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 ["A","C","E"]

Explanation

Choice A reason: Cranberry juice is a clear liquid, transparent and free of pulp, suitable for a clear liquid diet. It provides hydration and nutrition, making it an appropriate choice for the care plan.

Choice B reason: Ice cream is a full liquid, not clear, as it is opaque and contains milk solids. It is inappropriate for a clear liquid diet, which requires transparency, making this incorrect.

Choice C reason: Chicken broth is a clear liquid, free of solids and transparent, providing hydration and electrolytes. It is a standard component of a clear liquid diet, making it a correct intervention.

Choice D reason: Whole milk is opaque and contains fat and protein, classifying it as a full liquid. It is not allowed on a clear liquid diet, which prioritizes clear fluids, making this incorrect.

Choice E reason: Apple juice, when filtered and clear, is a suitable clear liquid, providing hydration and carbohydrates. It meets the criteria for a clear liquid diet, making it a correct choice.

A. “We should carry a pen and a pad of paper around for communication.” B. “He will use the board with pictures to communicate with us nonverbally for now.” C. “We can expect him to recover full use of speech vocabulary in 1 day.” D. “It is important to thicken all his drinks to prevent aspiration.”

Correct Answer is B

Explanation

Choice A reason: Carrying a pen and paper aids written communication, but expressive aphasia impairs verbal expression, not necessarily writing. A picture board is more effective for nonverbal communication, making this less optimal for immediate needs in expressive aphasia.

Choice B reason: Using a picture board for nonverbal communication is the best strategy for expressive aphasia, as it allows the patient to convey needs visually when verbal speech is impaired. This statement reflects effective understanding of communication alternatives, making it correct.

Choice C reason: Expecting full speech recovery in 1 day is unrealistic, as expressive aphasia recovery varies and often requires prolonged therapy. This statement indicates a misunderstanding of stroke recovery, making it incorrect for effective teaching.

Choice D reason: Thickening drinks prevents aspiration in dysphagia, not directly related to expressive aphasia, which affects speech production. This statement addresses a different stroke complication, making it irrelevant to the teaching focus on communication.

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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

Which of the following interventions should be included in the plan of care for a client who has a prescription for a clear liquid diet? (Select all that apply)

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

Explanation

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Correct Answer is B

Explanation

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