The nurse makes a home visit to an 85-year-old female who has congestive heart failure and osteoarthritis. In completing an environmental assessment of the home for structural barriers, the nurse should assess for
A) the client's perception of her environment.
B) impaired vision and hearing.
C) handrails on the stairs and in the bathroom.
D) ease of access to local groceries.
C
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A woman is in the emergency department for the fifth time this year, each time with more severe injuries. Which of the following is the primary responsibility of the nurse?
a. Insist she be discharged to a safe shelter where the perpetrator cannot find her b. Provide information regarding safe shelters and sources of support c. Report the assault and battery to the local police department so the perpetrator is arrested for the crime d. Treat the injuries and inform the woman she may be killed if she stays with the perpetrator
The nurse provides a client with information about a high-fiber diet to reduce constipation. Fiber should be increased gradually to prevent:
a. nausea. b. abdominal bloating and discomfort. c. peripheral edema. d. bowel incontinence.
Which of the following interventions is essential for the nurse to perform when caring for a client receiving an intravenous drug infusion?
a. Employ clean technique when handling the intravenous equipment. b. Monitor the client during the infusion. c. Prime the tubing once the infusion has started. d. Use the largest gauge intravenous needle available.
Complications of premature rupture of the amniotic membranes (PROM) include:
a. Premature placental separation b. Maternal and fetal infection c. Precipitate delivery d. Fetal dehydration