After completing a home assessment the nurse determines that safety hazards exist in a patient's bathroom. What did the nurse assess to come to this conclusion?
Select all that apply.
1. Water temperature of 150°F
2. Grab bars around the toilet only
3. Scatter rug outside the shower stall
4. Smoke detector battery with a low reading
5. Electrical outlet on the wall near the shower door
Correct Answer: 1, 2, 3, 5
A water temperature of 150°F is too high. This could burn the patient. Grab bars need to be within the bathtub or shower area in addition to near the commode. Nonstick rugs should be used. Scatter rugs should be avoided or removed. Electrical outlets should not be near areas of water. Smoke detectors are not routinely mounted near bathrooms.
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A couple has been referred for genetic counseling. Prior to making the appointment, the couple should understand that:
1. The cost of genetic counseling will be covered by their health insurance. 2. Genetic counseling and testing is voluntary. They have a right to decide not to seek the information. 3. Once genetic counseling has been completed, the physician may require sterilization of the man or woman. 4. Their extended family will benefit from the knowledge the couple gains.
The nurse would expect which action immediately following the treatment of a cerebral spinal fluid leak in a post-spine-surgery client?
1. Keeping the client flat in bed for 2 hours 2. Raising the head of the bed (HOB) into a Trendelenburg position 3. Administering a bolus of IV fluids 4. Initiating strict isolation policies
A woman just received notification that her husband died. She approaches the nurse who cared for him during his last hours and says angrily, "If you had given him your undivided attention, he would still be alive."
How should the nurse analyze this behavior? a. The comment suggests potential allegations of malpractice. b. In some cultures, grief is expressed solely through anger. c. Anger is an expected emotion in an adjustment disorder. d. The patient had ambivalent feelings about her husband.
Nitrofurantoin (Macrodantin) is prescribed for an adolescent female patient with acute cystitis. What should the nurse include in the teaching for this patient? (Select all that apply.)
a. "Make sure you tell your prescriber if you might be pregnant." b. "If you experience any tingling or numbness, stop taking the drug and call the clinic immediately." c. "Headaches and drowsiness can occur and are mild side effects." d. "You should not take sulfonamides while taking this medication." e. "Your urine may have a brown tinge while you are taking this drug."