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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Chronic obstructive pulmonary disease (COPD) can increase the risk of falls due to shortness of breath and general weakness. However, it is not the most significant risk factor compared to the musculoskeletal impact of osteoarthritis.
Choice B reason: Chronic kidney disease may contribute to an overall decline in health and can be associated with anemia or bone mineral disorders, which could indirectly increase fall risk. Nonetheless, it does not directly affect the musculoskeletal system as osteoarthritis does.
Choice C reason: Osteoarthritis is the correct answer because it directly affects the joints, leading to pain, stiffness, and reduced mobility. These symptoms can impair balance and coordination, significantly increasing the risk of falls in clients.
Choice D reason: Wide-angle glaucoma primarily affects vision. While visual impairment is a risk factor for falls, osteoarthritis has a more direct impact on the risk of falling due to its effect on joint function and stability.
Correct Answer is C
Explanation
Choice A reason: Teaching the client about appropriate food choices is an important intervention for diabetes mellitus, but it is not the first action the nurse should take. The nurse needs to assess the client's current dietary habits and preferences before providing education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful strategy to promote coping and self-management, but it is not the first action the nurse should take. The nurse needs to address the client's immediate needs and priorities before making referrals.
Choice C reason: Identifying the client's dietary preferences is the first action the nurse should take. This is an assessment step that will help the nurse tailor the nutritional program to the client's individual needs and preferences. It will also help the nurse establish rapport and trust with the client.
Choice D reason: Developing a nutritional program is a planning step that requires assessment data. The nurse should not develop a nutritional program without first identifying the client's dietary preferences and needs.
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