The home health nurse has evaluated the home of an older adult for factors that could be improved to increase home security and found all the following. Of these, the finding that would least improve home security would be a:
a. peephole in the door at a convenient height.
b. brightly lit porch.
c. large dog with a loud bark.
d. hook and eye latch on the screen door.
ANS: D
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The patient's wound is being treated with vacuum-assisted wound closure (negative pressure therapy, or VAC)
The nurse notices that the edge of the dressing is loose and torn, the foam in the wound has expanded, and wound drainage is leaking through the loose edge. What is the best nursing action? A) Reinforce dressing with additional foam packing. B) Reinforce transparent adhesive dressing. C) Discontinue suction on the wound to prevent maceration. D) Completely redress the wound with new materials.
A clinic nurse stopped at an automobile accident to assist. There was one victim who was not breathing. The nurse provided CPR at the scene, but the victim died. The victim's family sued the nurse
Which will provide the best protection to the nurse in this case? a. Clinic's malpractice insurance policy b. Good Samaritan Law c. State Board of Nursing d. Institute of Medicine
Victoria is 75 years old and she came into the ED for a retinal detachment
a. Discuss and explain what this is. b. What are the causes? c. What are the current treatments?
Which action should the nurse take prior to administering the preoperative doses of Demerol and atropine?
a. Ensure that a family member is present. b. Remove the patient's underwear. c. Verify that a consent form is signed. d. Raise each of the bed rails.