A home health nurse is conducting a home safety assessment for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client? (Select all that apply.)
Water heater temperature 54.4°C (130° F)
Throw rugs
Electric cords behind the furniture
Raised toilet seats
Bathtub with rails
Correct Answer : B,C
A. Water heater temperature set at 54.4°C (130°F) is considered a safe temperature for preventing scalds. This is not a safety risk.
B. Throw rugs can be a tripping hazard for older adults, especially if they are not secured properly.
C. Electric cords behind the furniture can pose a tripping hazard and may also be a fire risk if they are not managed safely.
D. Raised toilet seats are generally considered a safety aid for older adults, as they can make it easier to sit down and stand up. This is not a safety risk.
E. A bathtub with rails is a safety feature that can assist the client in getting in and out of the bathtub safely. This is not a safety risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. More difficulty seeing due to a greater sensitivity to glare is a common age-related change in vision.
B. Dehydration of intervertebral discs can occur with aging, leading to decreased flexibility and potentially contributing to back pain.
C. While systolic blood pressure may increase with age, decreased systolic blood pressure is not a typical age-related change.
D. Decreased cough reflex is an expected change, which can lead to an increased risk of respiratory infections in older adults.
E. Decreased bladder capacity is an expected age-related change due to changes in the bladder muscles and elasticity of the tissues. This can contribute to increased frequency of urination in older adults.
Correct Answer is A
Explanation
A. False imprisonment occurs when a person is intentionally confined or restrained against their will, and they have not given consent. In this scenario, if the nurse restrains the client against her will, it would be considered false imprisonment.
B. Invasion of privacy involves intruding into a person's private affairs, disclosing private information, or using their name or likeness without their consent. This option is not applicable in this scenario.
C. Assault is the intentional threat of causing harm to another person, which creates a reasonable fear of imminent harmful or offensive contact. It involves the apprehension of harm, but not the actual physical act.
D. Battery is the intentional harmful or offensive touching of another person without their consent. It involves the actual physical act of touching.
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