The nurse instructs the client and family about possible visual and mental adverse reactions that can occur. Which of the following would the nurse include in the teaching to reduce the client's risk for injury? Select all that apply

A) Removing throw rugs
B) Moving furniture against the wall
C) Making sure floors are dry
D) Avoiding having the floors waxed
E) Removing electrical cords from walkways


Ans: A, B, C, D, E
Feedback:
Objects or situations that may cause falls, such as throw rugs, electrical cords, footstools, furniture, and wet or newly waxed floors, are removed or avoided whenever possible.

Nursing

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A client is diagnosed with an enterocele. The nurse interprets this condition as:

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A client who is facing a final surgery to save his life asks the nurse to stay and pray with him until the surgery begins. In which ways should the nurse demonstrate presencing with this client?

1. Adjusting the intravenous infusion 2. Talking with the client about the surgery 3. Sitting next to the client in the holding area 4. Praying with the client for divine intervention 5. Focusing on the client and fulfilling his needs

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While conducting a health history, the nurse notes that the patient is demonstrating positive signs of schizophrenia. What did the nurse assess in this patient?

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A patient with cholecystitis is prescribed promethazine (Phenergan) for nausea. Which adverse effect of the medication should the nurse instruct the patient to report?

a. Diarrhea b. Insomnia c. Dry mouth d. Urine retention

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