A home health nurse is making an initial visit to an older adult client who has

A home health nurse is making an initial visit to an

This preview shows page 4 - 7 out of 8 pages.

A home health nurse is making an initial visit to an older adult client who has COPD and is receiving oxygen. While assessing the home environment for safety, which of
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the following findings should the nurse recognize as increasing the client's risk for injury? An office chair with wheels at the client's computer desk. - Wheeled chairs create a safety hazard for the client because he may fall while sitting and rising from the chair, especially while managing oxygen equipment. An oxygen tank standing on the floor next to the client's recliner. - The client should always keep the oxygen tank in a rack or stand. Otherwise, it is easy to knock it over and risk sudden decompression and uncontrolled movement of the tank, which could cause injury. A throw rug over vinyl flooring in the client's bathroom. - Covering flooring with a throw rug can increase the client's risk for falls. An 18-year-old client in remission with rhabdomyosarcoma has just been diagnosed with metastasis to the bone. The client says that he does not want to have chemotherapy again. Which of the following statements is consistent with the client's rights? The nurse states, "I can gather information about palliative care for you." - The nurse is acknowledging the client's right to refuse treatment and is demonstrating support by offering to discuss end-of-life care options. A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take? Assign the procedure to a licensed practical nurse (LPN). - This task is within the scope of practice of an LPN. The charge nurse should delegate this task to the LPN. A nurse manager confronts a nurse who has the smell of alcohol on her breath. After the nurse is sent home, which of the following actions should the nurse manager take? Set up a formal meeting with the nurse within 24 hr. - Once the nurse manager has removed the nurse from the work environment and arranged for safe transportation home, the nurse manager should arrange to meet with the nurse within the next 24 hours. The nurse manager is to confront the nurse who was chemically impaired and clearly identify the facility's expectations. A nurse is receiving report on four clients. Which of the following clients should the nurse plan to assess first?
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A client who has a potassium level of 6.5 mEq/L - When using the acute vs. chronic approach to client care, the nurse should first assess the client who is at risk for cardiac dysrhythmias; therefore, the nurse should assess the client who has a potassium level of 6.5 mEq/L which indicates hyperkalemia. Cardiac complications of hyperkalemia can include bradycardia, hypotension, complete heart block, and can lead to asystole.
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  • Spring '19
  • Nursing, AP, nurse make

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