A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client? Select all that apply

Place throw rugs and carpets throughout the home to add comfort and warmth.

Ensure that all electrical cords and wires are secured against walls and out of walkways.

Install bright, overhead lighting in every room and hallway to improve visibility.

Encourage the client to use a walking stick or guide dog when moving around the home.

Label kitchen cabinets and drawers with large-print, high-contrast labels.

Answer and Explanation

Correct Answer : B,C,D,E

A. Place throw rugs and carpets throughout the home to add comfort and warmth: Throw rugs and carpets can increase the risk of falls, especially for clients with vision impairments. They should be avoided.

B. Ensure that all electrical cords and wires are secured against walls and out of walkways: Preventing tripping hazards is critical for a client with vision impairment.

C. Install bright, overhead lighting in every room and hallway to improve visibility: Adequate lighting is essential for clients with glaucoma to help them navigate safely.

D. Encourage the client to use a walking stick or guide dog when moving around the home: This enhances mobility and safety for clients with decreased vision by providing support and guidance.

E. Label kitchen cabinets and drawers with large-print, high-contrast labels: This helps the client identify items more easily and reduces the risk of injury or confusion.

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Correct Answer is A

Explanation

A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. ADL assessment provides crucial information about how well the client is managing their chronic illness and maintaining functional independence.

B. Review the client's current medication list and check for any missed doses. While this is important, it is a secondary concern compared to assessing functional status, which has a broader impact on health outcomes.

C. Focus on the client's most recent laboratory results and compare them to past results. Lab results are valuable but do not provide a comprehensive view of how the illness affects the client's daily life.

D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness. Genetic predispositions are relevant for diagnosis and prevention but do not evaluate current management of the condition.

A. "You should avoid using the PCA system if you feel that the pain is manageable without medication. B. "The PCA system is designed with safety features to prevent you from receiving too much medication. C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." E. “Family members should press the PCA button for you if you are unable to do so yourself."

Correct Answer is ["B","C","D"]

Explanation

A. "You should avoid using the PCA system if you feel that the pain is manageable without medication." This is misleading as the PCA system is intended for effective pain control; clients are encouraged to use it before pain becomes severe.

B. "The PCA system is designed with safety features to prevent you from receiving too much medication." This reassures clients about the system's safety features, such as lockout mechanisms that prevent overdose.

C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." This explains how the device is pre-programmed by healthcare providers to deliver a safe, therapeutic dose.

D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." This empowers the client to take control of their pain management within the limits set by the PCA system.

E. "Family members should press the PCA button for you if you are unable to do so yourself." This is unsafe. Only the client should press the PCA button to avoid overmedication or dosing errors.

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A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client? Select all that apply

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Naxlex Comprehensive Predictor Exams

A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?

Correct Answer is A

Explanation

A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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