allow for immediate access to a patient's health information, improving coordination of care and enabling timely decision-making.
B. EHRs actually improve coordination of care by providing real-time access to patient information for multiple healthcare providers.
C. While some EHR systems offer patient portals, this is not a core advantage of electronic documentation itself.
D. EHRs can help reduce duplicate testing by providing access to previous test results and preventing unnecessary procedures.

A. Fill the bathtub with water at 48° C (118.4° F). B. Use bath oil in the client's bathtub. C. Instruct the client to stay in the bathtub no longer than 20 min. D. Provide the client with non-slip bath strips in the bathtub.

Correct Answer is D

Explanation

A. This is too hot and can scald the client's skin. The recommended water temperature for bathing is around 37-40°C (98.6-104°F).
B. Bath oil can make the bathtub surface slippery, increasing the risk of falls.
C. While it's important to avoid prolonged exposure to hot water, limiting bath time to 20 minutes is not the primary concern for safety in this situation.
D. This is the most important safety measure to prevent falls, especially for a client with a lower extremity amputation who may have balance difficulties.

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A nurse is assisting with the care of a client. Exhibits A nurse in a provider's 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 charge nurse is reinforcing teaching with a newly licensed nurse about the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is assisting a client who had a lower extremity amputation with a bath. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

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A nurse is assisting with the care of a client.

Exhibits

A nurse in a provider's 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.