The nurse is implementing generalized falls precautions for his patients who are at risk for falls. Which intervention indicates a lack of understanding of these precautions?
a. The bed is placed in the low position.
b. The patient is wearing socks.
c. The patient's cell phone is by the bedside.
d. The patient's call light is within reach.
ANS: B
If the patient is ambulatory, require the use of nonskid footwear. Socks can be slippery unless they have a grip surface on them. Keep patient belongings (e.g., tissues, water, urinals, personal items) within the patient's reach. Keep the call light in reach and remind the patient to use it and keep the bed in the low position.
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A nurse using family systems theory to work with patients and their families would do which of the following?
A. Assess how school, work, and church impact the family. B. Describe the developmental stage the family is in. C. Determine if there are any family secrets or taboos. D. Listen to how information is shared with providers. E. Observe how family members interact with each other.
A nurse understands that the basic premise of an ECG is that it shows
a. altered electrical activity from pathologic changes. b. damage to the valves inside the heart. c. the status of the client's coronary arteries. d. the approximate time since a myocardial infarction occurred.
Which of the following is a developmental task of young adulthood?
a. Adjusting to physical changes b. Adjusting to aging parents c. Developing a satisfactory sex life d. Adjusting to physical changes
The nurse is establishing criteria for a medical or healthcare home for children. What should the nurse include when planning this approach to care? Select all that apply
1. Providers partner with the family. 2. Children are known by the provider. 3. Home visits are made when necessary. 4. Specialty care can be accessed if necessary. 5. Communication with family occurs routinely.