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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While promoting appropriate lifestyle changes is an important aspect of managing lipid disorders, it is not the primary goal of screening. Screening aims to identify individuals who may not yet show symptoms but could benefit from early interventions.
Choice B reason: The primary goal of screening for lipid disorders is the early detection of disease. This allows for timely intervention which can prevent the progression of the disease and reduce the risk of complications such as cardiovascular disease.
Choice C reason: Client enrollment in prevention programs is a subsequent step after screening. The goal of screening is to identify those who need these programs, not to enroll them directly.
Choice D reason: Identification of a family history of medical problems is part of the screening process to assess risk factors, but it is not the primary goal. The main objective is to detect lipid disorders before they lead to disease.
Correct Answer is A
Explanation
Choice A reason: This question is relevant as it helps to assess the risk factors associated with different types of sexual activities and the potential exposure to STIs.
Choice B reason: While contact information may be used for partner notification, it is not typically part of the initial risk assessment for STIs.
Choice C reason: Knowing the number of sexual partners is important for risk assessment, but it is not as immediate as understanding the nature of those relationships.
Choice D reason: The age of sexual partners can be relevant for certain risk assessments, but it is not the primary concern when initially assessing STI risk.
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