A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

The television set is turned to a loud volume.

The dining room table has low chairs with no armrests.

The bedroom extension cord is placed under a heavy nightstand.

The living room contains wall-to-wall carpeting.

Answer and Explanation

The Correct Answer is C

A.   The television set turned to a loud volume may not necessarily pose a safety hazard unless it disturbs others in the household or contributes to hearing damage. However, it is not a direct safety concern for the client.
B.   The dining room table having low chairs with no armrests could present a challenge for older adults when sitting down or getting up, but it is not an immediate safety hazard.
C.   The bedroom extension cord placed under a heavy nightstand is a safety hazard because it poses a risk of electrical fire if the cord becomes damaged or overloaded. The nurse should
intervene to relocate the extension cord to a safer location.

D. The presence of wall-to-wall carpeting in the living room is not necessarily a safety hazard unless it is loose or torn, posing a tripping hazard. However, it is not explicitly described as such in the scenario.

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Correct Answer is A

Explanation

A. Elevating the client's legs before applying the stockings helps reduce venous stasis by promoting venous return and decreasing edema, which is essential for the effectiveness of the stockings.

B. Dorsiflexion of the feet can also aid in the application but is not as critical as elevation.

C. Massaging the legsis contraindicated as it may dislodge clots if present.

D.Folding the top of the stockings over can create a tourniquet effect and impede blood flow, which is harmful to the client.

A. Hgb 12 g/dL B. Platelet count 90,000/mm3 C. Hematocrit 37% D. Creatinine 0.7 mg/dL

Correct Answer is B

Explanation

A. Hemoglobin (Hgb) of 12 g/dL is within the normal range for a pregnant individual and does not typically require notification of the provider.
B. Platelet count of 90,000/mm3 is below the normal range (typically 150,000 to 400,000/mm3) and may indicate thrombocytopenia, which can be associated with conditions such as
preeclampsia or HELLP syndrome. The nurse should notify the provider about this result.

C. Hematocrit of 37% is within the normal range for a pregnant individual and does not typically require notification of the provider.
D. Creatinine level of 0.7 mg/dL is within the normal range and does not typically require notification of the provider.

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A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

Nursing Test Bank

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