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Author Question: A home health nurse is assessing a family's home after the birth of an infant. A toddler also lives ... (Read 54 times)

mynx

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A home health nurse is assessing a family's home after the birth of an infant. A toddler also lives in the home. Which finding will cause the nurse to follow up?
 
  a. Plastic grocery bags are neatly stored under the counter.
  b. Electric outlets are covered in all rooms.
  c. No bumper pads are in the crib.
  d. Crib slats are 5 cm apart.

Question 2

A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
 
  a. Determining the need for restraints
  b. Assessing the patient's orientation
  c. Obtaining an order for a restraint
  d. Applying the restraint



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Madisongo23

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Answer to Question 1

ANS: A
Plastic grocery bags increase the risk for suffocation. The nurse will follow up with instructions to remove or keep locked or out of reach. All the rest are correct and do not require follow-up. Electrical outlets should be covered to reduce electrical shock. Bumper pads are not used in the crib to prevent suffocation, strangulation, or entrapment. Crib slats should be less than 6 cm apart.

Answer to Question 2

ANS: D
The application and routine checking of a restraint can be delegated to nursing assistive personnel. The skill of assessing a patient's behavior, orientation to the environment, need for restraints, and appropriate use cannot be delegated. A nurse must obtain an order from a health care provider.



mynx

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Both answers were spot on, thank you once again




 

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