Which of the following practices is most effective in reducing the risk of patient falls in a hospital setting?

Implementing hourly patient rounding to assess needs and address safety concerns

Providing slip-resistant socks to all patients during admission

Encouraging patients to walk independently to promote autonomy

Placing all patients in bed alarms regardless of their fall risk

Answer and Explanation

The Correct Answer is A

A: Hourly rounding allows nurses to address patient needs, prevent falls, and monitor for changes in condition. It’s an active, preventive strategy for patient safety.
B: Slip-resistant socks can be helpful but are not as effective alone in reducing fall risk. Rounding and individualized care are more comprehensive strategies.
C: Encouraging independent walking might be appropriate for some patients, but for others, especially those at risk for falls, it can increase the risk of injury.
D: While bed alarms may help prevent falls, using them indiscriminately for all patients can lead to alarm fatigue, which may reduce their effectiveness.

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Correct Answer is C

Explanation

A. Decreased blood pressure and a rapid pulse are signs of hemodynamic instability, but they do not specifically indicate the need for phenytoin.
B. Pain and tingling at the access site are not related to seizures.
C. Headache and restlessness can be early signs of seizures or seizure activity, and phenytoin is indicated for seizure prevention and treatment.
D. Muscle cramps and chest heaviness are common symptoms of dialysis but are not indications for phenytoin.

Correct Answer is ["31"]

Explanation

First, we need to determine the total volume in milliliters: 1 liter = 1000 mL

Next, we need to find the total number of minutes for the infusion: 8 hours × 60 minutes/hour = 480 minutes

Now, we can calculate the total number of drops to be infused: Total drops = Total volume (mL) × Drop factor (gtts/mL) Total drops = 1000 mL × 15 gtts/mL = 15000 drops

Finally, we can calculate the drops per minute: Drops/minute = Totaltime(minutes)Totaldrops Drops/minute = 480minutes15000drops Drops/minute = 31.25 drops/minute

Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 31 drops/min.

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Which of the following practices is most effective in reducing the risk of patient falls in a hospital setting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

Correct Answer is C

Explanation

Correct Answer is ["31"]

Explanation

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