A home care nurse visits a new patient. The family asks how the home can be made safer. The nurse’s best advice includes which of the following?

Installing extra incandescent lighting

Using throw rugs to prevent tripping

Painting the floor black and white to add perception

Installing handrails painted the same color as the walls

Answer and Explanation

The Correct Answer is A

Choice A reason: Extra incandescent lighting improves visibility, reducing fall risk, especially for patients with impaired vision or mobility. Adequate lighting illuminates hazards, enhancing environmental safety, making this the best advice for a safer home.

Choice B reason: Throw rugs increase tripping hazards, particularly for mobility-impaired patients. They can slide or bunch, leading to falls, a leading injury cause, making this an unsafe recommendation for improving home safety.

Choice C reason: Painting the floor black and white may create visual confusion, especially for patients with cognitive or visual impairments, increasing fall risk. Contrasting colors may disorient, making this ineffective and hazardous.

Choice D reason: Handrails painted the same color as walls blend into the background, reducing visibility. Contrasting colors ensure handrails are noticeable, aiding safe mobility, making this an incorrect recommendation for safety.

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Correct Answer is C

Explanation

Choice A reason: Sanguineous drainage is bright red and consists primarily of blood, indicating active bleeding. Watery red drainage suggests a mix of blood and serous fluid, not pure blood, making this choice incorrect for the described wound drainage.

Choice B reason: Serous drainage is clear or slightly yellow, watery fluid without blood. The presence of red in the described watery drainage indicates a combination with blood, ruling out pure serous drainage, making this choice incorrect for the observed characteristics.

Choice C reason: Serosanguineous drainage is watery, pink to light red, combining serous fluid and blood. This matches the described watery red drainage, typical in healing wounds with minor bleeding, making it the correct documentation term for the nurse to use.

Choice D reason: Purulent drainage is thick, opaque, and often yellow, green, or white, indicating infection. Watery red drainage does not fit this description, as it lacks the viscosity and color of pus, making this an incorrect choice for the wound’s drainage.

A. Close all of the doors and windows B. Activate the fire alarm C. Extinguish the fire using the proper fire extinguisher D. Move the client from the room

Correct Answer is B,D,A,C

Explanation

Choice A reason: Closing doors first (1, 2, 3, 4) delays activating the alarm and evacuating the client, risking patient safety and delayed response. Activating the alarm and ensuring patient safety are higher priorities, making this incorrect.

Choice B reason: The RACE protocol (Rescue, Alarm, Contain, Contain Extinguish) prioritizes: activating the alarm (2) to notify others, moving the client (4) to safety, closing doors (1) to contain the fire, and extinguishing (3) if safe, making this correct.

Choice C reason: Moving the client first (4, 2, 3, 1) delays notifying others via the alarm, risking broader safety. The alarm ensures a coordinated response, followed by evacuation, making this order incorrect.

Choice D reason: Activating the alarm first (2, 1, 3, 4) is correct, but extinguishing before moving the client (4) risks patient exposure. Evacuation precedes extinguishing, as per RACE, making this order incorrect.

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A home care nurse visits a new patient. The family asks how the home can be made safer. The nurse’s best advice includes which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client’s wound dressing and observes a watery red drainage. The nurse should document this drainage as which of the following?

Correct Answer is C

Explanation

Correct Answer is B,D,A,C

Explanation

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