A nurse is working with a client in an extended care facility. Which bed position is preferred for a client, who is at risk for falls, as part of a prevention protocol?

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Question 1 of 5

A nurse is working with a client in an extended care facility. Which bed position is preferred for a client, who is at risk for falls, as part of a prevention protocol?

Correct Answer: D

Rationale: Bed in lowest position, wheels locked, against the wall is preferred for fall prevention. Low height minimizes injury risk, locked wheels ensure stability, and wall placement reduces access points. Four rails are a restraint, not prevention. Lower rails or bent knees don't optimize safety. D follows safety protocols, reducing fall risk, making it the best position.

Question 2 of 5

Which one of these tasks can be safely delegated to a practical nurse (PN)?

Correct Answer: C

Rationale: Providing stoma care for a well-functioning ostomy can be delegated to a PN. Routine care fits PN scope, unlike assessing new ileostomy , complex colostomy , or teaching , which need RN skills. C ensures safe delegation.

Question 3 of 5

The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is best when dealing with the parents' comments?

Correct Answer: D

Rationale: Accepting feelings without judgment is best. It validates parental guilt, building trust for coping, unlike focusing on recovery , explaining illness , or agreeing , which may dismiss emotions. D supports emotional health, making it the top approach.

Question 4 of 5

The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?

Correct Answer: A

Rationale: Formula or breast milk is the main fluid source until 12 months. It meets nutritional needs, unlike dilute milk (B, lacks fat), juice (C, sugar risks), or water (D, no calories). A aligns with AAP guidelines, making it correct.

Question 5 of 5

Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?

Correct Answer: A

Rationale: Being with a client self-administering insulin is safely delegable. It's supportive, within UAP scope, unlike dressing ulcers , monitoring , or rectal care , needing RN skill. A ensures safety.

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