A nurse is reinforcing teaching about home safety measures with a client who is visually impaired. Which of the following instructions should the nurse include?

Mark the edges of steps.

Use low-wattage light bulbs.

Place throw rugs over electrical cords.

Leave doors slightly ajar.

Answer and Explanation

The Correct Answer is A

A. Mark the edges of steps: Marking the edges of steps with high-contrast tape or paint helps increase visibility and prevent falls for individuals with visual impairments.
B. Use low-wattage light bulbs: Using low-wattage light bulbs might reduce the brightness needed for safety. Higher-wattage bulbs or bright, energy-efficient lighting is usually recommended to improve visibility.
C. Place throw rugs over electrical cords: Placing throw rugs over electrical cords can create tripping hazards and is not a safe practice for individuals with visual impairments.
D. Leave doors slightly ajar: Leaving doors ajar can create obstacles and increase the risk of injury for someone with visual impairment, as they may not be able to detect the open door.

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Correct Answer is D

Explanation

A. "You should not have sexual intercourse while the monitor is in place.": This is incorrect because sexual activity is generally not restricted while wearing a Holter monitor. The main focus is on ensuring the monitor remains attached.
B. "You can bathe while wearing the electrodes.": This is incorrect because bathing or getting the electrodes wet can interfere with the monitor's functionality and potentially lead to inaccurate readings.
C. "You should remove the electrodes when you go to bed.": This is incorrect because the electrodes should remain in place for the full 24-hour period to ensure continuous monitoring.
D. "You will need to record daily activities in a diary.": This is correct as recording activities in a diary is crucial for correlating symptoms with the Holter monitor data.

A. Discourage drinking with a straw. B. Recommend consumption of cold items. C. Provide an alcohol-based mouthwash. D. Minimize the use of gravies and sauces.

Correct Answer is B

Explanation

A. Discourage drinking with a straw: Drinking with a straw is not typically discouraged for stomatitis and may actually help the client avoid contact with painful areas in the mouth.
B. Recommend consumption of cold items: This is correct as cold items can provide soothing relief for the inflamed mucous membranes in stomatitis, helping to reduce discomfort.
C. Provide an alcohol-based mouthwash: Alcohol-based mouthwashes can irritate the mucous membranes further and should be avoided. Non-alcoholic, soothing mouthwashes or saline rinses are preferred.
D. Minimize the use of gravies and sauces: While gravies and sauces can be irritating due to their acidity or spiciness, the primary recommendation is to focus on soothing and non-irritating foods and oral care practices.

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A nurse is reinforcing teaching about home safety measures with a client who is visually impaired. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who will be wearing a Holter monitor for the next 24 hr. Which of the following information should the nurse include?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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