The nurse is caring for an older adult who presents to the clinic after a fall. The nurse reviews fall prevention in the home. Which information will the nurse include in the teaching session? (Select all that apply.)

a. Water outdoor plants with a nozzle and hose.
b. Walk to the mailbox in the summer.
c. Encourage yearly eye examinations.
d. Use bathtubs without safety strips.
e. Keep pathways clutter free.


ANS: B, C, E
Walking to the mailbox in summer provides exercise when pathways are not icy and slick. Encourage annual vision and hearing examinations. Pathways that are clutter free reduce fall risk. Using a hose to water plants and using tubs without safety strips are all items the patient should avoid to help in the prevention of falls in the home.

Nursing

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The nurse is bathing a patient and notes reddened skin above the coccyx. Which action by the nurse is appropriate? (Select all that apply.)

a. Apply a barrier cream and massage the area. b. Document and describe the area and report to the physician. c. Wash and dry the area and position patient without pressure on coccyx. d. Report the area to the charge nurse.

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A patient is complaining to the nurse that he feels the need to have a bowel movement but has not been able to defecate. He has had cramping and even a small amount of brown watery stool. What should the nurse recognize these symptoms as?

a. Diarrhea b. Fecal incontinence c. Fecal impaction d. Flatulence

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An older patient experiences an allergic reaction to latex. Which should the nurse explain to the patient about this allergy?

1. "You probably never realized that you had a latex allergy." 2. "Allergic reactions happen more often when you are sick." 3. "Allergic reactions can take up to 2 weeks with a latex allergy." 4. "You were receiving medication that caused the reaction to latex."

Nursing

A patient is scheduled for MRI with gadolinium contrast. The nurse should review the medical record for which essential baseline test?

1. Kidney function 2. Chest X-ray 3. CBC with differential 4. Presence of pedal pulses

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