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 ["A","B","C"]
Explanation
Choice A reason: This is correct. One of the child's parents appearing frightened of the other parent may indicate domestic violence or intimidation in the family, which can increase the risk of child abuse and neglect¹².
Choice B reason: This is correct. Neither of the child's parents being financially stable may indicate economic stress or poverty, which can increase the risk of child abuse and neglect¹².
Choice C reason: This is correct. One of the child's parents having a history of alcohol use disorder may impair their judgment, impulse control, or ability to care for the child, which can increase the risk of child abuse and neglect¹².
Choice D reason: This is incorrect. The child spending the weekends with their grandparents may indicate a supportive extended family or respite for the parents, which can decrease the risk of child abuse and neglect¹.
Choice E reason: This is incorrect. The child's family having an indoor cat that sleeps with the child may indicate a positive attachment or comfort for the child, which can decrease the risk of child abuse and neglect¹..
Correct Answer is B
Explanation
Choice A reason: This statement is not the best action, as it may violate the adolescent's and the family's right to privacy and confidentiality. The nurse should only share the adolescent's diagnosis with the consent of the adolescent and the family, and only with those who need to know.
Choice B reason: This statement is the best action, as it demonstrates the nurse's role as a counselor and advocate for the family. The nurse should assess the family's needs for support or guidance, as they may be experiencing stress, anxiety, or grief related to the adolescent's illness.
Choice C reason: This statement is not the best action, as it may not address the family's emotional or spiritual needs. The nurse should refer the family to the adolescent's health care providers only if they have questions or concerns about the medical aspects of the adolescent's care.
Choice D reason: This statement is not the best action, as it may not be appropriate or relevant for the family. The nurse should review the adolescent's care plans with the family only if they are involved in the adolescent's care or if the adolescent and the family request it.
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