A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit?
A) Orient the client to the room and environment thoroughly upon admission.
B) Provide the client with a bedpan to reduce the need to transfer to a commode or washroom.
C) Administer pain medications sparingly in order to minimize cognitive or musculoskeletal side effects.
D) Place the client in a shared room with a client who is stable and oriented.
Ans: A
A person who is familiar with his or her surroundings is less likely to experience an accidental injury. As part of the hospital admission routine, it is important to orient the client to the safety features and equipment in the room. A bedpan should not be used for the sole reason of reducing the risk of falls, and pain medication should be provided in doses sufficient to treat the client's pain. A client should never be charged with supervising the safety of another client.
You might also like to view...
The nurse is reviewing a client's medical records and notes various forms of information. The nurse understands that which of the following are subjective data?
1. The client states, "My abdomen hurts on the left side after eating." 2. The nurse notes the client's abdomen is tender on the left side during palpation. 3. The CAT scan reveals a large mass in the left lower quadrant of the abdomen. 4. The client's hemoglobin is 14.1 gm/dL.
When caring for a preoperative patient on the day of surgery, which actions included in the plan of care can the nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Teach incentive spirometer use. d. Remove nail polish and apply pulse oximeter. b. Explain preoperative routine care. e. Transport the patient by stretcher to the operating room. c. Obtain and document baseline vital signs.
After a nurse-client teaching session, the nurse reviews the main facts and says, "Now I would like to recap the things we have discussed."
Match the therapeutic communication technique with the example that best illustrates it. a. Broad open-ended statement or question e. Reassurance b. Reflection f. Summarization c. Clarification g. Acknowledgment d. Silence
A patient's spouse filed charges of battery. The patient says, "I'm sorry for what I did. I need psychiatric help." The patient has a long history of acting-out behaviors and several arrests
Which statement by the patient suggests an antisocial personality disorder? a. "I have a quick temper, but I can usually keep it under control." b. "I've done some stupid things in my life, but I've learned a lesson." c. "I'm feeling terrible about the way my behavior has hurt my family." d. "I hit because I'm tired of being nagged. My spouse deserves the beating."