A home health nurse is performing a home visit to determine safety needs for a client.
Which of the following findings by the nurse may present complications for the client? Select all that apply.
Shower
Flooring
Home entrance
Inside walking pathway
Rugs
Inside lighting
Home assistance
Toilet
Bedroom Location
Handrails
Correct Answer : B,D,E,J
Choice A - Shower: The presence of a walk-in shower with a shower chair suggests that the client's needs have been considered, and this setup should not present complications.
Choice B - Flooring: The highly polished wood floors are a significant risk for slipping, especially for someone recovering from knee surgery. This type of flooring can be very slippery, particularly if the client is using assistive devices like crutches or a walker.
Choice C - Home Entrance: The front entrance has two steps, but a ramp has been added, and there is sufficient lighting. This adaptation should make the entrance safe for the client.
Choice D - Inside Walking Pathway: The living room's excessive furniture creating narrow pathways can be problematic for the client's mobility and increases the risk of falls or bumping into furniture, which can be dangerous post-surgery.
Choice E - Rugs: Non-secure rugs throughout the house are a tripping hazard. They can easily cause the client to slip or trip, leading to falls.
Choice F - Inside Lighting: The presence of night lights in the hallway and bathroom suggests that inside lighting is adequate and should not present complications.
Choice G - Home Assistance: The client lives with an adult child who is retired, which implies that there is some level
of home assistance available.
Choice H - Toilet: The toilet is elevated, which is beneficial for someone with knee issues as it reduces the strain on the knees when sitting down or standing up.
Choice I - Bedroom Location: The client’s bedroom being on the first floor is advantageous as it eliminates the need to climb stairs.
Choice J - Handrails: The absence of handrails in the bathroom is a safety concern. Handrails provide support and stability, which are crucial for preventing falls in the bathroom, especially post knee surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Detoxification is often the first step in the treatment for substance use disorders, as it safely manages the acute physical symptoms of withdrawal.
Choice B reason: Case management is important but typically follows initial medical treatment such as detoxification.
Choice C reason: Education about the effects of substances is a part of treatment but usually comes after the detoxification process.
Choice D reason: Support groups are a key component of ongoing treatment and recovery but are not usually the first phase of treatment.
Correct Answer is A
Explanation
Choice A reason: Using a new condom for each sexual act is essential to prevent the transmission of STIs. Condoms are a barrier method that can reduce the risk of STI transmission when used correctly and consistently.
Choice B reason: Oil-based lubricants are not recommended for use with latex condoms because they can weaken the latex and cause the condom to break. Water-based or silicone-based lubricants are safer options.
Choice C reason: Currently, there is no vaccine available to prevent gonorrhea. Vaccines are available for other STIs, such as hepatitis B and human papillomavirus (HPV).
Choice D reason: Older adults are not at a lower risk of contracting STIs. In fact, the rate of STIs among older adults has been increasing, and they should also practice safe sex.
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