An ambulatory patient is admitted to the extended care facility with a diagnosis of Alzheimer's disease. In using a fall assessment tool, the nurse knows that which one of the following is the greatest indicator of risk for falls?
a. Confusion
b. Impaired judgement
c. Sensory deficit
d. History of falls
D
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A According to the fall assessment tool, the second leading risk factor for falls is confusion.
B According to the fall assessment tool, impaired judgement is the fourth leading risk factor for falls.
C According to the fall assessment tool, sensory deficit is the fifth leading risk factor for falls.
D According to the fall assessment tool, the greatest indicator of risk for falls is a history of falls.
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A novice RN is caring for a patient who is saying that something is wrong. Vital signs are normal and there are no new specific findings. The novice RN calls another, more experienced
RN who briefly talks with the patient, calls the health care provider, and initiates a transfer to the ICU. Which statement is most likely true of the more experienced RN? a. The experienced RN is an advanced beginner with better assessment skills than the novice nurse. b. The experienced RN is proficient in assessment and the use of hospital protocol. c. The experienced RN is an expert nurse with intuitive judgment that the experienced nurse cannot quite explain. d. The experienced RN is arrogant, foolish, and likely to get in trouble for her assertive behavior.
When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess?
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A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly. The purpose of this pharmacologic treatment is to:
a. Stimulate fetal surfactant production. b. Reduce maternal and fetal tachycardia associated with ritodrine administration. c. Suppress uterine contractions. d. Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.