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During discharge planning, the nurse is assessing home safety for a client who has repeatedly fallen. Which condition increases the client's risk for falls? Select all that apply.


A) Climbs two flights of stairway to get to the bedroom
B) Prefers to use the bathtub when taking a bath
C) Drinks two shots of alcoholic beverages before dinner
D) Takes a diuretic pill early in the morning
E) Uses nonskid socks all day

F) B) and C)
G) All of the above

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A nurse is completing an incident report. Which information would the nurse include? Select all that apply.


A) The events surrounding how the injury occurred
B) The effects of the injury on the client
C) Measures initiated for the client
D) The client's condition
E) Documentation of the report in the medical record

F) A) and E)
G) C) and D)

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The nurse has just realized that the nurse committed a medication error by administering an antibiotic dosage greater than the dosage prescribed. The client does not appear to have experienced any obvious adverse effects. What action should the nurse perform first?


A) Report the actions as a sentinel event.
B) Contact the nursing supervisor.
C) Notify the client's healthcare provider.
D) Complete an incident report.

E) B) and C)
F) A) and D)

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A client has presented to the emergency department after splashing a chemical in the eyes. When managing the injury, what should be included in the plan of care?


A) Wash the eyes with a hypertonic solution for at least 30 minutes.
B) Advise the client to avoid blinking until after the eyes are irrigated.
C) Flush the eyes with water for 10 minutes.
D) Flush the eyes with a cool saline solution for a 10-minute period.

E) C) and D)
F) A) and B)

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