A nurse is reinforcing home safety information with an older adult client.
Which of the following statements indicates that the client needs further instruction?
“I should have my son change the batteries in my smoke detectors each year.”.
“I should use my walker carefully when going upstairs.”.
“I should leave a night light on when I go to bed at night.”.
“I should have grab bars installed in my bathroom.”.
“I should have grab bars installed in my bathroom.”.
The Correct Answer is B
Choice A rationale
It is a good practice to change the batteries in smoke detectors annually to ensure they are working properly. This statement does not indicate a need for further instruction.
Choice B rationale
Using a walker when going upstairs can be dangerous due to the risk of falls. It is recommended that individuals use handrails or assistance when navigating stairs, not a walker. This statement indicates that the client needs further instruction.
Choice C rationale
Leaving a night light on can help prevent falls by providing visibility during the night. This statement does not indicate a need for further instruction.
Choice D rationale
Installing grab bars in the bathroom, especially near the toilet and in the shower, can provide support and prevent falls. This statement does not indicate a need for further instruction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sucralfate is not commonly used to treat irritable bowel syndrome. Irritable bowel syndrome is typically managed with dietary modifications, stress management, and medications to control specific symptoms such as constipation or diarrhea.
Choice B rationale
Sucralfate is not commonly used to treat Crohn’s disease. Crohn’s disease is an inflammatory bowel disease that is typically managed with anti-inflammatory medications, immune system suppressors, and antibiotics.
Choice C rationale
Sucralfate is commonly used to treat gastric ulcers. It works by forming a protective barrier over the ulcer, which helps protect the ulcer from further damage by stomach acid and allows it to heal.
Choice D rationale
While sucralfate can be used to treat symptoms of gastroesophageal reflux disease (GERD), it is not the first-line treatment. Other medications, such as proton pump inhibitors and H2 blockers, are typically used first.
Correct Answer is A
Explanation
Choice A rationale
Coffee ground vomitus is a symptom that indicates upper gastrointestinal bleeding. One of the conditions that can cause this symptom is a hiatal hernia. A hiatal hernia occurs when part of your stomach pushes upward through your diaphragm, and it can cause acid reflux, which can lead to esophagitis and bleeding. When the blood mixes with stomach acid, it can look like coffee grounds when vomited.
Choice B rationale
Gallbladder disease typically presents with symptoms such as abdominal pain (especially after eating), nausea, vomiting, bloating, and fever. While it can cause discomfort and complications like gallstones and inflammation, it does not typically cause coffee ground vomitus.
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