A home health nurse is performing a home visit to determine safety needs for a client.
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
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Choice A reason: Marketing the health fair is important but not the first step. The content of the marketing material will depend on the identified health concerns of the employees.
Choice B reason: Obtaining supplies and equipment is necessary but should be based on the needs identified through the health concerns of the employees.
Choice C reason: Determining the health concerns of the employees is the first action to take, as it will guide the planning and content of the health fair.
Choice D reason: Making a list of expected outcomes is part of the planning process that should be informed by the identified health concerns of the employees.
Correct Answer is A
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Choice A reason: Euphoria is a common effect of heroin use due to its action on the brain's reward system.
Choice B reason: Nystagmus, or rapid involuntary movements of the eyes, is not typically associated with heroin use.
Choice C reason: Tachypnea, or rapid breathing, is not a common finding after heroin use; respiratory depression is more likely.
Choice D reason: Pupillary constriction, not dilation, is typically seen after heroin use due to its action on the parasympathetic nervous system.
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