A nurse is teaching an older adult client about safety in the home environment. Which of the following actions should the nurse recommend?

Place throw rugs over thresholds between rooms.

Set the water heater to 54.5° C (130° F).

Set the home thermostat to 26° C (79° F).

Replace the shower head with a hand-held nozzle.

Answer and Explanation

The Correct Answer is D

A. Place throw rugs over thresholds between rooms.Throw rugs can be a tripping hazard, especially for older adults who may have difficulty with balance and mobility.
B. Set the water heater to 54.5° C (130° F). This temperature is too high and can cause burns. It is recommended to set the water heater to no higher than 48.9° C (120° F) to prevent scalding.
C. Set the home thermostat to 26° C (79° F).This temperature might be uncomfortable and is not directly related to safety. It is more important to ensure the home is at a comfortable and safe temperature, typically around 21-23° C (70-73° F).
D. Replace the shower head with a hand-held nozzle. A hand-held shower nozzle can help prevent falls by allowing the client to remain seated while bathing, thereby reducing the risk of slipping.

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Correct Answer is B

Explanation

A. "This document will ensure that my health care wishes remain confidential." Advance directives are meant to be shared with healthcare providers and family members, not kept confidential.
B. "This document will tell others what care I want when I cannot speak for myself." This statement correctly reflects the purpose of advance health care directives.
C. "My attorney has to prepare this document for me." While an attorney can assist, the document can be prepared without one.
D. "My family can change the document if I become mentally incapacitated." The document cannot be changed by family members once the client is incapacitated.

A. Hold the dropper just inside the ear canal. B. Apply sterile gloves prior to administration. C. Have the client remain in a side-lying position for 10 min. D. Pull the pinna up and back.

Correct Answer is D

Explanation

A. Hold the dropper just inside the ear canal. The dropper should be held above the ear canal to avoid contamination and injury.
B. Apply sterile gloves prior to administration. Sterile gloves are not necessary for administering ear drops. Clean gloves are sufficient.
C. Have the client remain in a side-lying position for 10 min. This is unnecessary. The client can return to an upright position after the medication has been administered.
D. Pull the pinna up and back. This is correct for adults. Pulling the pinna up and back straightens the ear canal for proper medication administration.

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A nurse is teaching an older adult client about safety in the home environment. Which of the following actions should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about advance health care directives. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer an otic suspension to a middle adult client who has acute otitis media. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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