A home health nurse is making a visit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury? Select all that apply.
Place cleaning supplies under the sink
Install extra locks at the top of the exit doors
Install lighting above the stairs
Place the client’s mattress on the floor
Place rugs over electrical cords
Correct Answer : B,C,D
A: Placing cleaning supplies under the sink is not safe as it makes them accessible to the client, increasing the risk of accidental poisoning. Cleaning supplies should be stored in locked cabinets.
B: Installing extra locks at the top of the exit doors can prevent the client from wandering outside unsupervised, which is a common safety concern for individuals with Alzheimer’s disease.
C: Installing lighting above the stairs improves visibility and reduces the risk of falls, which is crucial for maintaining safety in the home environment.
D: Placing the client’s mattress on the floor can prevent injuries from falls out of bed, which is a practical safety measure for clients with Alzheimer’s disease who may be prone to wandering or disorientation at night.
E: Placing rugs over electrical cords is not recommended as it can create tripping hazards. Instead, electrical cords should be secured along walls or under furniture to prevent falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: This statement requires immediate attention because it indicates a basic need that must be addressed to ensure the patient’s well-being while in restraints.
B: This statement reflects the patient’s justification for their behavior but does not require immediate attention.
C: This statement indicates the patient’s intention to report the use of restraints but does not require immediate attention.
D: This statement reflects the patient’s attempt to negotiate release from restraints but does not indicate an immediate need.
Correct Answer is A
Explanation
A: This statement suggests secretive eating behaviors, which are characteristic of bulimia. Individuals with bulimia often eat large amounts of food in secret and then engage in compensatory behaviors such as purging. The mother’s observation that her daughter sneaks food to her room aligns with this pattern.
B: While fatigue and a lack of energy can be associated with various conditions, including eating disorders, this statement is not specific enough to indicate bulimia. It could be related to many other factors such as stress, depression, or physical illness.
C: Anxiety and academic challenges are common among adolescents but do not specifically point to bulimia. While stress can contribute to eating disorders, this statement alone does not provide enough evidence to suggest bulimia.
D: This statement reflects a situational stressor related to college acceptance but does not indicate any eating disorder behaviors. It is more about the adolescent’s emotional state and future plans rather than current eating habits.
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