Med Surg VATI
A home health nurse is assisting in the preparation of a quality improvement plan regarding home
safety. What are some home safety modifications that should be included in this plan?
Removing items that could cause the client to trip, such as throw rugs and loose carpets. Placing
electrical cords and extension cords that against a wall behind furniture. Using a nonskid mat in the tub
or shower. Placing a shower chair in the shower and bedside commode if needed. Ensuring that lighting
is adequate both inside and outside of the home.
A nurse is caring for a client admitted with suspected meningitis. The provider has prescribed contact
precautions for the client. What action should the nurse take?
Isolate the Pt as soon as meningitis is suspected. Maintain Isolation precautions per hospital policy.
Droplet Precautions which requires private room or a room w/ cohorts, wearing of a surgical mask when
w/in 3 ft of the pt, appropriate hand hygiene, & use of designated equipment, such as BP cuff &
thermometer. Implement fever reduction measures. Report Meningococcal infections to the Public
Health Department. Decrease Environmental Stimuli by providing a quiet environment and minimize
exposure to bright light. Encourage bed rest, w/ HOB elevated 30 degrees, seizure precautions, replace
fluids & electrolytes as indicated by lab values.
A client is receiving external radiation therapy. Identify three (3) examples of potential adverse reactions
to this therapy that can occur to the skin and mucous membranes.
Blanching of the skin, erythema, desquamation, sloughing, hemorrhage
A nurse is caring for a client with osteoporosis. Discuss general nursing care required for this client
including fall prevention techniques.
For fall prevention make sure to discard of rugs and loose carpet, place electrical cords behind furniture
or close to walls, provide aids as needed, use nonskid mats in the shower, place grab bars near toilet and
shower, place shower chair in the shower and provide bedside commode as needed, ensure adequate
lighting. Help assess the home environment for safety hazards if possible. Instruct client on adequate
values of vitamin D, calcium, protein, magnesium and other trace minerals. Encourage weight bearing
exercises
A nurse is providing education to a client at risk for osteoporosis. What information for prevention of
osteoporosis should the nurse include in this education?
Increased Calcium intake and encourage weight bearing exercises.
A home health nurse is assisting in the preparation of a quality improvement plan regarding home
safety. What are some home safety modifications that should be included in this plan?
Removing items that could cause the client to trip, such as throw rugs and loose carpets. Placing
electrical cords and extension cords that against a wall behind furniture. Using a nonskid mat in the tub
or shower. Placing a shower chair in the shower and bedside commode if needed. Ensuring that lighting
is adequate both inside and outside of the home.
A nurse is caring for a client admitted with suspected meningitis. The provider has prescribed contact
precautions for the client. What action should the nurse take?
Isolate the Pt as soon as meningitis is suspected. Maintain Isolation precautions per hospital policy.
Droplet Precautions which requires private room or a room w/ cohorts, wearing of a surgical mask when
w/in 3 ft of the pt, appropriate hand hygiene, & use of designated equipment, such as BP cuff &
thermometer. Implement fever reduction measures. Report Meningococcal infections to the Public
Health Department. Decrease Environmental Stimuli by providing a quiet environment and minimize
exposure to bright light. Encourage bed rest, w/ HOB elevated 30 degrees, seizure precautions, replace
fluids & electrolytes as indicated by lab values.
A client is receiving external radiation therapy. Identify three (3) examples of potential adverse reactions
to this therapy that can occur to the skin and mucous membranes.
Blanching of the skin, erythema, desquamation, sloughing, hemorrhage
A nurse is caring for a client with osteoporosis. Discuss general nursing care required for this client
including fall prevention techniques.
For fall prevention make sure to discard of rugs and loose carpet, place electrical cords behind furniture
or close to walls, provide aids as needed, use nonskid mats in the shower, place grab bars near toilet and
shower, place shower chair in the shower and provide bedside commode as needed, ensure adequate
lighting. Help assess the home environment for safety hazards if possible. Instruct client on adequate
values of vitamin D, calcium, protein, magnesium and other trace minerals. Encourage weight bearing
exercises
A nurse is providing education to a client at risk for osteoporosis. What information for prevention of
osteoporosis should the nurse include in this education?
Increased Calcium intake and encourage weight bearing exercises.
