A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day.
Which of the following actions should the nurse include in the plan?

Cover appliance cords with throw rugs.

Visit the client once per month to assess medication usage.

Use container lids of different shapes to indicate times of administration.

Rearrange furniture to clear walkways.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Covering appliance cords with throw rugs is not an appropriate action to address the needs of a client with vision loss and medication management. While it promotes safety by reducing tripping hazards, it does not directly address the client's medication administration needs. Implementing measures that specifically assist the client in managing medications safely is essential in this scenario.

Choice B rationale:

Visiting the client once per month to assess medication usage is insufficient for an older adult with vision loss who takes medications throughout the day. Regular and more frequent assessments are necessary to ensure the client's safety and adherence to the medication regimen. The nurse should consider more proactive measures to support the client, such as providing medication organizers or arranging for a home healthcare aide to assist with medication administration daily.

Choice C rationale:

This is the correct answer. Using container lids of different shapes to indicate times of administration is an effective strategy for clients with vision loss. Associating specific shapes with different times of the day helps the client differentiate between medications, promoting accurate dosing. This method is tactile and easy for the client to understand, enhancing their ability to manage medications independently and safely.

Choice D rationale:

Rearranging furniture to clear walkways is a general safety measure but does not specifically address the client's medication administration needs. While it can prevent falls and accidents, it does not facilitate the client's ability to distinguish between different medications or their dosing schedules. The focus should be on implementing strategies that directly support the client in managing their medications effectively despite their visual impairment.

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Correct Answer is C

Explanation

A. Incorrect. Family history of malignant hypertension is not a contraindication for alteplase.

B. Incorrect. COPD itself is not a contraindication for alteplase. While it can complicate overall management, it does not increase the immediate risk of bleeding associated with thrombolytics.

C. Correct. Recent surgery, especially orthopedic surgery like hip arthroplasty, is a contraindication for thrombolytic therapy due to the increased risk of bleeding and hematoma formation at the surgical site.

D. Incorrect. Acute renal failure from six months ago is not a contraindication for alteplase.

A. Hold the client's eyes shut for a few seconds. B. Cross the client's arms across their chest. C. Remove the client's dentures from their mouth. D. Place the client in a high-Fowler's position.

Correct Answer is A

Explanation

A. Correct. Holding the client's eyes shut for a few seconds after death helps keep the eyelids closed and gives a more peaceful appearance.
B. Incorrect. Crossing the client's arms across their chest is not typically part of postmortem care and may not be culturally appropriate in some cases.
C. Incorrect. Removing dentures from the mouth is not a standard step in postmortem care unless specifically requested by the family or if they pose a risk of aspiration.
D. Incorrect. Placing the client in a high-Fowler's position is not necessary after death and is not part of postmortem care.

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A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day.Which of the following actions should the nurse include in the plan?

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A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day.
Which of the following actions should the nurse include in the plan?