A nurse is providing discharge instructions to a patient who will be using a walker.
Which of the following statements by the patient indicates that the teaching has been effective?
“I will use an extension cord so I can watch television in the living room.”.
“I will hire someone to trim the tree that overhangs the front porch stairs.”.
“I will place my alarm clock on my bedroom dresser.”.
“I will replace the old throw rug in the kitchen with a new one.”. .
The Correct Answer is B
Choice A rationale
Using an extension cord to watch television in the living room does not indicate effective learning about using a walker. Extension cords can create a tripping hazard, which is particularly dangerous for someone using a walker.
Choice B rationale
Hiring someone to trim the tree that overhangs the front porch stairs indicates an understanding of the need to remove potential obstacles that could interfere with the safe use of the walker.
Choice C rationale
Placing the alarm clock on the bedroom dresser does not demonstrate an understanding of how to use a walker safely. It does not address any of the key safety considerations associated with walker use.
Choice D rationale
Replacing the old throw rug in the kitchen with a new one does not necessarily indicate effective learning about using a walker. Throw rugs can be a tripping hazard for individuals using a walker, regardless of whether they are old or new.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Carrying a patient’s soiled linens out of the room in a mesh linen bag is not the most effective way to prevent the spread of infection. While it’s important to handle soiled linens properly to avoid contaminating oneself or the environment, this action alone does not have a significant impact on preventing the spread of infection among a group of patients.
Choice B rationale
Placing a patient who has tuberculosis in a room with negative-pressure airflow is a key measure in preventing the spread of this airborne infection. Negative-pressure rooms prevent
contaminated air from escaping the room and spreading to other areas, thereby protecting other patients and healthcare workers.
Choice C rationale
Providing disposable plates and utensils for a patient who is HIV-positive is not necessary for preventing the spread of infection. HIV is not transmitted through casual contact or through sharing food or utensils.
Choice D rationale
Disposing of a patient’s blood-saturated dressing in a trash bag inside a second trash bag is a good practice for handling biohazardous waste, but it is not the most effective measure for preventing the spread of infection among a group of patients.
Correct Answer is C
Explanation
Choice A rationale
While the top of the cane should be parallel to the client’s greater trochanter, this alone does not indicate correct use of the cane.
Choice B rationale
Advancing the cane 46 cm (18 in) forward while walking is too far. To maintain balance, the client should advance the cane about 15-30 cm (6-12 in) at a time.
Choice C rationale
The client should hold the cane on the stronger side of their body to increase support and maintain alignment. This is an indication of correct use.
Choice D rationale
The client should move their weaker leg forward with the cane. This divides the client’s body weight between the cane and the stronger leg.
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