Jerry is a home health nurse who is assessing Mr. Williams' home to promote a safe sleeping environment. Which of the following is an unsafe situation in Mr. Williams' home?
A. A small night light in Mr. Williams' bedroom
B. All clutter removed between the bed and the bathroom
C. Side rails on the bed used to keep Mr. Williams from getting out of bed on his own
D. Small call bell at the bedside for Mr. Williams to alert family members
C
In the home, a small night light assists the patient in becoming oriented to the room environment before arising to go to the bathroom. Beds set lower to the floor will reduce the risk for falls when a person stands. Remove clutter from the path a patient uses to walk from the bed to the bathroom. If a patient needs help in ambulating from the bed to the bathroom, have a small bell at the bedside to call family.
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Which of these interventions is most appropriate when the nurse is planning nutritional interventions for a healthy, active 74-year-old woman?
a. Decreasing the amount of carbohydrates to prevent lean muscle catabolism b. Increasing the amount of soy and tofu in her diet to promote bone growth and reverse osteoporosis c. Decreasing the number of calories she is eating because of the decrease in energy requirements from the loss of lean body mass d. Increasing the number of calories she is eating because of the increased energy needs of the older adult
The nurse notes that the family members of a patient who was injured in an accident are blaming each other for the event
The nurse appropriately lets the family members express their remorse, while explaining that there was probably little they could do to prevent the injury. The family is in which stage of crisis? A) Anxiety and denial B) Remorse and guilt C) Anger D) Grief
The mother of a premature infant states that sometimes her baby closes her eyes and turns away when she talks and touches her. The nurse explains that this behavior indicates her infant
a. is sleepy and needs to rest b. may not be able to hear her voice c. may be having some physical discomfort d. is overwhelmed by the stimuli
In contrast to a child with pulmonary edema secondary to congestive heart failure, the respirations of a hypercarbic child without pulmonary edema would MOST likely be:
A) rapid with audible rhonchi. B) tachypneic and without retractions. C) slow with increased work of breathing. D) bradypneic with periods of marked apnea.