A home health nurse is reinforcing teaching with an older adult client about safety precautions to take in the home.Which of the following instructions should the nurse include?
Place white tape on the edges of stairs.
Place area rugs on wooden floors.
Have the furnace inspected every 2 years.
Run wires and cords under carpeting.
The Correct Answer is A
Choice A rationale
Placing white tape on the edges of stairs helps improve visibility and prevent falls, especially for older adults with vision impairments. This simple modification enhances safety in the home by making the edges of steps more noticeable, reducing the risk of missteps or trips.
Choice B rationale
Area rugs on wooden floors can be a tripping hazard, especially for older adults. They may cause slips or falls if they are not securely anchored, leading to potential injuries. It's generally safer to avoid using loose area rugs in high-traffic areas of the home.
Choice C rationale
Furnaces should be inspected annually, not every 2 years. Regular inspections ensure the furnace operates safely and efficiently, reducing the risk of carbon monoxide leaks or other hazards. An annual inspection is a key component of maintaining a safe home environment.
Choice D rationale
Running wires and cords under carpeting can create a fire hazard and increase the risk of electrical shock. This practice can damage the cords and cause overheating. It's safer to use cord protectors or secure cords along baseboards to prevent accidents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Condition: Sepsis.
2 actions:
Administer a broad-spectrum antibiotic,
Perform a swab culture of the AVF site.
2 parameters:
White blood cell count,
Blood cultures.
Rationale for correct condition: Sepsis is indicated by the client's fever, elevated heart rate, and respiratory rate, combined with signs of infection at the AVF site. Chronic conditions like diabetes and renal disease increase sepsis risk. The symptoms and history align with systemic infection spreading from the AVF site. Sepsis requires immediate intervention to prevent severe complications. Elevated temperature and infection signs suggest systemic involvement.
Rationale for actions: Administering antibiotics is crucial to control the infection. Swab culture identifies the causative organism. Indwelling catheter is unnecessary here. Aspirin does not treat infection. Bed rest alone is insufficient. Monitoring WBC count tracks infection response. Blood cultures confirm sepsis diagnosis. Creatinine is less urgent for immediate management. Blood glucose is relevant but not immediate. AVF site circumference monitors local rather than systemic infection.
Rationale for parameters: WBC count indicates immune response. Blood cultures identify bacteria, confirming sepsis. Creatinine is routine but not urgent. Blood glucose tracks diabetes control, less immediate. AVF circumference monitors local inflammation. Cellulitis is localized, not systemic. AVF thrombosis lacks systemic signs like fever. Endocarditis requires specific cardiac symptoms.
Rationale for incorrect conditions: Cellulitis does not explain systemic symptoms. AVF thrombosis lacks systemic infection signs. Endocarditis has distinct cardiac symptoms absent here.
Correct Answer is B
Explanation
Choice A rationale
Helicobacter pylori infection is associated with gastrointestinal conditions like peptic ulcers and gastritis, not with inner ear inflammation.
Choice B rationale
Viral respiratory infections can spread to the middle ear through the Eustachian tube, potentially leading to inflammation and infection of the inner ear (otitis media).
Choice C rationale
A tumor pressing on the pituitary gland can cause hormonal imbalances but is not directly related to inner ear inflammation.
Choice D rationale
Ampicillin, an antibiotic, is used to treat bacterial infections but does not inherently increase the risk of inner ear inflammation.
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