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. Deep breathing is a relaxation technique that can help reduce pain by increasing oxygen delivery, decreasing muscle tension, and promoting a sense of calmness. The nurse should instruct the client to breathe slowly and deeply through the nose and exhale through the mouth.
B. Heat therapy may provide relief for muscle-related back pain but should not be applied for prolonged periods as it may cause tissue damage.
C. Minimizing environmental stimuli can help the client focus on relaxation techniques and alleviate pain perception but is not as effective as deep breathing.
D. Ice therapy is typically used for acute pain or inflammation and may not be appropriate for mild, ongoing back pain.
Correct Answer is A
Explanation
A. A respiratory rate of 7/min is below the normal range and may indicate opioid- induced respiratory depression, which is a life-threatening complication requiring immediate intervention.
B. While important, a distended bladder does not pose an immediate threat to the client's life compared to respiratory depression.
C. Constipation is a common side effect of opioid medications but does not require immediate intervention unless accompanied by severe symptoms such as fecal impaction or bowel obstruction.
D. Pain management is important, but respiratory depression takes priority as it can lead to respiratory arrest and death.
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