A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?
Sit on a shower chair while showering.
Place several small throw rugs on non-carpeted floors.
Ambulate without the walker for short distances.
Use 40-watt bulbs in light fixtures.
The Correct Answer is A
Choice A reason: Sitting on a shower chair while showering is a safe practice for individuals with lower extremity weakness. It provides stability and reduces the risk of falls in a wet environment.
Choice B reason: Placing small throw rugs on non-carpeted floors is hazardous. They can easily slip or cause tripping, especially for someone using a walker.
Choice C reason: Advising a client to ambulate without a walker when they are experiencing weakness could lead to falls and is not a safe recommendation.
Choice D reason: Using 40-watt bulbs in light fixtures may not provide adequate lighting for safety. Brighter bulbs are recommended to ensure clear visibility, reducing the risk of accidents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Echinacea is not typically utilized for its analgesic or anti-inflammatory properties related to musculoskeletal disorders. Arthritis management usually involves supplements like glucosamine, chondroitin, or omega-3 fatty acids. Since echinacea focuses on immune modulation rather than joint health, improvement in arthritis pain would not be the expected clinical indicator of its effectiveness.
Choice B reason: Sleep enhancement is not a known therapeutic effect of echinacea. Clients seeking herbal assistance for insomnia or sleep disturbances would more likely use valerian root, melatonin, or chamomile. Because echinacea does not possess sedative or hypnotic properties, a report of sleeping through the night would be unrelated to this specific treatment.
Choice C reason: Echinacea is widely used for its immunostimulant properties, which can aid in wound healing and the prevention of upper respiratory infections. By enhancing phagocytosis and immune function, it supports the body's ability to repair tissue. Therefore, a healing leg wound serves as a positive clinical finding indicating the therapy is effective.
Choice D reason: This blood pressure reading indicates a wide pulse pressure and does not reflect a therapeutic goal of echinacea. Echinacea does not have antihypertensive properties or significant effects on cardiovascular hemodynamics. Monitoring blood pressure is a standard nursing action, but these specific values would not be used to evaluate the efficacy of an herbal immunostimulant.
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Hospice care does not provide life extending interventions, but rather focuses on comfort and quality of life for the client and their family⁴⁵.
Choice B reason: This is correct. Hospice care is for people who are in the final stages of an incurable illness and have a life expectancy of 6 months or less⁴⁶. Hospice care helps ease symptoms and provide emotional and spiritual support⁵.
Choice C reason: This is partially correct. Hospice care does allow families to participate in the client's care, but this is not the main goal of hospice care⁴⁵. Hospice care also involves a team of professionals who provide medical, social, and practical support to the client and their family⁴.
Choice D reason: This is incorrect. Hospice services do not end when the client dies, but continue to provide bereavement support to the family for up to a year after the client's death⁴⁵..
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