A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?

Place the bedside table 2 feet away from the bed.

Move the client's bed to the main floor of the house.

Keep lighting in the home dim.

Place area rugs on slick floor surfaces.

Answer and Explanation

The Correct Answer is B

A.   Incorrect. The bedside table should be within easy reach of the bed to prevent the client from attempting to reach for items and potentially falling.
B.   Correct. Moving the client's bed to the main floor of the house reduces the need for using stairs, which can be a fall risk for clients at risk for falls.
C.   Incorrect. Keeping the lighting dim increases the risk of falls. Adequate lighting is important to prevent falls.
D.   Incorrect. Area rugs on slick floor surfaces can be hazardous and increase the risk of falls.
They should be removed or secured properly.

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Correct Answer is B

Explanation

A. Incorrect. Newborns' heads can be sensitive, and washing with a moist towelette might not be gentle enough for their delicate skin.
B. Correct. Newborns' skin is sensitive, and using a warm, wet washcloth without soap is recommended to gently clean their face.
C. Incorrect. Bathing a newborn under a running faucet can be challenging and might expose the baby to temperature variations. It's important to ensure that the baby is comfortable during bathing.
D. Incorrect. Newborns don't need to be bathed daily. Bathing them too frequently can dry out their skin and lead to discomfort.

A. Secure the tubing to the child's abdomen. B. Tape the tube to the child's cheek. C. Attach an extension tube to the site's opening prior to use. D. Apply water-soluble lubricant to the site.

Correct Answer is A

Explanation

A.Securing the tubing to the child's abdomen helps prevent accidental dislodgement or pulling of the gastrostomy tube. This can be done using appropriate securing devices, such as adhesive dressings or commercially available tube holders, as recommended by the healthcare provider.

B.Taping the tube to the child's cheek is not a recommended practice. It can cause skin irritation, discomfort, or even accidental removal of the tube. Proper securing of the tube to the abdomen using appropriate devices is the preferred method to prevent dislodgement.

C.Some gastrostomy tubes require an extension set for feeding, especially low-profile devices (e.g., button-type gastrostomy tubes). This extension makes it easier to administer feeds or medications and can be removed afterward. However, this is not typically part of routine site care.

D.Applying lubricant to the site is not necessary or recommended. The gastrostomy tube should be kept clean and dry. If any secretions or debris are present, they should be gently cleaned with mild soap and water, followed by thorough rinsing and drying.

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A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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