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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is an example of complementary medicine, where the client is using both conventional (prescribed medication) and alternative (massage) approaches for pain control.
Correct Answer is C
Explanation
The nurse and client working on strategies to reduce weight are in the working phase of the therapeutic relationship.
In the therapeutic relationship, there are three main phases: the orientation phase, the working phase, and the termination phase. During the orientation phase, the nurse and client establish rapport, develop trust, and identify goals for the relationship. In the working phase, the nurse and client work together to achieve the goals identified in the orientation phase. This phase involves active problem-solving, planning, and implementation of strategies to address the client's needs. In the termination phase, the nurse and client evaluate progress and determine next steps, and the relationship is brought to a close.
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