The nurse is caring for a patient with a frequent history of falls. The nurse notes that which problems in the patient's history may contribute to frequent falls? (Select all that apply.)
a. Diplopia
b. Vertigo
c. Tinnitus
d. Cirrhosis
e. Ataxia
A, B, E
Double vision affects visual acuity and depth perception, vertigo affects equilibrium and balance, and inability to control muscle movements leads to unsteady gait—all problems that may contri-bute to frequent falls. Ringing in the ears and cirrhosis do not overtly increase fall risk.
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A nurse is caring for a client who has just had a central venous access line inserted. Which action should the nurse take next?
a. Begin the prescribed infusion via the new access. b. Ensure an x-ray is completed to confirm placement. c. Check medication calculations with a second RN. d. Make sure the solution is appropriate for a central line.
PDSA is:
a. a national quality improvement campaign b. process, demonstrate, supervise, and analyze c. an acronym for an EBP model d. part of the 100,000 Lives Campaign
The major advantage of chorionic villus sampling (CVS) over amniocentesis is that it
a. Is not an invasive procedure b. Does not require hospitalization c. Has less risk of spontaneous abortion d. Is performed earlier in pregnancy
A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin
The nurse should formulate the nursing diagnosis recognizing that the woman is at increased risk for which of the following? 1. Erythroblastosis fetalis 2. Diabetes mellitus 3. Abruptio placentae 4. Pregnancy-induced hypertension