The nurse is working with a group of parents of children with intellectual disabilities. Which should the nurse recommend to support environmental safety for these children?
Select all that apply.
A) Have parents maintain a regular schedule for activities.
B) Teach emotional safety.
C) Use medications to decrease agitation.
D) Provide aids to assist with orientation.
E) Turn the temperature down on the hot water heater.
Answer: B, E
Turning the temperature down on the hot water heater will help to prevent accidental burns when bathing or washing dishes. Teaching emotional safety can decrease the risk of physical or sexual abuse. Using therapeutic measures to decrease agitation is recommended for clients with high risk for other-directed violence. Although a routine daily schedule and orientation aids will structure the client's environment to promote optimal orientation, they will not necessarily improve environmental safety.
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As part of the health history of a 6-year-old boy at a clinic for a sports physical examination, the nurse reviews his immunization record and notes that his last measles-mumps-rubella (MMR) vaccination was at 15 months of age. What recommendation should
the nurse make? a. No further MMR immunizations are needed. b. MMR vaccination needs to be repeated at 4 to 6 years of age. c. MMR immunization needs to be repeated every 4 years until age 21 years. d. A recommendation cannot be made until the physician is consulted.
After completing an assessment, the nurse determines a client is at risk for safety issues. Which data supports the nurse's conclusion?
Select all that apply. A) Lives with adult married daughter and family B) Occasional dizziness with walking C) Prescribed antihypertensive and pain medication D) Ingests three meals a day and two snacks E) Receives an annual ophthalmologic examination
The nurse is caring for a newly admitted adult patient. When performing the general survey of this patient, the nurse knows that accurate measurements provide critical information about what?
A) Safety B) State of health C) Growth pattern D) Past surgeries
The nurse is working with parents who have just experienced the birth of their first child at 34 weeks
Which statements by the parents indicate that additional teaching is needed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Our baby will be in an incubator to keep him warm." 2. "Breathing might be harder for our baby because he is early." 3. "The growth of our baby will be faster than if he were term." 4. "Tube feedings will be required because his stomach is small." 5. "Because he came early, he will not produce urine for 2 days."