A nurse plans to provide education to the parents of school-aged children and
includes which of the following result of children being less physically active outside
of school?
A) An increase in obesity
B) An increase in heart disease
C) Higher computer literacy
D) Improved school attendance and grades
Give this one a try later!
, A. It is increasingly clear that children are less active, resulting in an
increase in childhood obesity. Strategies for physical activity incorporated
early into a child's daily routine may provide a foundation for lifetime
commitment to exercise and physical fitness.
A 62-year-old woman is being discharged home with her husband after surgery for a
hip fracture from a fall at home. When providing discharge teaching about home
safety to this patient and her husband, the nurse knows that:
A) A safe environment promotes patient activity.
B) Assessment focuses on environmental factors only.
C) Teaching home safety is difficult to do in the hospital setting.
D) Most accidents in the older adult are caused by lifestyle factors.
Give this one a try later!
A. Older adults are frequently fearful of falling and thus often limit activity.
A safe environment, which decreases the risk of a fall, promotes patient
activity.
You are admitting Mr. Jones, a 64-year-old patient who had a right hemisphere stroke
and a recent fall. The wife stated that he has a history of high blood pressure, which is
controlled by an antihypertensive and a diuretic. Currently he exhibits left sided
neglect and problems with spatial and perceptual abilities and is impulsive. He has
moderate left-sided weakness that requires the assistance of two and the use of a gait
belt to transfer to a chair. He currently has an intravenous (IV) line and a urinary
catheter in place. What factors increase his fall risk at this time? (Select all that apply.)
A) Smokes a pack a day
B) Used a cane to walk at home
C) Takes antihypertensive and diuretics
D) History of recent fall
E) Neglect, spatial and perceptual abilities, impulsive
F) Requires assistance with activity, unsteady gait
G) IV line, urinary catheter
,Give this one a try later!
C,D,E,F,G. Smoking is not a risk factor for falls. Because the patient used the
cane at home, it is not a current risk factor for falls. Risk is determined by
his current status.
The nurse found a 68-year-old female patient wandering in the hall. The patient says
she is looking for the bathroom. Which interventions are appropriate to ensure the
safety of the patient? (Select all that apply.)
A) Insert a urinary catheter.
B) Leave a night light on in the bathroom.
C) Ask the physician to order a restraint.
D) Keep the bed in low position with upper and lower side rails up.
E) Assign a staff member to stay with the patient.
F) Provide scheduled toileting during the night shift.
G) Keep the pathway from the bed to the bathroom clear.
Give this one a try later!
B,F,G. Older adults in an unfamiliar environment may become confused. A
night light may be beneficial for safety and orientation. Toileting is a
common reason for a patient attempting to get out of bed. Placing the
patient on a routine toileting schedule should help decrease this risk
factor. Hospital environments can quickly become cluttered with
equipment, personal items, and other things that create a hazard for falling.
Keep pathways clear. All alternatives should be tried and considered
before using a restraint. Restraint should not be an initial response. The bed
should be kept in a low position. Upper side rails may be used; however,
the addition of lower side rails can increase the risk of injury. The use of
side rails alone for a disoriented patient may cause more confusion and
further injury. A confused patient who is determined to get out of bed
attempts to climb over the side rail or climbs out at the foot of the bed.
Either attempt usually results in a fall or injury.
, The nurse is conducting a home visit with an older adult couple. She assesses that the
lighting in the home is poor and there are throw rugs throughout the home and a low
footstool in the living room. She discusses removing the rugs and footstool and
improving the lighting with the couple. The nurse is addressing which level of need
according to Maslow?
A) Physiological
B) Safety and security
C) Love and belonging
D) Self-actualization
Give this one a try later!
The teaching addresses the need for safety and security. The throw rugs,
low lighting, and low stool are hazards that can cause falls in the elderly.
Preventing falls is a priority safety issue for older adults.
Select statements that apply to the proper use of a cane. (Select all that apply.)
A) For maximum support when walking, the patient places the cane forward 15 to 25
cm (6 to 10 inches), keeping body weight on both legs. The weaker leg is moved
forward to the cane so body weight is divided between the cane and the stronger
leg.
B) A person's cane length is equal to the distance between the elbow and the floor.
C) Canes provide less support than a walker and are less stable.
D) The patient needs to learn that two points of support such as both feet or one foot
and the cane need to be present at all times.
Give this one a try later!
includes which of the following result of children being less physically active outside
of school?
A) An increase in obesity
B) An increase in heart disease
C) Higher computer literacy
D) Improved school attendance and grades
Give this one a try later!
, A. It is increasingly clear that children are less active, resulting in an
increase in childhood obesity. Strategies for physical activity incorporated
early into a child's daily routine may provide a foundation for lifetime
commitment to exercise and physical fitness.
A 62-year-old woman is being discharged home with her husband after surgery for a
hip fracture from a fall at home. When providing discharge teaching about home
safety to this patient and her husband, the nurse knows that:
A) A safe environment promotes patient activity.
B) Assessment focuses on environmental factors only.
C) Teaching home safety is difficult to do in the hospital setting.
D) Most accidents in the older adult are caused by lifestyle factors.
Give this one a try later!
A. Older adults are frequently fearful of falling and thus often limit activity.
A safe environment, which decreases the risk of a fall, promotes patient
activity.
You are admitting Mr. Jones, a 64-year-old patient who had a right hemisphere stroke
and a recent fall. The wife stated that he has a history of high blood pressure, which is
controlled by an antihypertensive and a diuretic. Currently he exhibits left sided
neglect and problems with spatial and perceptual abilities and is impulsive. He has
moderate left-sided weakness that requires the assistance of two and the use of a gait
belt to transfer to a chair. He currently has an intravenous (IV) line and a urinary
catheter in place. What factors increase his fall risk at this time? (Select all that apply.)
A) Smokes a pack a day
B) Used a cane to walk at home
C) Takes antihypertensive and diuretics
D) History of recent fall
E) Neglect, spatial and perceptual abilities, impulsive
F) Requires assistance with activity, unsteady gait
G) IV line, urinary catheter
,Give this one a try later!
C,D,E,F,G. Smoking is not a risk factor for falls. Because the patient used the
cane at home, it is not a current risk factor for falls. Risk is determined by
his current status.
The nurse found a 68-year-old female patient wandering in the hall. The patient says
she is looking for the bathroom. Which interventions are appropriate to ensure the
safety of the patient? (Select all that apply.)
A) Insert a urinary catheter.
B) Leave a night light on in the bathroom.
C) Ask the physician to order a restraint.
D) Keep the bed in low position with upper and lower side rails up.
E) Assign a staff member to stay with the patient.
F) Provide scheduled toileting during the night shift.
G) Keep the pathway from the bed to the bathroom clear.
Give this one a try later!
B,F,G. Older adults in an unfamiliar environment may become confused. A
night light may be beneficial for safety and orientation. Toileting is a
common reason for a patient attempting to get out of bed. Placing the
patient on a routine toileting schedule should help decrease this risk
factor. Hospital environments can quickly become cluttered with
equipment, personal items, and other things that create a hazard for falling.
Keep pathways clear. All alternatives should be tried and considered
before using a restraint. Restraint should not be an initial response. The bed
should be kept in a low position. Upper side rails may be used; however,
the addition of lower side rails can increase the risk of injury. The use of
side rails alone for a disoriented patient may cause more confusion and
further injury. A confused patient who is determined to get out of bed
attempts to climb over the side rail or climbs out at the foot of the bed.
Either attempt usually results in a fall or injury.
, The nurse is conducting a home visit with an older adult couple. She assesses that the
lighting in the home is poor and there are throw rugs throughout the home and a low
footstool in the living room. She discusses removing the rugs and footstool and
improving the lighting with the couple. The nurse is addressing which level of need
according to Maslow?
A) Physiological
B) Safety and security
C) Love and belonging
D) Self-actualization
Give this one a try later!
The teaching addresses the need for safety and security. The throw rugs,
low lighting, and low stool are hazards that can cause falls in the elderly.
Preventing falls is a priority safety issue for older adults.
Select statements that apply to the proper use of a cane. (Select all that apply.)
A) For maximum support when walking, the patient places the cane forward 15 to 25
cm (6 to 10 inches), keeping body weight on both legs. The weaker leg is moved
forward to the cane so body weight is divided between the cane and the stronger
leg.
B) A person's cane length is equal to the distance between the elbow and the floor.
C) Canes provide less support than a walker and are less stable.
D) The patient needs to learn that two points of support such as both feet or one foot
and the cane need to be present at all times.
Give this one a try later!
