A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?
Placing a sign on the client's room door indicating fall risk.
b. Encouraging the client to use the call bell for assistance.
Providing a nonskid mat on the floor beside the client's bed.
Ensuring the client has adequate lighting in the room.
The Correct Answer is B
nswer: b. Encouraging the client to use the call bell for assistance. Explanation: Encouraging the client to use the call bell for assistance is the most important intervention for fall prevention. It promotes the client's involvement in their own safety and ensures that help is readily available when needed.
Incorrect choices: a. Placing a sign on the client's room door indicating fall risk is a helpful visual reminder, but it does not actively prevent falls. c. Providing a nonskid mat on the floor beside the client's bed can reduce the risk of slipping but does not address other factors that contribute to falls. d. Ensuring the client has adequate lighting in the room is important for preventing falls, but it is not the most critical intervention. The client's ability to seek assistance when needed is more crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
The correct answer isA. Pitocin, B. Methergine, and D. Hemabate.
Choice A rationale:
Pitocin (oxytocin) is a first-line medication used to manage postpartum hemorrhage by stimulating uterine contractions to reduce bleeding.
Choice B rationale:
Methergine (methylergonovine) is another uterotonic agent used to control postpartum hemorrhage by causing sustained uterine contractions.
Choice C rationale:
Terbutaline is a tocolytic agent used to relax the uterus and is not used to manage postpartum hemorrhage.It is actually used to delay preterm labor.
Choice D rationale:
Hemabate (carboprost) is a prostaglandin used to treat severe postpartum hemorrhage by inducing strong uterine contractions.
Choice E rationale:
Magnesium sulfate is used to prevent seizures in preeclampsia and is not indicated for the management of postpartum hemorrhage.
Correct Answer is A
Explanation
Decreased hCG levels are abnormal regarding hCG levels in pregnancy.hCG is a hormone that plays an important role in pregnancy, and levels can vary widely at this time and between individuals.However, during early pregnancy, hCG levels typically double every two to three days.Low or declining hCG levels can signal a problem with the pregnancy, such as an impending miscarriage or ectopic pregnancy.
Choice B is wrong because unchanged hCG levels are also abnormal regarding hCG levels in pregnancy.
As mentioned above, hCG levels should increase rapidly during the first few weeks of pregnancy.
Choice C is wrong because increased hCG levels are normal regarding hCG levels in pregnancy.Levels of hCG can vary widely from one pregnant woman to another, but they generally peak at around 8 to 14 weeks after conception.
Choice D is wrong because increased prolactin levels are not related to hCG levels in pregnancy.
Prolactin is another hormone that stimulates milk production in the breasts.
Prolactin levels rise during pregnancy and breastfeeding, but they do not affect hCG levels.
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