Which option reflects the nurse's duty to prevent patient falls?
1. The nurse has a duty to assess the patient for risk for falls.
2. The nurse has a duty to provide minimal assistance.
3. The nurse has a duty to provide continual observation of patients.
4. The nurse has a duty to see that siderails on all beds are raised at all times.
1
Rationale: Identification of patient risk is the primary duty to prevent falls.
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An older patient in a long-term care facility does not sleep much at night and prefers to stay up late reading. The patient takes "power naps" during the day. How should the nurse respond to this patient's plan to acquire adequate sleep?
1. Naps are sufficient to restore the missed sleep time. 2. Older people do not need as much sleep as younger adults. 3. Napping may simply contribute to the problem getting to sleep at night. 4. There is no problem as long as the total number of hours slept per 24-hour period is at least 8.
What do standardized nursing care plans and individualized care plans have in common? They both:
1) Reflect critical thinking for a specific patient 2) Are preprinted to apply to needs common to a group of patients 3) Address a patient's individual needs 4) Provide detailed nursing interventions
A patient has been diagnosed with polycystic ovary syndrome (PCOS). The nurse should encourage what health promotion activity to address the patient's hormone imbalance and infertility?
A) Kegel exercises B) Increased fluid intake C) Weight loss D) Topical antibiotics as ordered
The nurse assesses a child's neurovascular status. The child has a long leg cast for a fracture of the humerus
The nurse finds that there is a slight decreased sensation in the foot and toes of the casted leg as compared to the baseline assessment data. The nurse realizes that this is indicative of which of the following conditions? a. a normal condition because sensation will increase and decrease slightly and not be exactly stable b. pain that competes for recognition with sensation in the pain gateway theory c. neurovascular compromise and an indication of the need for further assessment d. probable interrater reliability error calling for establishment of a new baseline