A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
The hot water heater is set to 47° C (117° F).
Grab bars are installed in the shower.
There is an area rug covering a tile floor.
Prescriptions are stored in a medication organizer.
The Correct Answer is C
A. The hot water heater is set to 47° C (117° F). This temperature is within a safe range to prevent burns while ensuring adequate hot water for hygiene.
B. Grab bars are installed in the shower. Grab bars provide support and help prevent falls in older adults, especially those with osteoporosis who are at higher risk for fractures.
C. There is an area rug covering a tile floor. Area rugs are a significant tripping hazard, especially for older adults with osteoporosis, as a fall could lead to fractures. The nurse should intervene to recommend removing or securing the rug to reduce the risk of falls.
D. Prescriptions are stored in a medication organizer. A medication organizer helps older adults manage their medications effectively and reduces the risk of missed or incorrect doses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Supine in low-Fowler's position - This position is not effective for draining the left lower lobe.
b. Side-lying with the right side of the chest elevated - This position would not effectively drain the left lower lobe.
c. Right lateral in Trendelenburg position - This is correct. Placing the client on their right side with the chest lower than the hips (Trendelenburg position) helps gravity assist in draining secretions from the left lower lobe.
d. Prone with pillows under the lower extremities - This position would not be effective for draining the left lower lobe.
Correct Answer is C
Explanation
A. Four-point alternating gait:
This gait involves a more natural and stable walking pattern. However, it requires weight-bearing on both legs, which may not be suitable for a client who can only bear weight on one leg.
B. Swing-through gait:
The swing-through gait is typically used by clients with bilateral lower extremity weakness. It involves swinging both legs through while supporting weight on the crutches. This gait is not suitable for a client who can only bear weight on one leg.
C. Three-point gait:
This gait is appropriate for a client who can only bear weight on one leg. In a three-point gait, the client uses crutches and swings or hops the non-weight-bearing leg forward, landing on the good leg. This gait provides stability and reduces weight-bearing on the affected leg.
D. Two-point alternating gait:
In a two-point alternating gait, the client advances the crutch and the opposite foot simultaneously. This gait is more energy-efficient than the four-point gait but requires weight-bearing on both legs. It is not suitable for a client who can only bear weight on one leg.
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