N310 Exam 5 Questions and Answers
a nurse is caring for a client who fell at a nursing home. the client
is oriented to person, place, and time and can follow directions.
which of the following actions should the nurse take to decrease
the risk of another fall? (select all that apply.
Ans: -make sure the client's call light is within reach; enables the client
to contact the nursing staff to ask for assistance & prevents the client
from falling out of bed while reaching for the call light
-provide the client with nonskid footwear; keeps the client from slipping
-complete a fall-risk assessment; serves as the basis for a plan of care
that can then individualize for the client
a nurse manager is reviewing with nurses on the unit in the care
of a client who has had a seizure. which of the following
statements by a nurse requires further instruction?
Ans: "I will go to the nurses' station for assistance."; during a seizure,
stay with the client & use the call light to summon assistance.
a nurse observes smoke coming from under the door of the staff's
lounge. which of the following actions is the nurse's priority?
Ans: move clients who are nearby; the greatest risk to this client is
injury from the fire. therefore, the priority intervention is to rescue the
clients. protect and move clients in close proximity to the fire.
a nurse is caring for a client who has a history of falls. which of
the following actions is the nurse's priority?
Ans: complete a fall-risk assessment; the first action to take using the
nursing process is to assess or collect data from the client. therefore, the
priority action is to determine the client's fall risk. this will work as a
guide in implementing appropriate safety measures.
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a nurse discovers a small paper fire in a trash can in a client's
bathroom. the client has been taken to safety and the alarm has
been activated. which of the following actions should the nurse
take?
Ans: place wet towels along the base of the door to the client's room;
this contains the fire & the smoke in the room
a nurse is providing discharge instructions to a client who has a
prescription for oxygen use at home. which of the following
information should the nurse include? (select all that apply)
Ans: -nail polish should not be used near a client who is receiving
oxygen; remind the client to not use nail polish or other flammable
materials in the home
-a "no smoking" sign should be placed on the front door; have the client
place a "no smoking" sign near the front door and possibly on the client's
bedroom door
-a fire extinguisher should be readily available in the home; this is
especially important for a client who is receiving oxygen
a nurse educator is presenting a module on basic first aid for
newly licensed home health nurses. the client who has heat stroke
will have which of the following?
Ans: hypotension; it is a manifestation of heat stroke
a nurse educator is conducting a parenting class for new
guardians of infants. which of the following statements made by a
participant indicates understanding?
Ans: "once my infant starts to push up, i will remove the mobile from
over the crib.";the guardian should plan to remove crib toys (mobiles)
from over the bed as soon as the infant begins to push up so the infant
is unable to touch them
a home health nurse is discussing the dangers of carbon
monoxide poisoning with a client. which of the following
information should the nurse include?
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