What can the nurse do to promote a safe environment for the client?
1. Keep clutter to a minimum in the client's room.
2. Have the client wear terry cloth slippers.
3. Provide adequate lighting.
4. Turn off alarms to reduce noise.
Correct Answer: 3
Rationale 1: The environment should be clutter-free because any clutter can cause the client to fall.
Rationale 2: Wearing terry cloth slippers would allow the client to fall. The client should have rubber skid-resistant soles.
Rationale 3: Providing adequate lighting will help prevent the client from falling.
Rationale 4: Noise should be kept to a minimum, but turning off alarms would endanger a client.
You might also like to view...
Patient care emphasis on wellness, rather than illness, begins as a result of:
a. increased education concerning causes of illness. b. improved insurance payments. c. decentralized care centers. d. increased number of health care givers.
A nurse cared for a terminally ill patient over a month and looked forward to spending time with this patient. After the patient died, the nurse began to sleep poorly, lacked energy, and felt depressed
Eventually the nurse explained these feelings to a mentor. The mentor should counsel the nurse: a. about stress-reduction strategies. b. to seek therapy for dysfunctional grief. c. about the experience of disenfranchised grief. d. to consider taking a leave of absence to pursue healing.
Which of the following data regarding a client with a diagnosis of colon cancer are subjective? Select all that apply
A) The client's chemotherapy causes him nausea and loss of appetite. B) The client became teary when his daughter from out of state came to the bedside. C) The client's ileostomy put out 125 mL of effluent in the past four hours. D) The patient is unwilling to manipulate or empty his ostomy bag. E) The patient has been experiencing fatigue in recent weeks.
The client is being discharged from an acute care facility following a total hip replacement. She will need follow-up for her rehabilitation and exercise plan. In addition to a home health care nurse, what referral should be discussed?
1. Dietitian 2. Social worker 3. Physical therapist 4. Respiratory therapist