A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?
An increase in levels of local air pollution
An increase in client admissions for home health care
An increase in client falls at home
An increase in clients receiving annual flu vaccines
The Correct Answer is C
The correct answer is choice C, "An increase in client falls at home." A quality improvement committee is responsible for identifying and addressing areas in need of improvement in client care. Among home health clients, falls are a common cause of injury, which can lead to hospitalizations or even death. Therefore, it is essential to address this issue by examining the data and identifying trends to establish interventions to prevent falls. The committee can evaluate whether proper assessments have been completed, including a home safety evaluation, medication review, and the use of mobility aids, to prevent falls. The committee can also review the use of interventions, such as physical therapy or occupational therapy, to improve mobility and strength, and education for clients, caregivers, and family members to promote safety in the home environment. By addressing the increase in client falls, the committee can improve the quality of care provided to home health clients and reduce the risk of falls and injuries.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
. Tertiary prevention aims to prevent complications or further deterioration in individuals with existing health problems. Developing resources for victims of abuse is an example of tertiary prevention because it aims to prevent further harm to individuals who have already experienced violence. Presenting community education programs about stress management and urging community leaders to make nonviolence a priority are examples of primary prevention activities, which aim to prevent the occurrence of violence in the first place. Assessing for risk factors of intimate partner abuse during health examinations is an example of secondary prevention, which aims to detect violence early and intervene to prevent its progression.
Correct Answer is D
Explanation
When reviewing home safety precautions with a client who is to begin radioactive iodine therapy, the nurse should emphasize the importance of using a toilet that is not used by others in the family. The client should also flush the toilet several times after use and clean it with household bleach. The nurse should advise the client to use disposable plates, cups, and utensils and to avoid close contact with others, especially pregnant women and children. The client should also avoid sharing towels, linens, and other personal items. Waiting one week after treatment to use a laxative (choice A) and using cloth handkerchiefs instead of tissues (choice B) are not relevant to home safety precautions for this client. Allowing the granddaughter to visit for four hours daily (choice C) may be unsafe, as the client may still be emitting radiation.
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