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 C
Explanation
Choice A rationale
Lying down after a meal can increase the risk of acid reflux by allowing stomach contents to move back into the esophagus. Clients with GERD are advised to remain upright for at least 30 minutes after eating.
Choice B rationale
Sleeping flat on the back can exacerbate GERD symptoms by allowing stomach acid to flow back into the esophagus more easily. Elevating the head of the bed or using pillows to raise the upper body can help reduce reflux.
Choice C rationale
Eating six small meals each day can help prevent overloading the stomach, reducing the risk of acid reflux. Smaller, more frequent meals are recommended for managing GERD.
Choice D rationale
Orange juice is acidic and can irritate the esophagus, worsening GERD symptoms. Clients with GERD are typically advised to avoid citrus fruits and juices.
Correct Answer is A
Explanation
Choice A rationale
Aligning the client's joints with the joints on the CPM device frame ensures proper movement and prevents injury or discomfort. Correct alignment is crucial for effective therapy and to avoid strain on the joints.
Choice B rationale
High-Fowler's position is typically used for respiratory issues and does not align with the use of a CPM device for knee arthroplasty. Proper positioning is essential for the device's function.
Choice C rationale
Using a thick pillow to pad the CPM device could interfere with the device's movement and efficacy. Proper padding should ensure comfort without hindering the machine's operation.
Choice D rationale
Setting the degree of flexion and extension as tolerated by the client is important, but it should be done under medical guidance to ensure therapeutic benefits and avoid injury. Alignment is the primary concern.
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