A nurse is preparing to conduct a fall risk screening on a client.
Which of the following variables will the nurse use to evaluate the client? (Select all that apply.)

Fall history.

Medical diagnosis.

Use of assistive devices.

Mental status.

Do-not-resuscitate status.

Answer and Explanation

Correct Answer : A

Choice A rationale:

Maintaining the patency of the client's airway is the priority action. During a seizure, the client may lose consciousness and have difficulty breathing. Ensuring a clear airway is essential to prevent hypoxia and maintain oxygenation. This can be achieved by positioning the client on her side and removing any obstructions from her mouth to allow for adequate airflow.

Choice B rationale:

Identifying the poison the client ingested is important for providing appropriate medical treatment, but it is not the priority action in this scenario. Airway management takes precedence because it addresses the immediate threat to the client's life.

Choice C rationale:

Measuring the client's blood pressure is a necessary assessment, but it is not the priority during an active seizure. Airway management and seizure control are the immediate concerns. Once the seizure is controlled and the airway is secured, other assessments, including blood pressure measurement, can be performed.

Choice D rationale:

Positioning the client on her side is a correct action, but it should be done after ensuring the patency of the airway. Placing the client on her side helps prevent aspiration in case of vomiting during or after the seizure. However, it is not the priority over ensuring the client can breathe properly.

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Correct Answer is C

Explanation

Choice A rationale:

The suffix "-sclerosis" refers to abnormal hardening or thickening, not narrowing. For example, atherosclerosis involves the hardening and narrowing of arteries due to the buildup of plaque.

Choice B rationale:

The suffix "-rrhexis" refers to rupture or breaking. For instance, "angiorrhexis" refers to the rupture of a blood vessel, not narrowing.

Choice C rationale:

The suffix "-stenosis" specifically means narrowing. For example, "stenosis" refers to the abnormal narrowing of a passage in the body, such as a heart valve or a blood vessel. Understanding medical terminology suffixes is crucial for healthcare professionals to interpret various medical conditions accurately.

Choice D rationale:

The suffix "-ptosis" refers to the drooping or falling of a body part. For example, "blepharoptosis" refers to the drooping of the upper eyelid, not narrowing. .

A. Squeeze the handles together. B. Pull the pin found between the handles. C. Aim the nozzle at the base of the flames. D. Sweep the nozzle back and forth at the base of the flames.

Correct Answer is ["A","C"]

Explanation

Choice A rationale:

Instructing the clients to use the call light is an important action to prevent falls. If the clients need assistance or have to leave their beds, they should use the call light to alert the nurse or healthcare provider. Prompt response to call lights can prevent clients from attempting to move on their own and potentially falling.

Choice B rationale:

Keeping the clients' rooms dark is not a safe practice, especially for clients at risk for falls. Dim lighting can increase the risk of tripping or falling, especially during nighttime when visibility is already reduced. Adequate lighting in the clients' rooms is essential to ensure their safety.

Choice C rationale:

Moving overbed tables away from the bed is crucial in preventing falls. Overbed tables can obstruct the clients' movement, leading to accidents. By keeping the area around the bed clear, the clients have more space to maneuver safely, reducing the risk of falls.

Choice D rationale:

Performing client checks every 4 hours is a good practice, but it is not sufficient for clients at high risk for falls, especially during the night shift when they may need assistance to use the bathroom or move in bed. Frequent checks and availability to assist clients promptly are essential to prevent falls effectively.

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A nurse is preparing to conduct a fall risk screening on a client.Which of the following variables will the nurse use to evaluate the client? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Which suffix means narrowing?

Correct Answer is C

Explanation

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Explanation

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A nurse is preparing to conduct a fall risk screening on a client.Which of the following variables will the nurse use to evaluate the client? (Select all that apply.)

A nurse is preparing to conduct a fall risk screening on a client.
Which of the following variables will the nurse use to evaluate the client? (Select all that apply.)