A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for them? (Select All that Apply.)
Grab bars are installed in the bathroom.
Medications are stored in a clear bag.
Area rugs are placed in the living room.
Dim lighting installed throughout the house.
The hot water heater is set at 54°C (130° F).
Correct Answer : B,C,D,E
A. Grab bars are installed in the bathroom:
Correct placement of grab bars in the bathroom can enhance safety for individuals who have mobility challenges, such as those who have experienced a stroke. This is not a safety hazard but rather a safety measure.
B. Medications are stored in a clear bag:
Storing medications in a clear bag may increase the risk of accidental misuse or confusion, particularly for a stroke client who may have cognitive or visual impairments.
C. Area rugs are placed in the living room:
Area rugs can be a safety hazard, especially for individuals with mobility issues or those at risk of falls. Rugs can cause tripping hazards if they are not properly secured or if there are wrinkles or uneven surfaces.
D. Dim lighting installed throughout the house:
Dim lighting can contribute to safety hazards, particularly for individuals with visual impairments or mobility challenges. Insufficient lighting increases the risk of falls and accidents, especially in areas such as staircases, hallways, and bathrooms.
E. The hot water heater is set at 54°C (130° F):
Water temperature set at 54°C (130° F) is excessively hot and poses a scalding hazard, especially for individuals with sensory impairments or reduced ability to perceive temperature changes. Lowering the water heater temperature to a safer range is recommended to prevent scalding injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is ["2"]
Explanation
Tablets required = Desired dose/ Available dose
Tablets= 500mg/ 250mg
Tablets=2 tablets
Correct Answer is D
Explanation
Explanation:
A. "I promise I won't tell anyone about this."
This statement is not appropriate because nurses are mandated reporters of suspected child abuse. Promising confidentiality in cases of abuse goes against legal and ethical responsibilities. The nurse must report suspected abuse to the appropriate authorities for the safety and well-being of the child.
B. "Your family is bad for doing this to you."
This statement is judgmental and may make the child feel guilty or conflicted about their family. It is essential to avoid blaming or shaming language when addressing a child who has been abused. The focus should be on providing support, validation, and appropriate intervention.
C. "Let's discuss what you have told me with your family members."
This statement is not appropriate because it suggests involving the family members in the discussion of abuse, which can potentially put the child at risk of further harm. It's essential to prioritize the safety of the child and follow appropriate reporting procedures rather than involving potentially abusive family members in discussions about abuse.
D. "It is not your fault that this happened."
This statement is appropriate and supportive. It reassures the child that they are not to blame for the abuse they have experienced. It acknowledges the child's feelings and helps them understand that they are not responsible for the actions of the abuser. This statement can provide comfort and validation to the child during a difficult time.
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