A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

A. Use trochanter rolls beside the client's legs:

Trochanter rolls are positioning devices placed alongside the thighs to prevent external rotation of the hips when a client is lying supine. This helps maintain proper alignment and prevents hip contractures, especially in clients who are immobile.

B. Logroll the client every 4 hr:

Logrolling is a technique used to turn a client with spinal precautions, such as after spinal surgery or injury. It involves turning the entire body as a unit to avoid twisting the spine. However, in a general plan of care for an immobile client, logrolling every 4 hours may not be necessary unless there are specific medical indications.

C. Place the client's arms at their side when turning them:

Placing the client's arms at their side may not be the most optimal positioning during turns, as it can contribute to joint contractures. The nurse should consider positioning the arms in a manner that maintains joint flexibility and prevents contractures.

D. Cross the client's ankles when lying supine:

Crossing the client's ankles when lying supine is not a recommended practice. It can lead to pressure on the lateral aspect of the knees and ankles, potentially causing discomfort and impairing circulation. It is important to maintain proper alignment and support for the client's lower extremities.

A. "I need to set my hot water heater to 140 degrees Fahrenheit":
This statement is incorrect. The recommended safe temperature for a hot water heater is generally set to 120 degrees Fahrenheit (49 degrees Celsius) to prevent scalds and burns. A setting of 140 degrees Fahrenheit increases the risk of burns, especially for vulnerable populations such as children and the elderly.
B. "I will use the grab bars when getting in and out of the bathtub":
This statement indicates an understanding of the importance of using safety features, such as grab bars, to prevent falls in the bathroom. Using grab bars provides support and stability during activities like getting in and out of the bathtub, reducing the risk of accidents.
C. "I will apply tape over frayed areas of electrical cords":
This statement is incorrect. Using tape on frayed electrical cords is not a safe or effective solution. Frayed cords should be replaced to avoid the risk of electrical shock or fire. Using tape may not adequately address the underlying safety issue and can be a hazard itself.
D. "I need to check my medications for expiration dates":
This statement reflects an understanding of the importance of medication safety. Checking medication expiration dates is crucial to ensure the efficacy and safety of the medications. Expired medications may be less effective or potentially harmful.
E. "I need to have a fire escape plan with my family":
This statement shows awareness of the importance of having a fire escape plan at home. Having a plan in place helps ensure that everyone in the household knows what to do in case of a fire, improving overall safety.