ATI Safety with Explanation

A nurse is assisting with conducting a home hazard assessment for a client who has dementia. Which of the following findings indicates an understanding of home safety? a) an extension cord is secured under a rug b) the edges of stairs are marked with brightly colored tape c) a toaster is plugged in when not in use d) the water heater is set to 55 degrees C - Answer-b) the edges of stairs are marked with brightly colored tape A nurse is preparing to conduct a fall risk screening on a client. Which of the following variables will the nurse use to evaluate the client? Select all that apply a) fall history b) medical diagnosis c) use of assistive devices d) mental status e) do-not-resuscitate status - Answer-a) fall history b) medical diagnosis c) use of assistive devices d) mental status A nurse is assisting with teaching about warning signs from a co-worker that might indicate future workplace violence. Which of the following behaviors should the nurse include? a) legitimate absenteeism b) strict adherence to facility policies c) consistent adequate work performance d) frequent reports of not being treated fairly - Answer-d) frequent reports of not being treated fairly A nurse is caring for a client who has a prescription for wrist restraints. Which of the following actions should the nurse take? a) tie the restraints to the siderails on the client's bed b) remove the restraints with each vital sign check c) use the square knot to secure the restraints d) make sure one finger can fit under the restraints - Answer-b) remove the restraints with each vital sign check A nurse discovers a small fire in a client's room. After removing the client to safety, which of the following actions should the nurse take next?