A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day.
Which of the following actions should the nurse include in the plan?
Cover appliance cords with throw rugs.
Visit the client once per month to assess medication usage.
Use container lids of different shapes to indicate times of administration.
Rearrange furniture to clear walkways.
The Correct Answer is C
Choice A rationale:
Covering appliance cords with throw rugs is not an appropriate action to address the needs of a client with vision loss and medication management. While it promotes safety by reducing tripping hazards, it does not directly address the client's medication administration needs. Implementing measures that specifically assist the client in managing medications safely is essential in this scenario.
Choice B rationale:
Visiting the client once per month to assess medication usage is insufficient for an older adult with vision loss who takes medications throughout the day. Regular and more frequent assessments are necessary to ensure the client's safety and adherence to the medication regimen. The nurse should consider more proactive measures to support the client, such as providing medication organizers or arranging for a home healthcare aide to assist with medication administration daily.
Choice C rationale:
This is the correct answer. Using container lids of different shapes to indicate times of administration is an effective strategy for clients with vision loss. Associating specific shapes with different times of the day helps the client differentiate between medications, promoting accurate dosing. This method is tactile and easy for the client to understand, enhancing their ability to manage medications independently and safely.
Choice D rationale:
Rearranging furniture to clear walkways is a general safety measure but does not specifically address the client's medication administration needs. While it can prevent falls and accidents, it does not facilitate the client's ability to distinguish between different medications or their dosing schedules. The focus should be on implementing strategies that directly support the client in managing their medications effectively despite their visual impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Incorrect. Clear liquids are usually introduced slowly and progressively, but 6 hours postoperative might be too soon for this intervention.
B. Incorrect. Cromolyn nebulized solution is used to prevent asthma symptoms triggered by certain factors, not for postoperative care.
C. Incorrect. Applying a warm compress to the operative site might not be appropriate for the immediate postoperative period, especially in the case of appendicitis.
D. Correct. Administering analgesics on a scheduled basis helps manage postoperative pain and provides effective pain relief, promoting comfort and recovery.
Correct Answer is B
Explanation
A. Incorrect. Family history of malignant hypertension is not a contraindication for alteplase.
B. Correct. Chronic obstructive pulmonary disease (COPD) is a contraindication for alteplase due to increased bleeding risk from fragile lung vessels.
C. Incorrect. Recent hip arthroplasty is not a contraindication for alteplase.
D. Incorrect. Acute renal failure from six months ago is not a contraindication for alteplase.
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