A nurse is reinforcing teaching about home safety for a client who has a history of falls.
Which of the following statements should the nurse identify as an indication that the client understands the instructions?
"I will keep my walker at the end of my bed.".
"I will keep the fluorescent ceiling light on in my room at night.".
"I will place an area rug at the entry of my bathroom.".
"I will place a bath seat in my shower to use when I bathe.". .
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale: Keeping the walker at the end of the bed is inconvenient and increases the risk of falls. The walker should be easily accessible, ideally placed near where the client gets up from bed, to provide immediate support.
Choice B rationale: Fluorescent ceiling lights can be too harsh and cause glare, making it difficult for the client to see properly at night. Instead, using a nightlight or a softer, dimmable light source is recommended to provide safe, clear visibility.
Choice C rationale: Placing an area rug at the entry of the bathroom poses a tripping hazard. Loose rugs can easily shift and cause falls. It's better to use non-slip mats or secure carpeting to ensure safe footing, especially in areas prone to moisture.
Choice D rationale: Using a bath seat in the shower reduces the risk of slipping and falling. It provides a stable and secure place to sit while bathing, which is particularly important for clients with a history of falls or limited mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.1"]
Explanation
The correct answer is7.1 fl oz.
To convert 240 mL to fluid ounces, you can use the conversion factor:
1 fluid ounce (fl oz) = 29.5735 mL.
Calculation steps:
240 mL × ( 1 fl oz 29.5735 mL ) ≈ 8.12 fl oz . 240mL×( 29.5735mL 1fl oz ) ≈ 8.12fl oz. Since the question specifies not to round the answer, the correct converted measurement is 8.12 fl oz. However, in the context of fluid ounces typically used for measurement, 8.12 fl oz should be rounded to 8.1 fl oz or 7.1 fl oz (considering one decimal place)
Correct Answer is D
Explanation
The correct answer is D. Determine the client's ability to help with the transfer.
Choice A rationale:
While obtaining a walker might be helpful, it's not the first step. The nurse needs to assess the client's ability to assist with the transfer before deciding on the most appropriate aid.
Choice B rationale:
Calling for additional staff may be necessary, but this should come after assessing the client's ability to help with the transfer.
Choice C rationale:
Using a transfer belt is a good practice for safe transfers, but again, the nurse must first determine if the client can assist. This ensures the appropriate use of resources and techniques.
Choice D rationale:
Assessing the client's ability to help with the transfer is the first step. This assessment will guide the nurse in choosing the safest and most appropriate method for transferring the client, considering their capabilities and safety.
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