A home health nurse is conducting a home-safety risk appraisal for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client? (Select all that apply.)

Water heater temperature 54.4°C (130° F)

Electric cords behind furniture

Bathtub with rails

Raised toilet seats

Throw rugs

Answer and Explanation

Correct Answer : A,B,E

A. Water heater temperature 54.4°C (130° F):

This water heater temperature is too high and poses a scalding risk. The recommended temperature setting for water heaters is generally below 49°C (120° F) to prevent burns.

B. Electric cords behind furniture:

Placing electric cords behind furniture can create tripping hazards. It is safer to have cords organized and placed away from areas where the client may walk.

C. Bathtub with rails:

Having a bathtub with rails is a safety feature that can assist the client in getting in and out of the bathtub safely. It is not a safety risk.

D. Raised toilet seats:

Raised toilet seats are often recommended for older adults to facilitate safe and easier use of the toilet. They are not a safety risk when used appropriately.

E. Throw rugs:

Throw rugs can be a tripping hazard, especially for older adults who may have mobility issues. They should be secured or removed to prevent falls.

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Correct Answer is C

Explanation

A. Assist a client to eat who has difficulty seeing the foods on the tray.

Assisting a client with eating is a routine task that an AP can perform, especially when the client has difficulty with vision.

B. Provide postmortem care for a client who has died.

Postmortem care involves preparing the body of a deceased client. While it requires sensitivity, it is a task that can be appropriately delegated to assistive personnel.

C. Observe a confused surgical client who has multiple tubes.

Observing a confused client with multiple tubes requires a level of assessment and decision-making that goes beyond the scope of practice for an assistive personnel (AP). This task involves monitoring the client's condition, recognizing changes, and responding appropriately, which should be performed by a licensed nurse.

D. Deliver a client's urine specimen to the laboratory.

Transporting a urine specimen to the laboratory is a task that an assistive personnel can perform, as it does not involve interpretation or assessment of the specimen.

Correct Answer is ["7"]

Explanation

To give the correct dose of amoxicillin 350 mg PO, the nurse needs to calculate how many ml. of the available solution are equivalent to that amount. The available solution has a concentration of 250 mg/5 mL, which means that every 5 ml. contain 250 mg of amoxicillin. To find out how many ml. are needed for 350 mg, the nurse can use a proportion:

250 mg/5 mL = 350 mg/x mL

Cross-multiplying and solving for x, we get:

x = (350 mg x 5 mL) / 250 mg

x = 7 ml.

Therefore, the nurse should administer 7 ml. of the amoxicillin solution.

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A home health nurse is conducting a home-safety risk appraisal for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients on a medical surgical unit. Which of the following tasks is unsafe to assign to an assistive personnel (AP)?

Correct Answer is C

Explanation

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many ml. should the nurse administer? (Round to the nearest whole number.)

Correct Answer is ["7"]

Explanation

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