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 D

Explanation

A. Constipation can be caused by various factors including pain medications, but it is not a direct indicator of unrelieved pain.
B. Difficulty swallowing may not be directly related to unrelieved pain from the herniated disc.
C. Urinary retention is more likely related to the anesthesia effects or nerve compression in the spine rather than unrelieved pain.
D. Correct. Clenched teeth or grimacing are often signs of unrelieved pain. These nonverbal cues can be important indicators of discomfort in patients who might not verbally express their pain.

A. Cimetidine B. Docusate C. Calcium supplement D. Naproxen

Correct Answer is D

Explanation

A. Incorrect. Cimetidine is not known to interact significantly with enoxaparin.
B. Incorrect. Docusate is a stool softener and does not typically interact with enoxaparin.
C. Incorrect. While calcium supplements may interact with certain medications, there's no significant interaction between calcium supplements and enoxaparin.
D. Correct. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID. and can increase the risk of bleeding when taken with anticoagulants like enoxaparin. Therefore, it's considered unsafe to use both together.

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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

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