A nurse is providing discharge teaching to a client who is at risk for falls. Which of the following information should the nurse include in the teaching?
"Ensure carpeting on stairs is secured with tacks."
"Secure extension cords to the floor with paper tape."
"Place furniture in the hallway to hold onto when walking."
"Place a small rug on the floor next to the bathtub."
The Correct Answer is A
A. " Loose or uneven carpeting on stairs can increase the risk of falls for clients who have impaired balance or mobility. The nurse should instruct the client to secure carpeting on stairs with tacks or other fasteners to prevent slipping or tripping.
B. Securing extension cords with paper tape may not provide sufficient support and can pose a tripping hazard. It is better to use cable covers or secure them along the baseboard.
C. Placing furniture strategically in hallways increases the risk of falls. Furniture should be placed away from hallways.
D. Rugs in bathrooms can become slippery when wet, increasing the risk of falls. It is safer to use non-slip mats or rugs with rubber backing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Denial is the first stage of grief, in which the person refuses to accept the reality of their situation and tries to maintain a sense of normalcy. The client who says they are looking forward to seeing their grandchildren grow up is denying the fact that they have a terminal illness and that they may not live long enough to witness that.
B. Bargaining involves making deals with self and God to help feel better, for instance, in this case the client will be expressing the will to do anything to prolong his life.
C. Acceptance involves coming to terms with the reality of the situation and preparing for death. The client's statement does not indicate full acceptance.
D. Anger involves feelings of resentment or frustration. The client's statement does not express anger towards their situation.
Correct Answer is B
Explanation
A. While it may be necessary to notify risk management eventually, the immediate priority is to ensure the client's safety and well-being.
B. The nurse should promptly assess the client for signs and symptoms of an allergic reaction and initiate appropriate interventions as necessary.
C. Documentation of the medication error and allergic reaction should be completed after ensuring the client's immediate needs are addressed.
D. Administering an antidote may be appropriate in certain situations, but the nurse should first assess the client's condition and follow established protocols for managing allergic reactions.
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