Exam 7: Safety

While inspecting the skin of an older patient on bedrest the licensed nurse notes several new long scratches along the back and buttocks. What should the nurse suspect as being the cause of these wounds?

The licensed nurse is reviewing medications prescribed for an older patient. Which medication should be administered during the day to reduce the risk of falls?

An older patient walks to the community clinic in a snow storm. Which assessment findings should indicate to the licensed nurse that this patient is experiencing adverse effects of being outside in the cold weather? Select all that apply.

An older female patient refuses to answer questions regarding sexuality and asks, "What difference does it make?" How should the licensed nurse respond to this patient?

The nurse is concerned that an older patient is at risk for falling. What observations caused the nurse to have this concern? Select all that apply.

An older patient holds the nurse's hand and states, "Please don't leave me alone here when my son comes to visit." What should this indicate to the nurse?

The nurse is participating in a community educational program on the preparation of a safety bag. What contents should the nurse demonstrate being placed in this bag? Select all that apply.

An older patient in the community becomes confused and begins to wander during the evening hours. For which health problem should the licensed nurse identify interventions for this patient?

An older patient is sitting in the kitchen with the lights out, watching the next door neighbor's yard. When asked about this behavior, the patient states that the kids next door have BB guns and she doesn't want to be shot. What should the nurse be concerned about with this patient?

When entering the home of an older patient the nurse smells smoke. What should be done first?

When entering the home of an older patient during a hot summer day, the licensed nurse notes that a table fan is positioned to blow air directly onto the patient's face and chest. What should the nurse do first?

An adult daughter of an older patient is overheard telling a friend that it's "payback time" because the patient loved to yell and scream at the daughter when she was a child. What should the nurse be alert for when assessing this patient?

During a home visit the licensed nurse decides to focus on assessing an older patient's mental status. What did the nurse observe to make this clinical determination?

The nurse is preparing to make a visit to an older patient in the home. What should the nurse keep in mind when assessing the patient's living environment for safety concerns? Select all that apply.

The licensed nurse is assisting an older patient with a bath. What should be done to ensure this patient's skin integrity?