A home health nurse is performing an evaluation of the home of an older adult patient to assess for any safety issues. What should the nurse recognize as an environmental factor that could lead to functional incontinence?
a. Night light in the bathroom
b. Patient's room located on the opposite end of the house from the bathroom
c. Hand rails located around the toilet and bathtub
d. Caregiver's room located close to the pa-tient's room
B
Functional incontinence is the term used when a person voids inappropriately because of an ina-bility to get to the toilet or manage the mechanics of toileting. The patient's room should be lo-cated close to the bathroom.
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A woman with type 1 diabetes recently became pregnant. The nurse plans a blood glucose testing schedule for her. What is the recommended monitoring schedule?
a. Before each meal and before bed b. In the morning for a fasting level and at 4 PM for the peak level c. Six or seven times a day d. Three times a day, along with urine glucose testing
Iona has been brought to the clinic for her well-child checkup and immunizations. When the nurse completes the assessment, Iona is noted to have a low-grade fever. The nurse knows that:
1. Iona should not receive the immunizations because her body is ill. 2. Iona can receive the immunizations since the fever is low grade. 3. Iona can receive the immunizations because the low-grade fever will increase the effectiveness of the vaccine. 4. It is important to remain on schedule with the immunizations.
When parents ask the nurse for advice about how to begin toilet training a 2-year-old, the nurse suggests:
a. Waiting until the child wakes up from naps dry b. Placing the child on a potty seat for 20 minutes c. Applying the diaper very snugly d. Consistently using the same word for urination, (e.g., tinkle, TT)
A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step?
1. Invert the vial. 2. Fill the syringe with medication. 3. Inject air into the airspace of the vial. 4. Clean with alcohol swab and allow to dry. 5. Pull back on the plunger the amount to be drawn up. 6. Tap the side of the syringe barrel to remove air bubbles. a. 4, 1, 5, 3, 6, 2 b. 1, 4, 5, 3, 2, 6 c. 4, 5, 3, 1, 2, 6 d. 1, 4, 5, 3, 6, 2