The nurse is instructing a male patient who has a difficult-to-control seizure disorder on home care issues. Which issue affecting safety is most important for the nurse to address with patient teaching before discharge?
a. Avoiding substances containing alcohol
b. Maintaining a current list of medications
c. Keeping a supply of medications at work
d. Purchasing lawn equipment with a safety switch
D
The most important issue to address is to have him purchase any motorized lawn equipment with a safety switch that will stop the machine when the handle is released. Thus the patient avoids injury if he has a seizure while operating the equipment. Although the patient should avoid al-cohol to decrease the risk of possible alcohol-drug interactions, and he should keep a list of cur-rent medications to avoid confusion over his therapeutic regimen, failure to do so poses a risk only to himself. Likewise, although keeping a supply of medication at work is a good idea, it is not a safety risk not to do so.
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The nurse working in an ambulatory care program asks questions about the client's locus of control as a part of his assessment because of which of the following? Select all that apply
a. People who feel in charge of their own health are the easiest to motivate toward change. b. People who feel powerless about preventing illness are least likely to engage in health promotion activities. c. People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider. d. People who feel in charge of their own health are less motivated by health promotion activities.
A client in a long-term care facility has fallen. Assessment findings characteristic of a hip fracture include the client
A) assuming a position with the injured leg shortened and externally rotated. B) having pain relieved by moving the affected extremity. C) having redness, tenderness, and severe swelling at the hip joint. D) bending the injured leg at the knee and internally rotating the leg.
A mother brings her 18-month-old son to the pediatrician for a routine well-child visit. She is concerned about her child's speech. He has been babbling and cooing since 6 months of age but is not yet saying any words. Which response by the nurse is the most appropriate?
a. "Don't worry, he should catch up soon. Boys are always slower at speaking than girls." b. "The doctor will want to refer your son to an audiologist and speech pathologist." c. "This is normal speech development for an 18-month-old child." d. "Your son has an expressive language disorder and will need a referral for further evaluation."
A child weighing 44 lbs. is prescribed amoxicillin (Amoxil). The recommended amount is 25-50 mg/kg/day provided in q 8 hr or q 12 hr divided doses. What is a safe single dose that should be prescribed for this medication?
1. 500 mg q 8 hr 2. 400 mg q 6 hr 3. 400 mg q 12 hr 4. 600 mg a 12 hr