A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?

Sit on a shower chair while showering.

Place several small throw rugs on non-carpeted floors.

Ambulate without the walker for short distances.

Use 40-watt bulbs in light fixtures.

Answer and Explanation

The Correct Answer is A

Choice A reason: Sitting on a shower chair while showering is a safe practice for individuals with lower extremity weakness. It provides stability and reduces the risk of falls in a wet environment.

Choice B reason: Placing small throw rugs on non-carpeted floors is hazardous. They can easily slip or cause tripping, especially for someone using a walker.

Choice C reason: Advising a client to ambulate without a walker when they are experiencing weakness could lead to falls and is not a safe recommendation.

Choice D reason: Using 40-watt bulbs in light fixtures may not provide adequate lighting for safety. Brighter bulbs are recommended to ensure clear visibility, reducing the risk of accidents.

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Correct Answer is B

Explanation

Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.

Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.

Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.

Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.

A. Teach the client about appropriate food choices. B. Refer the client to a diabetes mellitus support group. C. Identify the client's dietary preferences. D. Develop a nutritional program.

Correct Answer is C

Explanation

Choice A reason: Teaching the client about appropriate food choices is an important action, but not the first one. The nurse should first assess the client's current eating habits and preferences before providing any education.

Choice B reason: Referring the client to a diabetes mellitus support group is a helpful action, but not the first one. The nurse should first establish a rapport with the client and assess their readiness to learn and cope with the diagnosis before making any referrals.

Choice C reason: Identifying the client's dietary preferences is the first action to take. The nurse should use a client-centered approach and respect the client's cultural and personal preferences when planning the nutritional program.

Choice D reason: Developing a nutritional program is a necessary action, but not the first one. The nurse should first collaborate with the client and other health care professionals to design a program that meets the client's needs and goals.

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A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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