During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.
What action should the nurse take?
Suggest that the patient get a walker.
Encourage the patient to acquire a medical alert device.
Ensure the patient’s privacy while in the bathroom.
Identify potential safety hazards in the home.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While suggesting that the patient get a walker might help with mobility, it does not directly address the safety concerns in the home environment.
Choice B rationale
A medical alert device could be beneficial in case of emergencies, but it does not prevent the risk of falls or accidents in the home.
Choice C rationale
Ensuring the patient’s privacy is important, but it does not address the immediate safety concerns observed by the nurse.
Choice D rationale
Identifying potential safety hazards in the home is the most immediate and effective action the nurse can take. By doing this, the nurse can work with the patient and their family to make necessary changes to improve safety and prevent falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
An increase in requests for pregnancy tests does not necessarily indicate that the objectives of Healthy People 2030 are being met. It could reflect a variety of factors, including changes in sexual behavior, access to contraception, or education about reproductive health.
Choice B rationale
A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 20304.
Choice C rationale
A decrease in student enrollment does not necessarily indicate progress towards Healthy People 2030 objectives. It could be influenced by many factors unrelated to health, such as demographic shifts or changes in school policies.
Choice D rationale
An increase in absenteeism could suggest worsening health outcomes, which would be contrary to the goals of Healthy People 20304.
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
While contacting a larger hospital might provide some insights, it may not directly address the communication breakdown during a disaster. Each disaster situation and hospital setting is unique, and what works for one may not work for another.
Choice B rationale
Finding out who did not follow the communication tree might help identify gaps in the process, but it does not necessarily solve the immediate issue of communication breakdown during a disaster.
Choice C rationale
Having one person follow-up for the entire hospital might not be feasible or effective, especially during a disaster when quick and efficient communication is crucial.
Choice D rationale
Confirming that all essential staff are on either the lockdown team or the relief team ensures that everyone knows their roles and responsibilities, which is crucial for effective communication during a disaster.
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