A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?

Loud volume of the television set

Wall-to-wall carpet in the living room

Low chairs without armrests

Use of indirect lighting

Answer and Explanation

The Correct Answer is C

A. Loud volume of the television set. While a loud television may indicate hearing impairment, it does not pose an immediate safety risk. The nurse should assess the client’s hearing and provide recommendations if needed, but addressing environmental hazards that increase the risk of falls takes priority.

B. Wall-to-wall carpet in the living room. Unlike loose rugs, wall-to-wall carpeting reduces the risk of tripping and slipping. It provides better traction for walking, making it a safer flooring option for older adults compared to hard surfaces or throw rugs.

C. Low chairs without armrests. Low chairs make it difficult for older adults to stand up, increasing the risk of falls. The absence of armrests further reduces stability and support when rising from a seated position. Recommending higher chairs with armrests can enhance mobility and prevent injuries.

D. Use of indirect lighting. Soft, indirect lighting can help reduce glare and improve comfort, but it may not necessarily create safety concerns. However, inadequate lighting in critical areas, such as hallways or staircases, should be assessed to prevent falls.

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Correct Answer is B

Explanation

A. Suggest that family members discuss the importance of the surgery with the client: While family support can be valuable, the decision ultimately lies with the client. It is essential for the client to feel empowered in their choices without feeling pressured by family members.

B. Notify the surgeon that the client wishes to withdraw informed consent for the procedure: The most appropriate action is to inform the surgeon of the client's decision to withdraw consent. It is the client's right to change their mind about the procedure at any time before it occurs, and the healthcare team must respect and facilitate that decision.

C. Document the risks of refusing the procedure in the client's medical record: While documenting the client's decision is important, focusing solely on the risks of refusal may not be appropriate at this time. The primary concern should be to ensure that the client's wishes are communicated to the healthcare provider.

D. Discuss the benefits of the procedure with the client: Emphasizing the benefits of the procedure may unintentionally pressure the client. It is more important to respect the client's autonomy and decision-making, ensuring they are comfortable with their choice without feeling coerced into changing their mind.

A. "I should get assistance when lifting more than 35 pounds." B. "I will twist at my waist when moving an object." C. "I should hold objects 1 foot away from my body when I walk." D. "I will roll my shoulders forward to reduce strain on my back."

Correct Answer is A

Explanation

A. I should get assistance when lifting more than 35 pounds: The recommended guideline for safe lifting is to seek assistance or use mechanical aids when lifting objects heavier than 35 pounds. This helps prevent musculoskeletal injuries, particularly in healthcare settings where lifting and repositioning patients is common.

B. I will twist at my waist when moving an object: Twisting at the waist while lifting or moving objects increases the risk of back strain and injury. Proper body mechanics involve pivoting with the feet rather than twisting the torso to reduce stress on the spine and prevent injury.

C. I should hold objects 1 foot away from my body when I walk: Holding objects away from the body increases strain on the arms, shoulders, and back. Keeping objects close to the body, at waist level, helps maintain balance, reduces muscle fatigue, and minimizes the risk of injury.

D. I will roll my shoulders forward to reduce strain on my back: Rolling the shoulders forward can lead to poor posture and increased back strain. Maintaining a neutral spine, keeping the shoulders relaxed and aligned, and engaging core muscles help reduce the risk of injury when lifting or moving objects.

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A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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