A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client? Select all that apply

Place throw rugs and carpets throughout the home to add comfort and warmth.

Ensure that all electrical cords and wires are secured against walls and out of walkways.

Install bright, overhead lighting in every room and hallway to improve visibility.

Encourage the client to use a walking stick or guide dog when moving around the home.

Label kitchen cabinets and drawers with large-print, high-contrast labels.

Answer and Explanation

Correct Answer : B,C,D,E

A. Place throw rugs and carpets throughout the home to add comfort and warmth: Throw rugs and carpets can increase the risk of falls, especially for clients with vision impairments. They should be avoided.

B. Ensure that all electrical cords and wires are secured against walls and out of walkways: Preventing tripping hazards is critical for a client with vision impairment.

C. Install bright, overhead lighting in every room and hallway to improve visibility: Adequate lighting is essential for clients with glaucoma to help them navigate safely.

D. Encourage the client to use a walking stick or guide dog when moving around the home: This enhances mobility and safety for clients with decreased vision by providing support and guidance.

E. Label kitchen cabinets and drawers with large-print, high-contrast labels: This helps the client identify items more easily and reduces the risk of injury or confusion.

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Correct Answer is D

Explanation

A. Vital sign measurement: While vital signs may change due to pain, they are not specific indicators of pain intensity and should not be the primary basis for pain management.

B. The nature and invasiveness of the surgical procedure: The type of procedure may influence pain, but it is still essential to rely on the client's self-report for pain management.

C. Visual observation for nonverbal signs of pain: While helpful in some cases, nonverbal signs are not as reliable as the client's own report of pain.

D. The client's self-report of pain severity. The most accurate method to assess pain is through the client's self-report. This allows the nurse to understand the severity and nature of the pain, which helps guide treatment.

A. Screening for blood sugar levels B. Demonstrating a 15-minute exercise routine C. Educating about stress management strategies D. Providing a cooking lesson using sugar alternatives

Correct Answer is A

Explanation

A. Screening for blood sugar levels. Secondary prevention focuses on early detection of diseases to initiate timely interventions and prevent complications. Blood sugar screening identifies individuals with prediabetes or undiagnosed diabetes.

B. Demonstrating a 15-minute exercise routine: This is a primary prevention activity aimed at reducing risk factors before the disease develops.

C. Educating about stress management strategies: Stress management education is a primary prevention strategy focused on preventing risk factors associated with diabetes.

D. Providing a cooking lesson using sugar alternatives: This is primary prevention, promoting healthy habits to prevent diabetes rather than detecting it early.

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A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client? Select all that apply

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative. The nurse should base their pain management interventions primarily on which of the following methods of determining the intensity of the client's pan?

Correct Answer is D

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Correct Answer is A

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