A home health nurse is performing a home assessment for safety. Which of the following comments by the patient would indicate a need for further education?
a. "I will schedule an appointment with a chimney inspector next week."
b. "Daylight savings is the time to change batteries on the carbon monoxide detector."
c. "If I feel dizzy when using the heater, I need to have it inspected."
d. "When it is cold outside in the winter, I can warm my car up in the garage."
D
Allowing a car to run in the garage introduces carbon monoxide into the environment and decreases the available oxygen for human consumption. Garages should be opened and not just cracked to allow fresh air into the space and allay this concern. Checking the chimney and heater, changing the batteries on the detector, and following up on symptoms such as dizziness, nausea, and fatigue are all statements that would indicate that the individual has understood the education.
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The nurse caring for a client with Guillain-Barré syndrome has identified the priority client problem of decreased mobility for the client. What actions by the nurse are best? (Select all that apply.)
a. Ask occupational therapy to help the client with activities of daily living. b. Consult with the provider about a physical therapy consult. c. Provide the client with information on support groups. d. Refer the client to a medical social worker or chaplain. e. Work with speech therapy to design a high-protein diet.
During the 7th month of pregnancy, a woman notices a yellowish discharge from her nipple. Which is the best explanation for this discharge?
1) An infection is present. 2) This is witch's milk, caused by elevated estrogen levels. 3) This is breast milk, and delivery is imminent. 4) Colostrum is secreted in preparation for milk production.
The client is receiving digoxin for a dysrhythmia. Why does the nurse expect medication levels in the blood to be monitored closely?
1. Digoxin is used for ventricular dysrhythmias. 2. Excessive levels can produce serious dysrhythmias. 3. Subtherapeutic levels are fatal. 4. Interactions with other medications are common.
A home care nurse is visiting a 5-day-old male infant for a scheduled follow-up appointment to ensure that he is responding to home phototherapy for treatment of jaundice
After completing a thorough assessment and obtaining a history from the parents, the nurse recognizes that this infant is in the first phase of encephalopathy when he exhibits: 1. A high-pitched cry when touched. 2. Severe muscle spasms. 3. Fever and seizures. 4. Hypotonia, lethargy, and a poor suck when feeding.