A nurse visiting a patient in the patient's home assesses the environment for extrinsic risk factors for falling. Which factors should the nurse have the patient or family correct?
a. No door thresholds are present.
b. The kitchen floor is clean, shiny, and slick.
c. Lamps have 60-watt bulbs.
d. The telephone is placed on the bedside table.
B
Slick floors can cause the patient to slip and fall. The other choices are implementations that will help reduce the risk of falls.
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The nurse is providing family therapy for the family of an adolescent diagnosed with schizophrenia. When planning care for this client, which is the focus for the nursing interventions?
Select all that apply. A) Establishing boundaries B) Coping mechanisms C) Providing happiness D) Preventing future episodes E) Improving communication
A nurse is instructing a client with chronic pain about two new prescriptions: ibuprofen (Advil) and misoprostol (Cytotec). The client is asking about why the misoprostol (Cytotec) was added. Which is the nurse's best response?
1. Ibuprofen (Advil) is toxic and misoprostol (Cytotec) will reduce the toxicity. 2. Misoprostol (Cytotec) will create a protective mucous to decrease irritation from the ibuprofen (Advil). 3. Ibuprofen (Advil) has inflammatory properties that misoprostol (Cytotec) will decrease. 4. Misoprostol (Cytotec) will stimulate gastric production to assist digestion of ibuprofen (Advil).
The nurse is providing education to parents of a child with cleft palate. What will the nurse instruct the parents to report immediately?
a. Facial paralysis b. Ear infections c. Increasing intracranial pressure (ICP) d. Drooling
An expected outcome for a patient who has a nursing diagnosis of ineffective coping related to stress is that the patient will:
A) Adapt relaxation techniques to reduce stress B) Be stress free C) Avoid stressful situations D) Start an anti-anxiety agent