A home health nurse is performing a home safety evaluation for a newly admitted client. Which of the following findings requires action by the nurse? (Select all that apply.)
An extension cord extends across the floor of the living room.
A red light is kept on in the bedroom at night.
A rubber-backed bath mat is on the floor outside the shower.
The water heater is set at 54.4° C (130° F).
The floors of the house are carpeted.
Correct Answer : A,D
The correct answers are A and D. The extension cord presents a trip hazard and should be replaced with a longer power strip or have a qualified electrician install additional outlets. The water heater temperature is above the recommended range of 49° C (120° F) and should be adjusted to prevent scalding. The red light in the bedroom (Choice B is wrong because) is not a safety hazard, the rubber-backed bath mat (Choice C is wrong because) is a safety measure to prevent falls, and carpeted floors (choice E) are also not a safety hazard.
Choice A is An extension cord extends across the floor of the living room presents a trip hazard.
Choice B is wrong because: A red light is kept on in the bedroom at night is not a safety hazard.
Choice C is wrong because: A rubber-backed bath mat is on the floor outside the shower is a safety measure to prevent falls.
Choice D is The water heater is set at 54.4° C (130° F) is above the recommended range and can cause scalding.
Option E: Carpeted floors are not a safety hazard.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because, "Perform a needs assessment." Before developing a mobile meal program, the nurse should assess the needs of the older adults in the community to determine the appropriate services to provide. Inquiring about the availability of volunteers (Choice A is wrong because), identifying alternative solutions (Choice B is wrong because), and determining potential funding sources (Choice C is wrong because) are important steps, but they should be taken after performing a needs assessment.
Choice A is wrong because: Inquiring about the availability of volunteers should be done after performing a needs assessment.
Choice B is wrong because: Identifying alternative solutions to address concerns should be done after performing a needs assessment.
Choice C is wrong because: Determining potential funding sources for the program should be done after performing a needs assessment.
Choice D is wrong because: Performing a needs assessment is the first step in developing a mobile meal program.
Correct Answer is D
Explanation
The correct answer is Choice D because "Explore possible solutions with the partner." When a hospice nurse is concerned that the partner of a client is experiencing caregiver burden, the first step is to explore possible solutions with the partner. This involves assessing the partner's needs, concerns, and limitations, and working collaboratively to develop a plan of care that meets the needs of both the client and the partner. This may involve arranging for additional support, such as respite care or home health services, or modifying the care plan to make it more manageable for the partner.
Choice A is wrong because Suggesting assistive personnel visits daily to provide client care (Choice A is wrong because) may provide additional support, but it does not address the partner's caregiver burden.
Choice B is wrong because Teaching the partner about getting enough rest (Choice B is wrong because) may be helpful, but it does not address the underlying caregiver burden and may be perceived as dismissive of the partner's concerns.
Choice C is wrong because Encouraging the partner to invite family members to assist with client care (Choice C is wrong because) may provide additional support, but it assumes that the partner has family members who are available and willing to assist and does not address the underlying caregiver burden.
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