Which of the following is a nursing intervention to ensure that the client is free from injury caused by falls?

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Question 1 of 5

Which of the following is a nursing intervention to ensure that the client is free from injury caused by falls?

A. Nurse monitors for chest pain and elevated LDL levels. B. Nurse monitors for swelling and heaviness of legs. C. Nurse monitors postural changes in BP. D. Nurse monitors temperature for mild fever.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Patient teaching that is specific for a person with Raynaud's disease should include:

A. Eating a low calorie diet with no more than 45% of the calories comprised of carbohydrates B. Drinking 8 to 10 eight ounce glasses of water daily. C. Covering the hands before going outdoors on a cold day. D. Avoiding animal fats and either baking or broiling all lean meat.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A patient is admitted to the hospital for a carotid angiogram with stent placement. The patient's spouse states, 'I don't want my spouse to find out there is a risk of a stroke connected with this procedure because they won't sign the consent form.' The cardiac-vascular nurse's most appropriate action is to:

A. assess the patient's level of understanding of the risks, benefits, and alternatives. B. assure the patient's spouse that the risk of stroke is minimal. C. offer the patient emotional support and reinforce the benefits of the procedure. D. perform a neurologic assessment to establish a baseline.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient is scheduled for exercise nuclear imaging stress testing. The nurse explains to the patient that this test involves

A. IV administration of a radioisotope at the maximum heart rate during exercise to identify the heart's response to physical stress B. placement of electrodes inside the right-sided heart chambers through a vein to record the electrical activity of the heart directly C. exercising on a treadmill or stationary bicycle with continuous ECG monitoring to detect ischemic changes during exercise D. placement of a small transducer in four positions on the chest to record the direction and flow of blood through the heart by the reflection of sound waves

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Delegation Decision: The unit is very busy and short staffed. What could be delegated to the unlicensed assistive personnel (UAP)?

A. Administer antihypertensive medications to stable patients B. Obtain orthostatic blood pressure (BP) readings for older patients C. Check BP readings for the patient receiving IV enalapril (Vasotec) D. Teach about home BP monitoring and use of automatic BP monitoring equipment

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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