A nurse is reviewing a client's electronic medical record (EMR). Which of the findings should the nurse identify as a risk factor for a potential accident or injury?

History of dementia

Steady gait

History of gastric reflux

Age of 45

Answer and Explanation

The Correct Answer is A

A.   History of dementia- Dementia can impair cognitive function and increase the risk of accidents or injuries, such as falls or wandering.
B.   Steady gait- A steady gait indicates good balance and is not typically considered a risk factor for accidents or injuries.
C.   History of gastric reflux- Gastric reflux may cause discomfort but is not directly related to an increased risk of accidents or injuries.
D.   Age of 45- While age can be a risk factor for certain conditions, such as falls in older adults, being 45 years old alone does not necessarily indicate an increased risk of accidents or injuries.

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Correct Answer is B

Explanation

A. "I will gently restrain him during seizures."- Restraint during seizures can cause injury and is not recommended.
B. "I will loosen his clothing during seizures."- Loosening tight clothing helps prevent injury and ensures adequate ventilation during a seizure.
C. "I will insert a washcloth in his mouth during seizures."- Inserting objects into the mouth during a seizure can cause injury or obstruct the airway.

D. "I will turn him on his back during seizures."- Placing the client on their back during a seizure can increase the risk of aspiration. The recovery position is preferred

A. A client whose grief response begins following a terminal diagnosis B. A client whose grief response is repressed C. A client whose grief response is triggered by a secondary loss D. A client whose grief response leads to self-destructive behaviors

Correct Answer is D

Explanation

A client whose grief response begins following a terminal diagnosis: This may indicate anticipatory grief, which is a normal response to an expected loss, not necessarily exaggerated grief.
A client whose grief response is repressed: Repressed grief involves suppressing or denying feelings of grief, which can lead to complications, but it is not necessarily exaggerated.
A client whose grief response is triggered by a secondary loss: Secondary losses can complicate the grieving process, but the response may still be within the range of normal grief reactions.
A client whose grief response leads to self-destructive behaviors: Exaggerated grief involves intense and prolonged symptoms of grief that significantly impair functioning, such as self-destructive behaviors, excessive guilt, or persistent suicidal ideation.

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A nurse is reviewing a client's electronic medical record (EMR). Which of the findings should the nurse identify as a risk factor for a potential accident or injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is participating in a group discussion about complicated grief associated with loss. Which of the following should the nurse identify as an example of exaggerated grief?

Correct Answer is D

Explanation

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