Exam 13: Promoting Safety

After assessing the older man in his bed,the nurse determines that he is at high risk for falls.The nurse leaves the room to get a fall risk sign and returns to find him on the floor pleading for help.Which of the following was the most important intervention the nurse should have implemented to prevent this event?

The nurse can place an older adult into one of four patient rooms.Which is the most suitable room for an older adult?

The overall temperature in your gerontological unit is 62° F during the evening shift.In documenting this concern to the administration,which factor is the most important for the health and well-being of older adults?

Which one of the following is a true statement about mobility and safety for older adults?

An older woman who receives intravenous (IV)fluids is making wide gesticulations with her arms and loudly insulting the nursing staff.Which intervention should the nurse implement to maintain safe,effective nursing care initially?

The nurse is discharging an older woman who uses a walker from rehabilitative care.Which observation does the nurse use to determine whether the patient is prepared for discharge?

The nurse determines that an older adult who has chronic bronchitis is at high risk for falls,but he repeatedly tries to ambulate without assistance.Which alternative measure to restraints is contraindicated for this older adult?

The nurse plans care to prevent a dangerous thermal environment for an older man who lives in a northern climate of the United States.Which patient assessment data does the nurse recognize that can contribute to his risk of hypothermia?

Which of the following is a true statement about assistive devices to aid older adults with impaired mobility?

The nurse assesses the quality of which of the following patient characteristics when applying the Get-Up-and-Go test from the Hendrich II Fall Risk Model?

The nurse is caring for an older adult who has dementia.The patient has just returned from recovery after a percutaneous endoscopic gastrostomy (PEG)tube placement.Which intervention(s)should the nurse implement?

The nurse wants to use exercise according to the recommendations of the American Geriatrics Society (AGS)for an older woman who lost her balance and fell.Which nursing intervention is suitable for this older adult according to the AGS?

Which of the following statements is true about a safe,effective care environment for older adults?

Which factors in the patient care environment should be routinely assessed to decrease the risk of falls?

An older man was oriented and responded appropriately in the hospital,but he is now disoriented and confused in his home after discharge.Which of the following issues is the first that the home nurse should examine to determine whether an environmental issue is contributing to the patient's condition at home?

The health care provider has not ordered the use of a restraint for an alert patient at high risk for falling.The nurse should implement which side rail use?

The nurse will be educating a group of senior citizens on adaptations for safer driving.Which adaptation(s)should the nurse include?

Which of the following is(are)assessed in a fall prevention assessment of an older adult?