A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?

Slippery bathroom surfaces without grab bars

Clutter-free pathways and floors

Adequate lighting in hallways and staircases

Securely fastened area rugs on hardwood floors

Answer and Explanation

The Correct Answer is A

A. Slippery bathroom surfaces without grab bars are a significant risk factor for falls, as they can lead to slips and lack of support while moving.
B. Clutter-free pathways and floors reduce the risk of tripping hazards, which is beneficial for fall prevention.
C. Adequate lighting helps in reducing the risk of falls by making it easier to see potential hazards.
D. Securely fastened area rugs do not pose a risk; rather, they prevent tripping hazards associated with loose rugs.

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Correct Answer is B

Explanation

A. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.

A. "You don't need to worry about the client as this is a normal sign of dying." B. "This can often lead to a sense of peacefulness for the client." C. "Let's try to plan a schedule for giving the client high-calorie liquids." D. "I can get a prescription for a feeding tube if you think this would be okay with the client."

Correct Answer is B

Explanation

A. While refusal to eat can be a normal part of the dying process, dismissing it without addressing the emotional or physical needs of the client and family is not appropriate.
B. Refusing to eat can be part of the natural process of dying and can lead to a sense of peacefulness as the body naturally shuts down. This approach acknowledges the process while supporting the family.
C. Planning a schedule for high-calorie liquids may not be appropriate in the context of end-of-life care, where the focus is often on comfort rather than nutritional intake.
D. Prescribing a feeding tube is typically not recommended in hospice care, where the focus is on comfort and quality of life rather than invasive interventions.

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A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?

Correct Answer is B

Explanation

The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?

Correct Answer is B

Explanation

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