When teaching clients about maintaining a safe environment, which statement would be most suitable to include?

Clients should designate a single area in the home for smoking while using oxygen.

To prevent falls, throw rugs should have bright patterns.

Carbon monoxide detectors should be strategically installed throughout the home.

If any poison is ingested, ipecac should be administered to induce vomiting.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Designating a single area in the home for smoking while using oxygen is not a safe practice. Oxygen supports combustion and can cause materials to ignite more easily and burn faster, increasing the risk of fires and severe burns.
Choice B rationale
While bright patterns on throw rugs may make them more visible, they can still pose a tripping hazard, especially for older adults or individuals with mobility issues.
Choice C rationale
Installing carbon monoxide detectors throughout the home is a key safety measure. Carbon monoxide is a colorless, odorless gas that can cause sudden illness and death if inhaled.
Choice D rationale
Administering ipecac to induce vomiting after ingesting poison is not recommended. It can cause harm and is not effective for all types of poisonings.

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Correct Answer is D

Explanation

Choice A rationale
Enlargement of the liver is not a common complication following a myocardial infarction that has caused damage to the right side of the heart.
Choice B rationale
Pulmonary congestion is more commonly associated with left-sided heart failure.
Choice C rationale
Cardiac Tamponade is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This can occur as a result of a myocardial infarction, but it is not the most likely complication in this scenario.
Choice D rationale
Peripheral edema is a common complication following a myocardial infarction that has caused damage to the right side of the heart. When the right side of the heart is damaged, it can lead to a backup of blood in the body’s veins, which can cause swelling in the ankles, legs, and abdomen.

A. Does not let patient know that nurse is assessing respirations. B. Auscultating heart sounds using bell of stethoscope. C. Assessing both carotid pulse sites at the same time. D. Cleaning stethoscope between patient assessments.

Correct Answer is C

Explanation

Choice A rationale
It is a common practice for nurses to assess a patient’s respirations without explicitly stating so. This is because patients may alter their breathing pattern if they know it’s being observed.
Choice B rationale
Auscultating heart sounds using the bell of the stethoscope is a standard practice in nursing. The bell of the stethoscope is used specifically to listen to low-frequency sounds such as heart murmurs.
Choice C rationale
Assessing both carotid pulse sites at the same time is dangerous and should be avoided. This action can lead to reduced blood flow to the brain, possibly causing the patient to faint or experience a decrease in cerebral blood flow.
Choice D rationale
Cleaning the stethoscope between patient assessments is a recommended practice to prevent the spread of infections.

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When teaching clients about maintaining a safe environment, which statement would be most suitable to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 67-year-old patient is admitted to the ICU following a myocardial infarction that has caused damage to the right side of the heart. What complication is the patient most likely to experience?

Correct Answer is D

Explanation

Which of the following actions by the new nurse requires immediate intervention by the experienced nurse?

Correct Answer is C

Explanation

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When teaching clients about maintaining a safe environment, which statement would be most suitable to include?

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