1. A home health nurse is assessing the home environment during an initial visit to a client who has a history

of falls. Which of the following findings should the nurse identify as increasing the client's risk for falls

(SATA) [repeat]

• A wheeled office chair at the client's computer desk

• A raised vinyl seat on the toilet in the bathroom

• A throw rug covering some cracked floor

• A folding chair without arm rests

• A two wheeled walker used to assist the client with ambulation

2. A nurse manager is planning to assign care for four clients on a medical surgical unit. Which of the

following clients should the nurse assign to a LPN

a. An older adult who has lung cancer and has periodic episodes of severe dyspnea

b. A middle adult client who has a below the knee amputation and requires a dressing change

c. A young adult client who is postoperative, receiving morphine via epidural, and reports pruritus

d. An adolescent who requires teaching regarding insulin administration

e. Remind nurses to obtain this information during the admission process

f. Reinforce the potential consequences of not having his information on record to the nursing staff

g. Meet with nursing staff to review the policy regarding advance directive

h. Ask nurse who are caring for client without his information in the medical record to obtain it

1. A nurse manager is preparing to institute a new system for scheduling staff. Severalnurses

have verbalized their concern over the possible changes that will occur. Which of the

following is an appropriate method to facilitate the adoption of the new schedulingsystem?

A. Identify nurses who accept the change to help influence other staffnurses

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