You identified a potential risk of pre-and postoperative clients. To reduce the risk of patient harm resulting from fall, you can implement the following, EXCEPT:

Correct Answer: C

Rationale: The correct answer is C because allowing the client to walk relative to the Operating Room (OR) would increase the risk of falls, contradicting the goal of reducing patient harm. Walking near the OR could lead to accidents due to medical equipment, slippery floors, or unfamiliar surroundings. Assessing potential fall risks related to medications (choice A) is crucial for identifying and mitigating risks. Taking action through Incident Reports (choice B) helps address identified risks and improve patient safety. Assessing and reassessing individual fall risks (choice D) is essential for tailoring preventive measures to each patient's needs. In summary, allowing clients to walk near the OR poses a significant risk of falls and should be avoided.

Correct Answer: A

Rationale: The correct answer is A: On the client's right side. Placing the call light on the right side ensures it is within the client's visual field, considering the left homonymous hemianopsia. This positioning helps the client locate and reach the call light independently, promoting autonomy and safety. Placing the call light on the left side (B) or directly in front of the client (C) may be out of the visual field, leading to difficulty in noticing it. Placing it where the client likes (D) does not consider the client's visual deficits and may not be the most appropriate placement for ensuring prompt assistance.

Correct Answer: A

Rationale: The correct answer is A: Altered mental status and dehydration may appear first in an elderly patient with pneumonia due to age-related physiological changes affecting their ability to regulate fluids and electrolytes. This can lead to confusion and reduced intake of fluids, causing dehydration. Fever and chills (B) typically occur after the infection progresses. Hemoptysis and dyspnea (C) are more characteristic of conditions like pulmonary embolism or lung cancer. Pleuritic chest pain and cough (D) are common symptoms of pneumonia but usually develop after the initial onset of infection.

Correct Answer: C

Rationale: The correct answer is C: Changes from previous examinations. The purpose of Breast Self-Examination (BSE) is to help women become familiar with the normal look and feel of their breasts so they can detect any changes early. By regularly performing BSE and comparing the findings to previous examinations, women can identify any new or unusual changes such as lumps, thickening, or other abnormalities that may indicate a potential health concern. This approach allows for early detection of breast abnormalities and promotes timely medical intervention if necessary. Choices A, B, and D focus on specific characteristics or conditions, but the primary goal of BSE is to identify changes over time.

Correct Answer: B

Rationale: The correct answer is B. When the client stops wheezing and breath sounds are not audible during an acute asthma attack, it indicates that the airways are so swollen that no air can get through. This is a sign of severe airway constriction, which can be life-threatening. The other choices are incorrect because: A, the attack is not over as the symptoms indicate a worsening condition; C, the swelling decreasing would not cause the absence of breath sounds; D, crackles are typically heard in conditions like pneumonia, not in asthma attacks.