Correct Answer: A

Rationale: The correct answer is A: Encouraging regular exercise and physical activity. This is crucial for fall prevention in older adults as it helps improve balance, strength, and flexibility, reducing the risk of falls. Regular exercise also enhances coordination and overall mobility, which are essential in preventing falls. Removing rugs and carpets (
B) may reduce tripping hazards but is not as effective as exercise. Encouraging the use of medications that cause drowsiness (
C) increases fall risk. Limiting social activities (
D) can lead to social isolation, which is detrimental to overall health and well-being.

Correct Answer: C

Rationale: The correct answer is C: Ondansetron 4 mg IV bolus for nausea and vomiting. In the PIE charting model, the intervention component should include specific actions taken to address the identified problem. Ondansetron 4 mg IV bolus is a specific intervention aimed at treating nausea and vomiting, directly addressing the client's issue.
Choice A is not a specific intervention but rather a client's current status.
Choice B is an observation of emesis and does not represent an intervention.
Choice D is a client report of symptoms and does not detail an intervention.

Correct Answer: B

Rationale: The correct answer is B, as it states that electronic health records allow clients to access their medical records electronically at any time. This is important because it promotes patient empowerment, encourages active participation in healthcare decision-making, and enhances patient-provider communication.
Choice A is incorrect because the primary purpose of an electronic health record is not for providers to track client information for research studies.
Choice C is incorrect as it inaccurately states that electronic health records coordinate all healthcare received into one platform.
Choice D is incorrect because granting significant others access to client information may violate privacy and confidentiality laws.

Correct Answer: D

Rationale: The correct way to use a cane while walking is to hold it on the opposite side of the affected leg (
Choice
D). This positioning helps to provide the necessary support and stability for the affected side. By holding the cane on the opposite side, it helps to offload weight from the affected leg, reducing pressure and pain. Additionally, this positioning allows for a more balanced and natural walking pattern. Holding the cane on the same side as the affected leg (
Choice
A) may not provide adequate support and can lead to imbalance. Holding the cane behind the body (
Choice
B) can cause awkward positioning and may not effectively support the affected leg. Holding the cane in the middle of the body (
Choice
C) does not provide targeted support for the affected leg.

Correct Answer: D

Rationale: The purpose of evidence-based practice (EBP) in nursing is to improve patient outcomes and quality of care. This is achieved by integrating the best available evidence with clinical expertise and patient values. By using evidence-based practice, nurses can make informed decisions that are based on research and proven effectiveness, leading to better patient care.


Choice A is incorrect because EBP focuses on individualized care based on evidence, not standardized protocols.
Choice B is incorrect as EBP involves critically evaluating practices, not just relying on established ones.
Choice C is incorrect because EBP emphasizes using research evidence over tradition and personal beliefs.