Cleaning liquids are most likely to be accessed by children and cause poisoning. Locking them is therefore a very useful precaution.

A, B and D are wrong as prescription medicines are least likely to be accessed by children and cause poisoning.

Unattended pools pose the danger of drowning to children.

Large toys with large parts are less likely to be swallowed by children and hence do not a pose a huge risk.

Children are less likely to be able to unlock cabinets and hence medication locked in a cabinet is unlikely to pose a danger to toddlers.

A tightly secured mistletoe is unlikely to pose a danger to toddlers.

Knowing how to operate the call light is important in order to alert the healthcare staff in case of an emergency.

Although using the telephone may be useful in case of an emergency, the patient is less likely to be able to communicate using the telephone as opposed to the call light.

Introducing the patient to their roommate is not very important during orientation. Knowing about visiting hours is also not a priority during orientation.

Vomiting after poisoning with certain substances that are caustic such as acid or alkali chemicals may cause upper gastrointestinal mucosal damage.

Prescription medications should be taken as prescribed and should not be shared with anyone without medical advice.

The emergency contact of the poison control center should be easily accessible in case of poisoning emergencies.

Asking someone about their religion is considered culturally sensitive. Hence asking how many times someone prays and how they pray is culturally intrusive.

Asking about meals is a general question and not considered culture sensitive.

Bounding pulses are a feature of high cardiac output states such as pregnancy, thyrotoxicosis, anemia.

Coolness especially of the extremities is a sign of reduced perfusion to the extremities. Pallor is a sign of anemia and reduced perfusion due to low hemoglobin levels. Cyanosis is a feature of reduced oxygen supply which is a result of reduced perfusion.

Other signs of inadequate perfusion are hypotension, delayed capillary refill time, dry mucous membranes, poor skin turgor, restlessness, dysrhythmias, dizziness, tachycardia and diaphoresis.

If the child is able to cough and breathe effectively, the nurse should encourage the child to continue coughing and monitor them closely. If the child appears to be struggling to breathe or is not able to cough effectively, the nurse should intervene immediately and administer appropriate first aid, which may include abdominal thrusts (also known as the Heimlich maneuver) or other emergency measures to clear the airway obstruction.

Putting hands by his neck is a universal sign of choking and is not an action the nurse should undertake.

When assessing bowel elimination, the factors to be considered are: Age, use of laxatives or other bowel medications, dietary habits and fluid intake, history of bowel diseases or surgeries. Gender does not have an influence on bowel movements.

Geriatrics often have slowed bowel movements compared to the young.

Diet high in fiber usually enhances bowel movement.

Increased fluid intake improves stool consistency.

The best thing to do is to involve a professional interpreter when there is a language barrier as the daughter may fail to provide accurate information if there is sensitive information needed.

If a client who has recently undergone an above knee amputation complains of pain distal to the amputation, the type of pain that the client is experiencing is most likely neuropathic pain. Neuropathic pain is a type of pain that occurs as a result of damage or dysfunction to the nervous system. It is often described as a burning, tingling, or shooting sensation and can be difficult to manage with traditional pain medications.

In the case of an amputation, neuropathic pain can occur as a result of the nerve endings in the remaining portion of the limb sending signals to the brain that are interpreted as pain. This can lead to the perception of pain in the "phantom" limb, which is no longer present.

Visceral pain is a type of pain that arises from the internal organs of the body, such as the stomach, intestines, bladder, or uterus. It is often described as a deep, dull, or pressure-like ache that can be difficult to localize or pinpoint to a specific area.

Nociceptive pain is a type of pain that occurs as a result of the activation of nociceptors, which are specialized nerve fibers that respond to noxious stimuli such as heat, cold, pressure, or chemical irritants. Nociceptors are found in various tissues throughout the body, including the skin, muscles, bones, and organs.

Cutaneous pain is a type of pain that arises from the skin or subcutaneous tissues. It is often described as a sharp, burning, or prickling sensation and can be caused by a variety of factors, such as injury, inflammation, or infection of the skin.

In a patient with narcolepsy, it is dangerous to drive as the client may sleep while driving, posing a danger to themselves and others.

Caffeine is a stimulant and may help the patient keep awake.

The mission of the Occupational Safety and Health Administration (OSHA) is to ensure safe and healthy working conditions for employees in the United States by setting and enforcing workplace safety and health standards, providing training and education, and promoting best practices in occupational safety and health.

The suggestion of utilizing lavender in addition to the use of lorazepam for anxiety is an example of alternative therapy. Alternative therapy refers to any healing practice that is not considered part of conventional medicine, such as the use of herbs, massage, acupuncture, or aromatherapy. In this case, the nurse is suggesting the use of lavender, an herb known for its calming properties, as an additional therapy for anxiety, rather than relying solely on the conventional medication, lorazepam.

Massage therapy is considered a complementary therapy, as it is often used in conjunction with conventional medicine to manage symptoms and improve overall well-being. Complementary therapies are used alongside conventional medicine and are generally not intended to replace it. In this case, the nurse is suggesting the use of massage therapy as a complementary therapy to medication for chronic leg pain.

The priority action of the nurse to ensure client safety during a transfer from the bed to a wheelchair is to lock the wheels of the wheelchair. This will prevent the wheelchair from moving and provide a stable surface for the client to transfer onto.

Encouraging the client to push up from the wheelchair is not a safe option, as it could result in the client losing their balance and falling.

Ensuring the client is bathed before getting into the wheelchair is not directly related to client safety during the transfer.

Placing the bed in the lithotomy position, which involves positioning the client with their feet in stirrups and their legs elevated, is not necessary for a transfer to a wheelchair and could potentially increase the risk of injury.

The intervention the nurse can implement to improve communication with an older client who is wearing a hearing aid is to speak loudly and clearly. Speaking loudly and clearly can help the client to better understand what is being said, especially if they are experiencing hearing loss. However, it is important for the nurse to speak clearly without shouting, as shouting can distort speech and make it more difficult for the client to understand.

Chewing gum can actually hinder communication, as it can affect speech clarity and create distracting noises.

Turning off the television can help to reduce background noise and make it easier for the client to hear, but it may not be necessary in all cases.

Using a paper and pencil can be helpful in some situations, but it may not be necessary if the client is able to hear and understand verbal communication.

The client who should be seen by the nurse first is the elderly man with a fractured hip. This is because a fractured hip is a medical emergency that requires immediate attention to prevent complications, such as blood clots, pressure ulcers, and pneumonia.

The nurse should prioritize this client's care and ensure that they receive prompt medical attention, including pain management, immobilization of the affected hip, and preparation for surgery if necessary. Although the other clients may also require nursing care, they do not have urgent or emergent medical conditions that require immediate attention.

The client with acute diarrhea may require assessment and treatment for dehydration or infection, but this can be managed within a reasonable timeframe.

The client who is anxious may require emotional support and counseling, but this is not an emergency.

The woman who feels isolated may benefit from social support and community resources, but this can be addressed at a later time.

Food belongs to the second level of Maslow's hierarchy of needs, which is the physiological needs level. The physiological needs level is the most basic level of the hierarchy and includes the most fundamental needs required for human survival, such as food, water, shelter, and sleep. These needs are considered the most important, as they must be met before an individual can focus on any other needs, such as safety, love and belonging, esteem, and self-actualization.

If a fire is found in a client's room during a routine medication pass, the nurse's first action should be to activate the fire alarm. Activating the fire alarm will alert other staff members and activate the fire suppression system, which can help to contain the fire and prevent it from spreading to other areas of the facility. This will also initiate the evacuation of other clients and staff members, as well as alert the fire department.

Once the fire alarm has been activated, the nurse should safely evacuate the client and themselves from the room, if possible, and then notify the supervisor and the fire department.

Containing the fire or attempting to put it out should only be done if it can be done safely and without putting oneself or others at risk.

The physiological changes of the older adult that put them at risk of falls include: Reduced muscle strength, Sensory losses like vision and hearing, Slowing of reflexes, Inability to adapt Dementia may also contribute to the risk of falls due to impaired judgment, memory, and coordination, but it is not a direct physiological change.

The action by the nurse that best demonstrates cultural competence is asking the clients what matters most to them in their illness and treatment. This demonstrates respect for the clients' beliefs, values, and preferences, and acknowledges that healthcare is influenced by cultural factors. By asking the clients what matters most to them, the nurse can gain insight into their cultural practices, beliefs, and expectations, and use this information to provide care that is more meaningful and effective.

Telling the client that they should not continue taking herbs, asking if they utilize a shaman, or telling the clients to follow the provider's orders without regard for their cultural beliefs and practices can be disrespectful, dismissive, and may create a barrier to effective communication and care. Cultural competence requires understanding and respecting the cultural diversity of clients and incorporating this knowledge into the provision of care.

A surgical sponge left in a client's incision is considered a "never event." A never event is a serious, preventable medical error that should never occur in healthcare settings. Leaving a surgical sponge in a client's incision is a serious medical error that can cause harm, including infection, abscesses, and other complications.

The primary purpose of an incident report is to document any unexpected or unplanned event that occurs in a healthcare setting, including any adverse events or near misses that involve a patient, staff member, or visitor.

Incident reports are used to identify the underlying causes of an event, to help prevent similar incidents from occurring in the future, and to provide information that can be used to improve the quality and safety of care. Incident reports are not intended to assign blame or responsibility, but rather to gather information and identify opportunities for improvement.

The nurse and client working on strategies to reduce weight are in the working phase of the therapeutic relationship.

In the therapeutic relationship, there are three main phases: the orientation phase, the working phase, and the termination phase. During the orientation phase, the nurse and client establish rapport, develop trust, and identify goals for the relationship. In the working phase, the nurse and client work together to achieve the goals identified in the orientation phase. This phase involves active problem-solving, planning, and implementation of strategies to address the client's needs. In the termination phase, the nurse and client evaluate progress and determine next steps, and the relationship is brought to a close.

False reassurance is a statement that may be intended to comfort or calm the parents, but does not provide any real information or address their concerns. An example of false reassurance in this scenario would be "Don't worry. I'm sure he will be fine."

While the statement "Your child will receive prompt care" and "We care for many 5-year-olds here" are appropriate and true statements, "I have been a pediatric nurse for ten years" is not relevant to the immediate situation and does not provide any information to the parents about their child's condition or care.

The statement "Take naps when drowsy" is not appropriate client education for a client experiencing insomnia. Insomnia is a sleep disorder characterized by difficulty falling or staying asleep, or waking up too early in the morning. Napping during the day can make it harder for someone with insomnia to fall asleep at night. Therefore, advising a client with insomnia to take naps when drowsy can exacerbate their sleep problem.

Regular exercise can improve the quality and duration of sleep.

Limiting fluids before bedtime can reduce the need to wake up during the night to use the bathroom.

Alcohol can disrupt sleep as well, so limiting or avoiding alcohol before bedtime can help improve sleep quality.