The nurse is providing discharge education for her patient who is going home with a walker. Which statement by the patient indicates a good level of understanding of safety in the home? (Select all that apply.)
a. "I need to remove the throw rugs."
b. "I should make sure I only take a bath."
c. "I cannot use the stairs."
d. "I need to place a nonskid mat in front of the kitchen sink."
ANS: A, D
To ensure patients do not have hazards that can cause falls at home, the nurse should evaluate where the living quarters are. If the patient has stairs, they need to be able to safely learn how to use the stairs. They need to remove throw rugs that are a trip hazard and place nonskid mats in front of sinks, tubs, and showers. They can shower with a bench or chair in the shower for sitting.
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a. accelerated lipid metabolism. b. an increase of fixed acid. c. increases in carbonic acid. d. loss of bicarbonate.
A nurse is caring for patients after a major disaster has occurred. What is the best action in caring for these patients? (Select all that apply.)
a. Avoid discussing the disaster that has oc-curred. b. Encourage patients to talk about their ex-perience. c. Empathize with patients and their emo-tions and experiences. d. Ask patients not to discuss the disaster until they are under the care of a psychol-ogist. e. Reinforce their emotions and reactions as normal.
A child will start treatment for precocious puberty. The nurse recognizes that this will involve the injection of which synthetic medication?
a. Thyrotropin b. Gonadotropins c. Somatotropic hormone d. Luteinizing hormone–releasing hormone
The nurse is contributing to a plan of care for a patient who has had a 5 pound weight gain in 2 days, pitting edema of the ankles, lung crackles, and distended neck veins. Which nursing diagnosis would be given priority in the plan of care?
a. Noncompliance b. Urinary Retention c. Excess Fluid Volume d. Ineffective Health Maintenance