When discussing safety measures for the home environment, the nurse reminds the client to:
A. Set the hot water heater to only 160° F
B. Turn on the cold water faucet first
C. Use small throw rugs on slippery wood floors
D. Put high-wattage bulbs into all of the lamps
B
B. Instruct client to always turn cold water on first, which prevents direct exposure to hot water.
A. Have setting on hot water heater adjusted to 120° F or lower. Scalds are typically caused from bathing and showering when hot water tank temperatures are in excess of 140° F or 60° C.
C. Secure all carpeting, mats, and tile; place nonskid backing under small rugs and door mats. This reduces chance of client slipping when stepping on rug surface. Loose area rugs should be securely attached to floor and not placed over carpeting. (For best safety, consider removal of throw rugs.)
D. Have client check lightbulb wattage in all fixtures to ensure proper wattage is being used.
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The nurse is caring for a patient who is receiving an aminoglycoside. What would be a priority assessment on this patient?
A) Respiratory function B) Vision C) Cardiac function D) Liver function
The nurse caring for older adult patients best minimizes the patient's risk of developing dehydration by
a. identifying the patient's oral fluid prefe-rences and offering them regularly. b. carefully monitoring the effects of daily diuretics via blood sodium levels. c. minimizing the patient's reliance on laxa-tives by increasing dietary fiber intake. d. carefully monitoring of the rate of infusion of all intravenous fluids prescribed.
A nurse develops a plan of care for a client who is receiving a series of electroconvulsive therapy (ECT) treatments in a hospital. Which should be the priority nursing diagnosis for this client?
A) Anxiety related to receiving ECT B) Knowledge deficit related to receiving ECT C) Confusion related to the side effects of ECT D) Risk for injury related to the risks and side effects of ECT
The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools. The nurse's explanation of this is based on which statement?
a. Child should not be given fibrous foods until digestive tract matures at age 4 years. b. Child should not be given any solid foods until this digestive problem is resolved. c. This is abnormal and requires further investigation. d. This is normal because of the immaturity of digestive processes at this age.