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A home health nurse is performing a home visit to determine safety needs for a client.

Exhibits

Which of the following findings by the nurse may present complications for the client? Select all that apply.

Shower

Flooring

Home entrance

Inside walking pathway

Rugs

Inside lighting

Home assistance

Toilet

Bedroom Location

Handrails

Answer and Explanation

Correct Answer : B,D,E,J

Choice A - Shower: The presence of a walk-in shower with a shower chair suggests that the client's needs have been considered, and this setup should not present complications.

Choice B - Flooring: The highly polished wood floors are a significant risk for slipping, especially for someone recovering from knee surgery. This type of flooring can be very slippery, particularly if the client is using assistive devices like crutches or a walker.

Choice C - Home Entrance: The front entrance has two steps, but a ramp has been added, and there is sufficient lighting. This adaptation should make the entrance safe for the client.

Choice D - Inside Walking Pathway: The living room's excessive furniture creating narrow pathways can be problematic for the client's mobility and increases the risk of falls or bumping into furniture, which can be dangerous post-surgery.

Choice E - Rugs: Non-secure rugs throughout the house are a tripping hazard. They can easily cause the client to slip or trip, leading to falls.

Choice F - Inside Lighting: The presence of night lights in the hallway and bathroom suggests that inside lighting is adequate and should not present complications.

Choice G - Home Assistance: The client lives with an adult child who is retired, which implies that there is some level

of home assistance available.

Choice H - Toilet: The toilet is elevated, which is beneficial for someone with knee issues as it reduces the strain on the knees when sitting down or standing up.

Choice I - Bedroom Location: The client’s bedroom being on the first floor is advantageous as it eliminates the need to climb stairs.

Choice J - Handrails: The absence of handrails in the bathroom is a safety concern. Handrails provide support and stability, which are crucial for preventing falls in the bathroom, especially post knee surgery.

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Correct Answer is C

Explanation

Choice A reason: Immunization clinics are typically considered a form of primary prevention, as they aim to prevent diseases before they occur.

Choice B reason: Smoking cessation classes are more aligned with tertiary prevention, focusing on individuals who already have a health issue (smoking) and are trying to prevent further complications or progression of disease.

Choice C reason: Scoliosis screenings are a form of secondary prevention. They are designed to detect scoliosis early in school-age children, which can then be managed before the condition worsens.

Choice D reason: Support groups are generally a part of tertiary prevention, providing support to individuals who are already affected by a health issue to help manage their condition.

A. Veracity B. Nonmaleficence C. Beneficence D. Autonomy

Correct Answer is D

Explanation

Choice A reason: Veracity refers to the obligation to tell the truth and would not be the primary ethical principle demonstrated in this scenario.

Choice B reason: Nonmaleficence means to do no harm, which is an important principle but not the focus of the nurse's response in this context.

Choice C reason: Beneficence involves actions that promote the well-being of others. While the nurse's support could be seen as beneficent, it is not the principle that best describes the nurse's response.

Choice D reason: Autonomy is the principle that respects the patient's right to make their own decisions. The nurse's response supports the client's autonomy in making healthcare decisions.

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A home health nurse is performing a home visit to determine safety needs for a client. Exhibits Which of the following findings by the nurse may present complications for the client? Select all that apply.

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Correct Answer is C

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A home health nurse is performing a home visit to determine safety needs for a client.

Exhibits

Which of the following findings by the nurse may present complications for the client? Select all that apply.