An older adult patient with osteoporosis is at risk for falls. What should a nurse advise the patient to do in order to maintain safety in the home?
a. Take the rubber mat out of the shower.
b. Install a grab rail in the bath and shower and by the toilet.
c. Avoid rubber-soled shoes.
d. Avoid exercise.
B
The patient who is at risk for falls must have rails to hold to prevent falling. A rubber mat in the shower and rubber-soled shoes are important to prevent slipping. Moderate exercise is beneficial.
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A nurse is caring for a newborn of a diabetic mother whose blood glucose level is below 40 mg/dL. Which of the following should be included in the nurse's plan of care for this newborn?
1. Offer early feedings with formula or breast milk. 2. Provide glucose water exclusively. 3. Evaluate blood glucose levels at 12 hours after birth. 4. Assess for hypothermia.
Which of the following nursing responsibilities can never be delegated?
a. Complex tasks b. Evaluation c. Medication administration d. Accountability
The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated. What is the correct rationale for this intervention?
a. Spontaneous release of urine might contaminate the sterile field. b. An empty bladder provides more room in the pelvis. c. A sterile urine specimen is needed preoperatively. d. A Foley catheter prevents the membranes from spontaneously rupturing.
Which of the following conditions is Tolterodine (Detrol) the drug of choice?
A. pyelonephritis B. edema C. overactive bladder D. urinary tract infection