Nokea
Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
- A. Side rails are ineffective
- B. Side rails should not be used
- C. Side rails are a deterrent that prevent a patient from falling out of bed
- D. Side rails are a reminder to a patient not to get out of bed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
A healthcare professional is educating a client with osteoporosis about dietary management. Which of the following foods should the professional recommend?
- A. Green beans
- B. Fortified cereal
- C. Red meat
- D. White bread
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider is preparing to administer an intramuscular injection to an adult client. Which of the following injection sites should the healthcare provider select?
- A. Deltoid muscle
- B. Dorsogluteal muscle
- C. Vastus lateralis muscle
- D. Rectus femoris muscle
Correct Answer: A
Rationale: The deltoid muscle is a common site for intramuscular injections in adults due to its accessibility and muscle mass. It is located in the upper arm and provides a sufficient area for injection. The deltoid muscle is preferred for administering vaccines and other medications that require IM administration.
The nurse followed state laws on what she can do for Mr. Gary. This is an example of?
- A. Scope of practice
- B. Licensure
- C. Malpractice
- D. Health literacy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with a history of congestive heart failure. The client's dyspnea has worsened over the past 2 hours. The nurse should:
- A. Increase the oxygen flow rate to 6L per minute
- B. Place the client in high Fowler's position
- C. Administer Lasix (furosemide) immediately
- D. Encourage the client to cough and deep breathe
Correct Answer: B
Rationale: Placing the client in high Fowler's position eases dyspnea in worsening congestive heart failure by reducing preload oxygen adjustment needs orders, Lasix requires confirmation, and coughing won't help acute fluid overload. Nurses prioritize positioning, monitoring respiratory status, aiding comfort in this cardiac emergency.
A healthcare provider is assessing a client who has fluid volume excess. Which of the following findings should the healthcare provider expect?
- A. Hypotension
- B. Bradycardia
- C. Crackles in the lungs
- D. Dry mucous membranes
Correct Answer: C
Rationale: Crackles in the lungs are indicative of fluid accumulation in the alveoli, which is a characteristic finding in clients with fluid volume excess. The crackling sound occurs due to the presence of excess fluid in the lungs, impairing normal ventilation and gas exchange. Monitoring for crackles is essential for early detection and management of fluid overload in clients.