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 C

Explanation

A) Add 0.5 mL of diluent to the medication. - This action is not appropriate for administering medication from an ampule since the diluent may alter the concentration and dosage of the medication.
B) Inject air into the ampule prior to drawing the medication into a syringe. - Injecting air into the ampule is unnecessary and may cause contamination.
C) Use a filter needle to aspirate the medication. - Filter needles can prevent glass particles from being drawn into the syringe when aspirating medication from an ampule.
D) Cleanse the tip of the ampule with an alcohol swab after opening. – This action is unnecessary and may contaminate the medication.

A. Drink citrus juice with meals. B. Train the bladder by voiding every 5 hr. C. Perform pelvic-muscle exercises. D. Apply adult diapers at bedtime.

Correct Answer is C

Explanation

A. Drink citrus juice with meals: Citrus juice may irritate the bladder and worsen urinary incontinence symptoms.
B. Train the bladder by voiding every 5 hr: Voiding on a schedule may help manage urinary incontinence, but the specific interval should be determined based on individual needs, not a fixed timeframe like every 5 hours.
C. Perform pelvic-muscle exercises: Pelvic floor muscle exercises, also known as Kegel exercises, can help strengthen the muscles that control urination, improving urinary continence.
D. Apply adult diapers at bedtime: While using protective garments may be necessary for managing urinary incontinence, it does not address the underlying issue or provide potential improvement.

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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 preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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