A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?
Slippery bathroom surfaces without grab bars
Clutter-free pathways and floors
Adequate lighting in hallways and staircases
Securely fastened area rugs on hardwood floors
The Correct Answer is A
A. Slippery bathroom surfaces without grab bars are a significant risk factor for falls, as they can lead to slips and lack of support while moving.
B. Clutter-free pathways and floors reduce the risk of tripping hazards, which is beneficial for fall prevention.
C. Adequate lighting helps in reducing the risk of falls by making it easier to see potential hazards.
D. Securely fastened area rugs do not pose a risk; rather, they prevent tripping hazards associated with loose rugs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.
Correct Answer is A
Explanation
A. Decreasing exposure to sun is an example of primary prevention as it aims to prevent skin cancer before it occurs by reducing risk factors.
B. Conducting lead screening in children is an example of secondary prevention, as it involves early detection and intervention of potential lead poisoning.
C. Having routine mammograms is an example of secondary prevention, aimed at early detection of breast cancer before symptoms appear.
D. Screening for high blood pressure is an example of secondary prevention, focusing on early detection and management of hypertension to prevent complications.
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