A nurse is developing a plan of care for an older adult client who has osteoporosis. Which of the following interventions to prevent falls should the nurse include in the plan?

Instruct the client to use the hallway grab bars when walking.

Assist the client to the bathroom every 4 hr.

Administer an antianxiety medication at bedtime.

Monitor the client's activity every 2 hr.

Answer and Explanation

The Correct Answer is A

A. Instruct the client to use the hallway grab bars when walking. This is correct. Using hallway grab bars provides support and stability, helping to prevent falls in clients with osteoporosis.
B. Assist the client to the bathroom every 4 hr. Assisting the client to the bathroom regularly is important, but every 4 hours might not be frequent enough and doesn't directly address fall prevention throughout all activities.
C. Administer an antianxiety medication at bedtime. Antianxiety medications can cause sedation and increase the risk of falls, especially in older adults.
D. Monitor the client's activity every 2 hr. Monitoring the client’s activity is important, but this does not provide specific fall prevention strategies or interventions.

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Correct Answer is C

Explanation

A. Shut all the doors on the unit. Shutting doors helps to contain the fire and prevent its spread, but it is not the immediate priority.
B. Initiate the facility's fire alarm. Initiating the fire alarm is crucial for alerting others and ensuring the safety of everyone in the facility. However, immediate action should focus on client safety.
C. Evacuate the client's room. Evacuating the client's room is the priority for ensuring the client's safety in the event of a fire. This action should be taken before attempting to address the fire or other tasks.
D. Extinguish the fire. While extinguishing the fire is important, the immediate priority should be the safety of individuals in the room. Extinguishing the fire can be attempted if safe to do so, but evacuation comes first.

Correct Answer is ["63"]

Explanation

To calculate the infusion rate, divide the total volume to be infused by the total time in hours:

250 mL / 4 hr = 62.5 mL/hr
Rounded to the nearest whole number, this is 63 mL/hr.

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A nurse is developing a plan of care for an older adult client who has osteoporosis. Which of the following interventions to prevent falls should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about environmental safety issues to a group of assistive personnel. Which of the following actions should the nurse include as the priority in the event of a fire in a client's room?

Correct Answer is C

Explanation

A nurse is preparing to administer 0.9% sodium chloride 250 mL. IV to infuse over 4 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["63"]

Explanation

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