Which is a true statement about mobility and safety for older adults?
a. Use of restraints on older patients helps prevent injuries from falls.
b. Falls that do not cause physical injury are not significant.
c. The get-up-and-go test provides a measure of a client's energy and initiative.
d. Lowering the bed and fluorescent tapes are interventions to increase safety.
D
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A Incorrect. Restraints have been shown not to increase safety and may contribute to morbidity and mortality.
B Incorrect. Even if a fall does not cause injury, it can contribute to fear of falling, inhibiting activities of daily living.
C Incorrect. The get-up-and-go test, in which the person rises from a straight-backed chair, walks 10 feet, returns, and sits down, assesses balance and gait.
D Correct. Adjusting bed height to match the length of the resident's lower leg and marking the path from bed to toilet with bright fluorescent tape are some of many possible interventions to improve residents' safety.
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A new registered nurse is oriented to the ED (emergency department) and meets his preceptor. After the second week of orientation the new nurse witnesses a death of a child in the ED. Which role of the preceptor is appropriate at this time?
1. Orient the nurse to the department. 2. Socialize the nurse to the staff. 3. Counsel the new nurse. 4. Serve as a role model.
The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______________, _______________, _______________, _______________, _______________
(Put a comma and space between each answer choice.) A. Initiate tube feeding. B. Insert feeding tube. C. Flush tube to verify patency. D. Obtain chest radiograph. E. Assess residuals.
The state board of nursing has written new regulations to clarify in a more concrete manner what the nurse practice act allows and requires. Which of the following effects will this change have on nurses in this state?
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What indicates that spinal shock is terminating?
a. Voluntary movement below the level of injury b. Reflex emptying of the bladder c. Paresthesia below the level of injury d. Decreased deep tendon reflexes and flaccid paralysis