Of the following nursing interventions for fall prevention, which is the least helpful?
a. minimize clutter in the environment
b. physical restraints
c. strengthening exercises
d. walking
Question 2The home care nurse is reviewing the medications that an older patient is currently taking. Which guidelines should the nurse follow when conducting this review? Standard Text: Select all that apply.
1. Review the patient's allergies.
2. Review the drug for number of refills.
3. Review the drugs for duplicate therapy.
4. Review the patient's medical conditions.
5. Review each drug for interactions with other drugs.
Question 3If the nurse is assessing for extrinsic factors for falls, which of the following should be included?
a. throw rugs
b. ataxia
c. cognition
d. dizziness
Question 4The nurse instructs a client with renal failure who is receiving hemodialysis about dietary modifications. The nurse determines that the client understands these dietary modifications if the client selects which items from the dietary menu?
A) Cream of wheat, blueberries, coffee
B) Sausage and eggs, banana, orange juice
C) Bacon, cantaloupe melon, orange juice
D) Cured pork, grits, strawberries, orange juice
Question 5The common causes of delirium at end of life may include:
a. constipation, dyspnea, pain
b. dyspnea, happiness, frustration
c. tachycardia, diarrhea
d. none of the above
Question 6The nurse has completed an educational program for residents of a retirement community regarding unsafe medication practices. Which statement made by a resident indicates the need for further education?
1. I will not take medication that is more than 1 year old.
2. I will buy all of my medication from the same pharmacy.
3. I will not take medication that has been prescribed for someone else.
4. Medication can be obtained from an Internet pharmacy, as long as it says the medication was made in the United States or Canada.
Question 7Review the following data and select the information that is suggestive of undernutrition.
A) Body mass index (BMI) of 20
B) Serum albumin slightly below normal, prealbumin and transferring within normal limits
C) Unintentional 3-pound weight loss over a month in an elderly woman weighing 120 pounds
D) Denial of taking a multiple vitamin supplement
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