A patient is admitted to the unit. The nurse notes that the medical record for this patient lists a fall risk of 75% per the Morris Fall Risk scale. What would be an appropriate nursing intervention?
A) Assess for orthotics
B) Use environmental cues
C) Use an accessory high seat on the toilet
D) Encourage the patient to use canes bilaterally
B
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A nurse is caring for a client who is receiving alprazolam. The nurse would be alert for which of the following as an initial adverse reaction with this drug?
A) Heartburn B) Anorexia C) Headache D) Allergy
A patient is preparing to take a sitz bath for the first time. The nurse will:
1. Allow the patient privacy during the sitz bath. 2. Place a call bell well within reach and check on the patient frequently. 3. Discourage the patient from taking a sitz bath. 4. Check on the patient after the sitz bath.
A person is agitated. You should do which of the following?
a. Remain close to the person. b. Keep your hand on the person to comfort him. c. Talk to the person in a calm manner. d. Stay with the person until the nurse ar-rives.
When I am leading my group of followers, sometimes I say or do things that I really do not understand and that do not seem to be part of my typical way of dealing with issues. I am applying which premise of the clinical paradigm?
a. Mental life lies outside of conscious awareness b. Human development is an intra- and interpersonal process c. There is rationale behind every act d. How we regulate and express emotions is central to a person's identity