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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Correct Answer is B
Explanation
Choice A reason: This statement reflects concern about personal finances rather than adaptation to the caregiving role. It indicates stress related to balancing work and caregiving responsibilities.
Choice B reason: Arranging for a neighbor to come over demonstrates proactive planning and the ability to delegate responsibilities, which are important aspects of adapting to a caregiving role.
Choice C reason: Apologizing for untidiness may indicate feeling overwhelmed, which can be a sign of difficulty in adjusting to the new responsibilities of caregiving.
Choice D reason: Trying to rearrange the furniture for walker use shows consideration for the client's needs but also suggests ongoing challenges with adapting the living environment for care.
Correct Answer is B
Explanation
Choice A reason : Teaching clients' family members how to care for a wound is an educational activity that enhances the family's ability to provide care but does not directly provide feedback on the quality of care given by the staff.
Choice B reason : Tracking the readmission rates of postoperative clients is a direct measure of care quality. High readmission rates can indicate issues with the surgery or the postoperative care, making this a valuable metric for quality assessment.
Choice C reason : Orienting staff to new equipment is important for ensuring safe and effective use, but it does not offer direct feedback on the quality of care. It is more about maintaining competency and safety standards.
Choice D reason : Organizing morale-boosting events is beneficial for staff well-being and can indirectly affect care quality. However, it does not provide immediate feedback on the quality of care provided to clients.
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