A nurse is teaching a class at a local senior center regarding safety in the home. A client states, "I am afraid of falling because I live alone and have no one to help me." Which of the following statements should the nurse make?
"You can obtain a personal response system that will be activated if you fall."
"You should contact a family member once a week to keep in touch."
"You can have an unlicensed assistive personnel (UAP) come to your house daily to stay with you."
"You need to move to a skilled nursing facility where they can prevent falls."
The Correct Answer is A
Rationale:
A. "You can obtain a personal response system that will be activated if you fall.": A personal emergency response system allows the client to summon help immediately after a fall, promoting independence and safety for individuals living alone.
B. "You should contact a family member once a week to keep in touch.": Weekly contact provides emotional support but does not ensure timely assistance in the event of a fall. Regular communication is helpful, yet it does not directly reduce fall risk or guarantee safety if an emergency occurs.
C. "You can have an unlicensed assistive personnel (UAP) come to your house daily to stay with you.": Having a UAP visit daily may not be realistic or necessary, especially for independent seniors. This does not provide continuous supervision or an immediate response in case of a fall occurring outside scheduled visits.
D. "You need to move to a skilled nursing facility where they can prevent falls.": Suggesting relocation is premature and disregards the client’s desire for independence. Fall prevention strategies and assistive technology should be explored before recommending institutional care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Temperature 37.9° C (100.2° F): A mild temperature elevation is common in sickle cell crises due to inflammation or infection, but it does not independently indicate acute chest syndrome. It should be monitored but does not require immediate reporting unless it progresses or is accompanied by respiratory distress.
B. Sneezing: Sneezing is a nonspecific symptom often related to upper respiratory irritation or allergies. It does not signify acute chest syndrome or lower airway involvement and is not an immediate concern in this context.
C. Hematuria: Blood in the urine can occur from sickling in the renal vasculature but is not related to acute chest syndrome. While it requires evaluation, it does not pose an immediate respiratory threat.
D. Substernal retractions: Substernal retractions indicate increased work of breathing and respiratory distress, which are hallmark signs of acute chest syndrome. This complication involves pulmonary infarction or infection leading to hypoxia, and prompt provider notification is essential to prevent respiratory failure.
Correct Answer is ["A","B"]
Explanation
Rationale for Correct Choices
• Meconium aspiration syndrome: The presence of thick green amniotic fluid indicates meconium-stained fluid, which the post-term infant may aspirate during delivery. Meconium aspiration can obstruct the airways, cause chemical pneumonitis, and lead to respiratory distress requiring immediate intervention and supportive care.
• Macrosomia: Post-term infants are at increased risk of macrosomia due to prolonged gestation and continued growth in utero. Macrosomic infants face complications such as difficult labor, shoulder dystocia, and birth injuries, necessitating careful monitoring and potential interventions during delivery.
Rationale for Incorrect Choices
• Intraventricular hemorrhage: This condition is primarily associated with preterm infants due to fragile germinal matrix vasculature. The post-term infant in this scenario is less likely to develop intraventricular hemorrhage.
• Bronchopulmonary dysplasia: Chronic lung disease usually develops in preterm infants who have required prolonged mechanical ventilation or oxygen therapy. The term post-term infant is not at high risk for this condition immediately after birth.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.