ANSWERS
Which crisk cfactor cwould cthe cnurse cidentify cas cthe cmost csignificant cindicator cfor
cincreased crisk cfor cpatient cfalls?
A cclient cwith cprior chistory cof cfalling.
A cclient cwith cvisual cand chearing cimpairment.
A cclient cwho cgrabs conto cfurniture cas can cambulatory caid.
c
A cclient cexperiencing curinary cincontinence cand curgency. c- ccorrect canswers✔✔A
cclient cwho cgrabs conto cfurniture cas can cambulatory caid.
Rationale
All coptions care cindicators, cbut caccording cto cthe cMorse cFall cScale cAssessment ca
cclient cwho cuses cfurniture cas can cambulatory caid cis crated cas c"30" cpoints cversus
cprior chistory cof cfalls cis crated cas c"25 cpoints".
What cshould cthe cnurse cdo cto cdemonstrate cproper cbody cmechanics cwhen cassisting
ca cclient cto ca cstanding cposition cfrom ca csitting cposition? c(Select call cthat capply.)
Rock ctheir cown cbody cweight cas cthey cpull cthe cclient cup ctowards cthem.
c
Keep ctheir cown cknees clocked cas cthey clift cthe cclient cin ca csmooth cmotion.
Stand cin cfront cof cthe cclient, cmove ctheir cown cfeet capart cand cbend cat cthe cknees.
c
While cstanding cbehind cthe cclient, csecure ctheir cown carms caround cthe cclient's cchest
cand clift cupward.
Assess cthe cclient cand cdetermine cwhether cor cnot canother ccare cprovider cis cneeded
cto cassist. c- ccorrect canswers✔✔Rock ctheir cown cbody cweight cas cthey cpull cthe cclient
cup ctowards cthem.
Stand cin cfront cof cthe cclient, cmove ctheir cown cfeet capart cand cbend cat cthe cknees.
Assess cthe cclient cand cdetermine cwhether cor cnot canother ccare cprovider cis cneeded
cto cassist.
Rationale
, Pulling cis ceasier cthan clifting cand cthe cmomentum cby crocking cthe cnurse's cbody cuses
cthat cbody cweight cto cenhance cthe cforce cof carm cmuscles. cMoving cfeet capart cwidens
cthe cbase cof csupport cand cbending cknees clowers cthe ccenter cof cgravity. cThese
cactions care celements cof csafe cbody cmechanics. cWhen cpossible, cuse cteams cto clift
cclients cast cis cdecreases cthe cincidences cof clower cback cinjuries cin chealthcare
cworkers cand cis csafer cfor cthe cclient.
What cnursing cinterventions cshould cbe cimplemented cfor ca cclient cwhose cabsolute
cneutrophil ccount c(ANC) cis cbelow c500?
Admit cto ca creverse cisolation croom.
c
Begin cbleeding cprecaution cprotocol.
Caution cagainst cany ccut cflowers cin cclient's croom.
Screen cand climit cindividuals cwishing cto cvisit.
c
Provide conly cfresh corganic cfruits cand cvegetables. c- ccorrect canswers✔✔Admit cto ca
creverse cisolation croom.
Caution cagainst cany ccut cflowers cin cclient's croom.
Screen cand climit cindividuals cwishing cto cvisit.
Rationale
The cclient chas cneutropenia cand cis cat crisk cfor cinfection. cA creverse cisolation,
cpositive cpressure croom cis cteh cbest cchoice cfor cthese cclients. cCut cflowers cand clive
cplants, calong cwith cfruits cand cvegetables chave cbeen cshown cto ccarry corganisms
cthat ccould ccause charm cto cthe cimmuno-compromised cclient. cVisitors cof cthese
cclients cneed cto cbe climited cand cscreen cfor cpossible csigns cof cinfection cwhich ccould
cbe clethal cto can cimmuno-compromised cclient.
Which cquestions care cbest cfor cthe cnurse cask cto cassess cfor c"disuse csyndrome" cin
cclients cdiagnose cwith cneuromuscular cdiseases csuch cas cmuscular cdystrophy cor
cmultiple csclerosis? c(Select call cthat capply.)
What cis cincluded cin ca ctypical cday cfor cyou?
c
Do cyou cfeel cyou care cfinancially cstable?
c
In cwhat cpart cof ctown cis cyour chome clocated?
How cmuch cassistance cdo cyou cneed cto cmove caround?
On ca cscale c1-10, chow cwould cyou crate coverall cpain clevel? c- ccorrect
canswers✔✔What cis cincluded cin ca ctypical cday cfor cyou?
How cmuch cassistance cdo cyou cneed cto cmove caround?
On ca cscale c1-10, chow cwould cyou crate coverall cpain clevel?