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Which attempt by the family to prevent an older frail adult from falling causes the home health nurse concern?

Encouraging the client to use a cane wien ambulating

Keeping the side rails up on the client's bed at night

keeping several low wattage night lights crin in the evening

Installing wooden railings on the stairway to the bathroom

Answer and Explanation

The Correct Answer is B

A. Encouraging the client to use a cane when ambulating.

Explanation: Encouraging the use of a cane for ambulation can provide support and stability, aiding in fall prevention.

B. Keeping the side rails up on the client's bed at night.

Explanation: Keeping side rails up on the client's bed can pose a concern as it may increase the risk of entrapment and injury. Side rails can lead to accidental entrapment, and there is a potential for the client to try to climb over them, leading to falls or injuries. The use of side rails in older adults is a safety consideration that requires careful assessment and appropriate measures to prevent harm.

C. Keeping several low wattage night lights on in the evening.

Explanation: Using low wattage night lights is a good practice to enhance visibility and prevent tripping or stumbling in low-light conditions.

D. Installing wooden railings on the stairway to the bathroom.

Explanation: Installing railings on the stairway is a proactive measure to enhance safety and stability, especially in navigating stairs, and can contribute to fall prevention.

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Correct Answer is C

Explanation

A. Semiprivate room.

Explanation: Medicare can cover the cost of a semiprivate room during a qualifying hospital stay or skilled nursing facility stay.

B. Hospice care.

Explanation: Medicare provides coverage for hospice care for individuals with a terminal illness and a life expectancy of six months or less.

C. Custodial care.

Explanation: Custodial care, which involves assistance with activities of daily living (ADLs) such as bathing, dressing, and feeding, is generally not covered by Medicare. Medicare primarily covers medically necessary and skilled care, such as hospital stays, certain nursing home stays, hospice care, and some home health care services. Custodial care, which focuses on assistance with routine personal care, is considered non-medical and is typically not covered by Medicare.

D. Skilled care.

Explanation: Medicare covers skilled care, including services provided by healthcare professionals such as nurses and therapists, when deemed medically necessary. Skilled care is typically required to improve or maintain a person's condition.

A. Women have significantly higher mortality rates from hip fractures than do men B. Hip fractures are associated with very high morbidity and mortality. C. Hip fractures are a leading cause of hospitalization for older people D. Nearly all older patients who sustain a hip fracture will regain prefracture mobility status within 1 year. E. The major cause of hip fractures is falls

Correct Answer is ["A","B","C","E"]

Explanation

A. Women have significantly higher mortality rates from hip fractures than do men.
Explanation: This statement is generally true. Women, particularly older women, tend to have higher mortality rates associated with hip fractures compared to men. This is partly because women are more prone to osteoporosis, a condition that increases the risk of fractures.

B. Hip fractures are associated with very high morbidity and mortality.
Explanation: This statement is generally true. Hip fractures can have significant consequences, including increased morbidity and mortality. Complications, such as infections, immobility-related issues, and other medical conditions, can contribute to the overall impact on health.

C. Hip fractures are a leading cause of hospitalization for older people.
Explanation: This statement is generally true. Hip fractures are a common reason for hospitalization among older adults. The severity of the injury often requires medical intervention, surgery, and rehabilitation.

D. Nearly all older patients who sustain a hip fracture will regain prefracture mobility status within 1 year.
Explanation: This statement is not accurate. While many older patients can regain some mobility with appropriate rehabilitation, not all will regain their prefracture mobility status. The extent of recovery varies among individuals and depends on factors such as overall health, comorbidities, and the severity of the fracture.

E. The major cause of hip fractures is falls.
Explanation: This statement is accurate. Falls are a major cause of hip fractures in older adults. Understanding and addressing factors contributing to falls are essential in preventing hip fractures.

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Which attempt by the family to prevent an older frail adult from falling causes the home health nurse concern?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","E"]

Explanation

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