questions Taylor Ch. 27 Fully Solved
2025-2026 Updated.
The nurse caring for patients in a long-term care facility knows that there are factors that place
certain patients at a higher risk for falls. Which patients would the nurse consider to be in this
category? Select all that apply.
a. A patient who is older than 50
b. A patient who has already fallen twice
c. A patient who is taking antibiotics
d. A patient who experiences postural hypotension
e. A patient who is experiencing nausea from chemotherapy
f. A 70-year-old patient who is transferred to long-term care - Answer b, d, and f
b. A patient who has already fallen twice
d. A patient who experiences postural hypotension
f. A 70-year-old patient who is transferred to long-term care
"Risk factors for fall include age over 65 years. documented history of falls, postural
hypotension, and unfamiliar environment. A medication regimen that involves diuretics.
tranquilizers, sedatives. hypnotics or analgesics is also a risk factor, not chemotherapy or
antibiotics."
A school nurse is teaching parents about home safety and fires. What information would be
accurate to include in the teaching plan? select all that apply.
a. Sixty percent of all U.S. fire deaths occur in the home.
b. Most fatal fires occur when people are cooking.
c. Most people who die in fires die of smoke inhalation.
d. Fire-related injury and death have declined due to the availability/use of smoke alarms.
e. Fires are more likely to occur in homes without electricity or gas.
f. Fires are less likely to spread if bedroom doors are left open while sleeping. - Answer c, d,
and e
c. Most people who die in fires die of smoke inhalation.
, rather than burns. The widespread availability and use of home smoke alarms is considered the
primary reason for the significant decline in fire-related injury and death. People with limited
financial resources should be asked about how they heat their house, because the electricity or
gas may have been turned off and space or kerosene heaters, wood stoves, or a fireplace may
be the sole source of heat. Bedroom doors should be kept closed when sleeping and monitors
used to listen for children."
A nurse is assessing the following children. Which child would the nurse identify as having the
greatest risk for choking and suffocating?
a. A toddler playing with his 9-year-old brother's construction set
b. A 4-year-old eating yogurt for lunch
c. An infant covered with a small blanket and asleep in the crib
d. A 3-year-old drinking a glass of juice - Answer a. A toddler playing with his 9-year-old
brother's construction set
"A young child may place small or loose parts in the mouth; a toy that is safe for a 9-year-old
could kill a toddler. An infant sleeping in a crib without a pillow or large blanket and a 3-year-old
and 4-year-old drinking juice and eating yogurt are not particular safety risks."
While discussing home safety with the nurse, a patient admits that she always smokes a
cigarette in bed before falling asleep at night. Which nursing diagnosis would be the priority for
this patient?
a. Impaired gas exchange related to cigarette smoking
b. Anxiety related to inability to stop smoking
c. Risk for suffocation related to unfamiliarity with fire prevention guidelines
d. Deficient knowledge related to lack of follow-through of recommendation to stop smoking -
Answer c. Risk for suffocation related to unfamiliarity with fire prevention guidelines
"Because the patient is not aware that smoking in bed is extremely dangerous, she is at risk for
suffocation from fire. The other three nursing diagnoses are correctly stated, but are not a
priority in this situation."
A nurse working in a pediatrician's office receives calls from parents whose children have
ingested toxins. What would be the nurse's best response?
a. Administer activated charcoal in tablet form and take child to the ED.
b. Administer syrup of ipecac and take child to the ED.