Q.12h
What will be an ideal response?
every twelve hours
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The nurse providing instructions to a client who will be discharged to home with self-administered bolus enteral feedings would teach the client to infuse the feeding over
a. 2 to 10 minutes. b. 10 to 15 minutes. c. 15 to 30 minutes. d. 30 to 60 minutes.
Which nursing intervention best demonstrates the understanding that older adults are at increased risk for falls because of normal age-related changes?
a. Speaking in a loud voice when warning the patient about safety hazards b. Turning on bright lights so the patient can see objects such as furniture c. Encouraging the patient to rise from a su-pine position slowly d. Advising the patient to avoid exercising painful joints
The nurse detects an abnormality in CN VIII (facial) during a neurological assessment. Which interventions would the nurse consider? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Have the patient wear an eye patch during the day. 2. Check visual acuity with the Snellen chart. 3. Assess pupils for equality of size and response to light. 4. Provide the patient with an eye shield to wear at night. 5. Warn the patient about the possibility of choking when drinking fluids.
Performing range of motion exercises on a client who has had a stroke is an example of which level of prevention?
A. Primary prevention B. Tertiary prevention C. Secondary prevention D. Rehabilitation prevention