A home health nurse is performing a home safety evaluation for a newly admitted client. Which of the following findings requires action by the nurse? (Select all that apply.)
An extension cord extends across the floor of the living room.
A red light is kept on in the bedroom at night.
A rubber-backed bath mat is on the floor outside the shower.
The water heater is set at 54.4° C (130° F).
The floors of the house are carpeted.
Correct Answer : A,D
The correct answers are A and D. The extension cord presents a trip hazard and should be replaced with a longer power strip or have a qualified electrician install additional outlets. The water heater temperature is above the recommended range of 49° C (120° F) and should be adjusted to prevent scalding. The red light in the bedroom (Choice B is wrong because) is not a safety hazard, the rubber-backed bath mat (Choice C is wrong because) is a safety measure to prevent falls, and carpeted floors (choice E) are also not a safety hazard.
Choice A is An extension cord extends across the floor of the living room presents a trip hazard.
Choice B is wrong because: A red light is kept on in the bedroom at night is not a safety hazard.
Choice C is wrong because: A rubber-backed bath mat is on the floor outside the shower is a safety measure to prevent falls.
Choice D is The water heater is set at 54.4° C (130° F) is above the recommended range and can cause scalding.
Option E: Carpeted floors are not a safety hazard.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.
Correct Answer is C
Explanation
The correct answer is Choice C because "You should limit your use of extension cords." Extension cords are a common source of electrical hazards and should be used only when necessary. The nurse should advise the client to use power strips with built-in circuit breakers instead of extension cords.
Choice A is wrong because, "You should pull on the cord when unplugging items," is not the correct answer as pulling on the cord can damage the cord and create a hazard. Choice B is wrong because, "You should cover electrical cords with an area rug," is not the correct answer as this can create a trip hazard. Choice D is wrong because, "You should secure extension cords with clear packing tape," is not the correct answer as this does not address the underlying issue of using extension cords unnecessarily.
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