Which factors in the patient care environment should be routinely assessed to decrease the risk of falls? (Select all that apply.)
a. Outdoor grounds
b. Appropriate footwear
c. All four bed rails raised
d. Grab bars in place
A, B, D
The outdoor grounds should be checked for uneven areas, such as breaks in the sidewalk and items the patients could trip over. Ensuring that patients have the appropriate footwear in impor-tant to decrease the risk for falls. Raised bed rails can be considered a restraint. Grab bars are considered assistive devices and can decrease the risk for falls or injuries.
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Which of the following statements is true about end-of-life care?
a. The physician is the ultimate authority in the decision to use or not to use life-sustaining medical treatment. b. The proxy appointed in a living will can-not speak for the testator in health care matters other than terminal illness. c. A patient with dementia cannot be capable of making personal wishes known about life-sustaining treatment. d. The American Nurses Association encou-rages nurses to participate in assisted sui-cide.
The nurse is concerned that a client has a low calcium level. Which symptom caused the nurse to suspect that this client has severe hypocalcemia?
a. Diarrhea b. Headaches c. Heart arrhythmias d. Increased blood glucose
A middle-aged male client has irritable bowel syndrome that has not responded well to diet changes and bulk-forming laxatives. He asks the nurse about the new drug lubiprostone (Amiti-za). What information does the nurse provide him?
a. "This drug is investigational right now for irritable bowel syndrome." b. "Unfortunately, this drug is approved only for use in women." c. "Lubiprostone works well only in a small fraction of irritable bowel cases." d. "Let's talk to your health care provider about getting you a trial prescription."
When giving a drug to a patient who is awake but confused, what is the best way for the nurse to identify the patient?
a. Check the room and bed number that the patient occupies. b. Ask the patient to state his or her name and birth date. c. Check the name on the patient's wristband. d. Ask the patient if he or she is Mr. or Ms. [name].