To reduce an adult client's risk of falling, which of these actions should the nurse take?
a. Keep the bed locked in the upright position with the side rails up.
b. Keep the lighting dim.
c. Place the client's personal belongings and call light within easy reach.
d. Remove walkers and wheelchairs from bedside.
C
Fall prevention is an ongoing process that includes wiping up spills, encouraging use of side rails, applying restraints when prescribed, encouraging use of assistive devices for walking, using proper body mechanics, ensuring adequate lighting, and removing environmental obstacles.
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The neonatologist suspects an infant has developed sepsis with multiorgan system illness. The nurse caring for this infant will note which of the assessment findings support this diagnosis. Select all that apply
A) Decreasing BP with increase in heart rate indicative of shock B) Prolonged PT and PTT and decrease in platelet count C) Frequent voiding of a small amount of light-colored urine D) Bilateral warm feet but pedal pulses hard to palpate E) Positive Moro reflex when loud noise made at crib side
In order to deliver culturally competent healthcare, the healthcare practitioner should
A) be able to speak the language of the client. B) approach clients of a particular ethnic group in the same manner. C) use standardized assessment instruments in health evaluations. D) know prevalence, incidence, and risk factors for diseases specific to different ethnic groups.
In what phase of the surgical experience would advance directives be discussed with the patient?
A) Preoperative B) Intraoperative C) Postoperative D) Recovery
When collecting a sputum specimen,
A) collect 2 to 4 tablespoons of saliva from the mouth. B) avoid contaminating the outside of the container. C) use a suction catheter. D) rinse the mouth with mouthwash before collecting the specimen.