The nurse is collecting data from the 68-year-old client about her living situation in order to assess her ability to care for herself and avoid injury

Which of the following statements indicate to the nurse that the client might be in need of interventions to ensure her safety? Select all that apply. Standard Text: Select all that apply. 1. The client lives in an assisted-living facility with her small dog.
2. The client has a cataract in one eye.
3. The client reads on an elementary level.
4. The client takes acetaminophen for headache.
5. The client chooses to use a cane when out walking.


1,2,3
Rationale 1: The client lives in a relatively safe setting, but is at risk for falls and tripping over the dog. Cataracts diminish eyesight, which places the client at risk for tripping or falls. Reading at an elementary level could cause problems if the client is not able to read warnings on labels. Taking acetaminophen and choosing to use a cane when walking pose no particular safety risk.

Nursing

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The spouse of a client who abuses crack cocaine tells the nurse that she has been in the habit of

calling her husband's employer to cover for his job absences and has even written reports for him "to keep him out of trouble.". She peevishly states "He promises to change but never follows through.". The nurse should make the assessment that the spouse demonstrates a. synergism. b. petulance. c. codependence. d. manipulative tendencies.

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The nurse assessing a client with a surgical wound determines that care has been effective when which of the following is assessed?

1. There is only a scant amount of purulent drainage on the dressing. 2. The client performs wound care independently. 3. A small area of erythema and edema is present. 4. The client's temperature is 100°F.

Nursing

____________________ are microscopic reproductive bodies that are responsible for the spread of some diseases such as botulism.

Fill in the blank(s) with the appropriate word(s).

Nursing