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A nurse is reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select all that apply.)

Ensure the client wears nonskid slippers when walking around the house.

Attach full-length side rails to the client's bed.

Install a raised toilet seat in the client's bathroom.

Encourage an annual review of the medications the client is taking.

Place throw rugs on uncarpeted floors in the client's home.

Answer and Explanation

Correct Answer : A,C,D

Ensure the client wears nonskid slippers when walking around the house.

Explanation: Nonskid slippers provide better traction and stability, reducing the risk of slipping.

B.Attach full-length side rails to the client's bed.

Explanation: Side rails can pose a risk of entrapment and may not prevent falls. The use of side rails is associated with safety concerns, and their use should be carefully evaluated.

C.Install a raised toilet seat in the client's bathroom.

Explanation: A raised toilet seat makes it easier for the client to sit down and stand up, reducing the risk of falls in the bathroom.

D.Encourage an annual review of the medications the client is taking.

Explanation: Medication reviews help identify drugs that may increase the risk of falls or interactions that could affect balance or cognitive function.

E.Place throw rugs on uncarpeted floors in the client's home.

Explanation: Throw rugs can be tripping hazards, especially for older adults with mobility issues. It's safer to have clear, unobstructed pathways in the home.

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Correct Answer is C

Explanation

A. The statement "Nonmaleficence is doing what is good for a client" is incorrect. Nonmaleficence is the ethical principle of "do no harm." It means avoiding actions that could harm the patient and ensuring that the benefits of treatment outweigh the potential risks.

B. The statement "Fidelity means not doing anything that can harm the client" is partially correct. Fidelity is the ethical principle of faithfulness and keeping promises. It involves being loyal to patients and maintaining trust. While it is related to avoiding harm, it specifically emphasizes keeping commitments and being trustworthy.

C. The statement "Veracity means telling the truth and being honest" is correct. Veracity is the ethical principle of truth-telling and honesty. It involves providing accurate and complete information to patients, promoting transparency in communication.

D. The statement "Beneficence is being fair and impartial to a client" is incorrect. Beneficence is the ethical principle of doing good for the patient, promoting their well-being, and advocating for their best interests. Fairness and impartiality are more aligned with the principle of justice.

A. Perform CPR on the client. B. Assist with airway intubation. C. Maintain IV access. D. Place defibrillator pads on the client.

Correct Answer is A

Explanation

A. Perform CPR on the client:

CPR (Cardiopulmonary Resuscitation) is a critical and time-sensitive intervention during a cardiac arrest. An assistive personnel trained in CPR can initiate chest compressions while awaiting further medical assistance.

B. Assist with airway intubation:

Airway intubation is a more advanced skill typically performed by healthcare providers such as physicians or advanced practice nurses. It is beyond the scope of practice for most assistive personnel.

C. Maintain IV access:

Maintaining IV access may require specific skills and knowledge about medications and fluids. While some assistive personnel may be trained in certain aspects of IV care, the level of expertise needed during a cardiac arrest may be beyond their scope.

D. Place defibrillator pads on the client:

Applying defibrillator pads involves handling medical equipment and making critical decisions about when to deliver a shock. This task is typically performed by healthcare providers trained in advanced cardiac life support (ACLS).

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A nurse is reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing ethical principles with a group of staff nurses. Which of the following statements by a staff nurse indicates an understanding of ethical principles?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Correct Answer is A

Explanation

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