A nurse is caring for an elderly client living at home. What interventions can the nurse implement to reduce the client’s risk of falling? (Select all that apply)
Keep the stairs well-lit
Use shower chairs and raised toilet seats
Keep stairs free of clutter
Go upstairs swiftly while holding the side rail
Encourage the use of non-slip socks or shoes
Correct Answer : A,B,C,E
Adequate lighting is essential to help the client see the stairs and avoid tripping or falling. Using shower chairs and raised toilet seats can help the client maintain their balance while performing daily activities. Objects on the stairs can cause the client to trip and fall. Encouraging the use of non-slip socks or shoes can improve the client's grip and reduce the risk of slipping.
On the other hand, going upstairs swiftly while holding the side rail is not a recommended intervention as it can increase the risk of tripping or losing balance.
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Related Questions
Correct Answer is A
Explanation
This scenario is an example of cultural imposition. The nurse is imposing her own beliefs and values regarding infant safety onto the African mother, without considering the cultural context in which the mother is from.
To provide culturally competent care, it is important to respect and understand different cultural practices and beliefs, and work collaboratively with clients to develop safe and effective care plans that are culturally appropriate.
Correct Answer is D
Explanation
Knowing how to operate the call light is important in order to alert the healthcare staff in case of an emergency.
Although using the telephone may be useful in case of an emergency, the patient is less likely to be able to communicate using the telephone as opposed to the call light.
Introducing the patient to their roommate is not very important during orientation. Knowing about visiting hours is also not a priority during orientation.
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