A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?
a. A fenced-in pool in the backyard
b. An entertainment center with the remote control on the top shelf
c. A closed window in the childs bedroom
d. A toy box overflowing with toys
Answer: b. An entertainment center with the remote control on the top shelf
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The nurse is working in a long-term care facility on a locked Alzheimer unit. Which client assigned to the nurse might require restraints?
1. The client who keeps getting out of bed at night and wandering the halls 2. The client who enters another client's room without reason and watches TV with the client in that room 3. The older adult client who spits at staff when they enter the room 4. The client who has numerous self-imposed scratches on the extremities
The nurse is caring for a patient recovering from an ischemic stroke. What intervention best addresses a potential complication after an ischemic stroke?
A) Providing frequent small meals rather than three larger meals B) Teaching the patient to perform deep breathing and coughing exercises C) Keeping a urinary catheter in situ for the full duration of recovery D) Limiting intake of insoluble fiber
When obtaining a sexual history from a client in a clinic setting, the nurse notes that the client appears very uncomfortable and pauses for long periods before answering the nurse's questions. What is the nurse's best response?
a. "I am sorry that my questions are making you very uncomfortable." b. "Don't worry. We'll be done with these questions in no time at all." c. "Take your time. I realize that this is a very private topic to talk about." d. "These questions are making you uncom-fortable, so we'll finish next time."
An exhausted daughter is the sole caregiver to a patient with moderate Alzheimer disease (AD). She asks the nurse what respite care entails. Which statement indicates that the caregiver under-stands the nurse's response?
a. "My mom would stay in a long-term care facility for a short time while I rest." b. "Home health aides would come to our home and help me with housework." c. "A registered nurse would provide total care for my mom in 3 day intervals." d. "I would be connected with a special support group to share stresses and com-municate with other caregivers."