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 correct answer is Choice C because, "Evaluate the client's home environment." Since the client has a new prosthesis, the priority is to evaluate the client's home environment for safety and accessibility. Collaborating with a prosthetist to teach the client about care of the prosthesis (Choice A is wrong because) is important, but not the priority at this stage. Determining eligibility for a skilled nursing facility (Choice B is wrong because) and asking about insurance coverage for home health services (Choice D is wrong because) are important considerations, but not the priority assessment in this situation.
Choice A is wrong because: Collaborating with a prosthetist to teach the client about care of the prosthesis is important, but not the priority at this stage.
Choice B is wrong because: Determining whether the client is eligible to go to a skilled nursing facility is an important consideration, but not the priority assessment in this situation.
Choice D is wrong because: Asking about insurance coverage for home health services is an important consideration, but not the priority assessment in this situation.
Correct Answer is C
Explanation
The correct answer is Choice C because, "Clients will schedule bone density screenings." Postmenopausal women are at an increased risk for osteoporosis, and bone density screenings can help identify early signs of the disease, enabling early intervention to prevent complications.
Choice A is wrong because, "Clients will start hormone replacement therapy," is not the correct answer because hormone replacement therapy is not appropriate for all women and can have
negative side effects. It is not an appropriate outcome for an educational program.
Choice B is wrong because, "Clients will significantly decrease caloric intake," is not the correct answer because this outcome is not relevant to postmenopausal women specifically. Additionally, significant caloric restriction can lead to malnutrition and other negative health outcomes.
Choice D is wrong because, "Clients will arrange for mammograms every 3 years," is not the correct answer because while mammograms are an important screening tool for breast cancer, they are not specific to postmenopausal women and should be recommended to all women starting at age 40. Bone density screenings are a more appropriate outcome for a program specifically targeting postmenopausal women.
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