A community health nurse is performing a home visit for a client and is evaluating the home environment for safety. Which of the following findings would indicate to the nurse that the client has a proper understanding of safety in the home?

A single light fixture hangs along the sidewalk to the house.

A small area rug is placed at the front door.

The batteries in the smoke alarms are changed annually.

The water heater is set at 54° C (129.2° F).

Answer and Explanation

The Correct Answer is D

Rationale:
A. A single light fixture hangs along the sidewalk to the house: Proper home safety requires adequate lighting to prevent falls, particularly along walkways. A single light fixture may not provide sufficient illumination and poses a risk.

B. A small area rug is placed at the front door: Loose rugs increase the risk of slips and falls. Safe home practices include securing rugs with nonslip backing or removing them entirely.

C. The batteries in the smoke alarms are changed annually: Smoke alarm batteries should be checked and replaced more frequently, typically every 6 months, to ensure proper function. Annual replacement alone may not be sufficient.

D. The water heater is set at 54° C (129.2° F): Setting the water heater at or below 54° C helps prevent scald injuries while providing adequate hot water. This demonstrates the client’s understanding of home safety measures.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:
A. Encourage the client to watch television: Distracting the client with television is not effective during an acute panic attack. The client may be too anxious to focus, and this approach does not provide emotional support or safety.

B. Teach the client how to meditate: Teaching meditation is a long-term coping strategy and is not helpful during an acute panic attack, when the client requires immediate support and reassurance.

C. Administer a dose of atomoxetine to decrease anxiety: Atomoxetine is used to treat attention-deficit/hyperactivity disorder (ADHD) and is not indicated for acute anxiety or panic attacks. Medications for acute panic typically include fast-acting benzodiazepines if prescribed.

D. Sit with the client to provide a sense of security: Providing a calm presence and sitting with the client helps reduce feelings of fear and isolation. This intervention offers immediate emotional support, reassurance, and a sense of safety during the panic episode.

A. A client who reports frequent and painful urination B. A client who reports left arm pain following a fall C. A client who has hypertension and reports a severe headache D. A client who has heart failure and received a diuretic 30 min ago

Correct Answer is C

Explanation

Rationale:
A. A client who reports frequent and painful urination: This client likely has a urinary tract infection, which requires assessment and treatment but is not immediately life-threatening.

B. A client who reports left arm pain following a fall: Pain from trauma requires evaluation, but unless there are signs of impaired circulation or severe injury, it is lower priority than potential neurologic emergencies.

C. A client who has hypertension and reports a severe headache: A severe headache in a client with hypertension may indicate a hypertensive crisis or impending stroke. Immediate assessment is required to prevent life-threatening complications, making this the highest priority.

D. A client who has heart failure and received a diuretic 30 min ago: Monitoring is necessary to assess diuretic effects, but this client is stable and does not require immediate intervention compared with the client at risk for hypertensive emergency.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A community health nurse is performing a home visit for a client and is evaluating the home environment for safety. Which of the following findings would indicate to the nurse that the client has a proper understanding of safety in the home?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse in an emergency department is receiving report for four clients. Which of the following clients should the nurse see first?

Correct Answer is C

Explanation

A nurse is caring for a client who is at 37 weeks of gestation and experiences a spontaneous rupture of membranes before labor has begun. Which of the following actions should the nurse take?

A nurse is caring for a client who is seeking information about end-of-life decisions. According to the Patient Self-Determination Act, which of the following applies to medical decisions that can be made within organizations that receive Medicare and Medicaid reimbursements?

A nurse is preparing to administer testosterone gel to a client who has hypogonadism. Which of the following actions should the nurse take?

A nurse is preparing to insert a peripheral intravenous line on an infant. Which of the following actions should the nurse plan to take?

A nurse is preparing to administer medication to a client. Which of the following actions should the nurse take?

A nurse is providing teaching to a client who has a new prescription for nitroglycerin topical ointment. Which of the following instructions should the nurse include in the teaching?

A nurse is making assignments for staff on an inpatient unit. Which of the following tasks can a nurse legally delegate to assistive personnel?

A nurse is caring for a client who has a closed wound drainage system. Which of the following interventions should the nurse include in the plan care?