PN NCLEX EVOLVE: Safety Questions Correctly Answered 2023.

PN NCLEX EVOLVE: Safety Questions Correctly Answered 2023. The nurse is caring for a homebound older postoperative cardiovascular client. The caregiver's daughter says to the nurse, "My mother has fallen out of bed three times." Which actions should the nurse reinforce to prevent falls? Select all that apply. - ANSWER Provide adequate lighting Ensure that frequently used items are easily accessible, Have the bedside stand and over bed tray table within reach Rationale: One action is to provide adequate lighting. Ensure that frequently used items, such as the telephone, eyeglasses, or other personal belongings, are easily accessible. Place bedside table and overbed table within reach. Restraints should not be used because they can cause the client to become more agitated. Leaving both side rails down on the bed of an older client increases the risk of falling, especially if the client will be reaching down to obtain a needed item. While caring for a client admitted to the hospital with suspected seizure activity, the client acknowledges the use of the herbal supplement ginkgo, to the nurse. Which follow-up questions by the nurse would be most appropriate? Select all that apply. - ANSWER DO you have a history of seizure? How long have you been using ginkgo? DO you have a history of clotting disorder? Have you been diagnosed with diabetes mellitus? Rationale: Clients with a history of seizures should not use this supplement because it may increase the frequency of seizure activity. Asking how long the client has been taking the supplement is an appropriate question. Ginkgo has been shown to affect clotting time. Diabetics should not use this supplement because it may affect glucose levels. Ginkgo is taken by mouth; it is not applied as a cream. The registered nurse (RN) tells a licensed practical nurse (LPN) that the health care provider has prescribed a hypotonic intravenous (IV) solution for a client. Which IV solution should the LPN obtain for administration to the client? - ANSWER 0.45% saline Rationale: Five percent dextrose in water is an isotonic solution; 10% dextrose in water and 5% dextrose in 0.9% saline are hypertonic solutions; 0.45% saline is hypotonic and is probably the only hypotonic solution used in clinical situations. Distilled water is another example of a hypotonic solution. Hypotonic solutions contain a lower concentration of salt or more water than an isotonic solution.