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.
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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Related Questions
Correct Answer is D
Explanation
A. Have the client drink contrast medium: This is incorrect as contrast medium is typically not required for an esophagogastroduodenoscopy (EGD); it is used for other types of imaging studies.
B. Shave the client from axillae to groin: This is incorrect; shaving is not necessary for an EGD procedure.
C. Administer a cleansing enema: This is incorrect as an enema is generally not required for an EGD, which focuses on the upper gastrointestinal tract.
D. Ensure the signed consent is in the medical record: This is correct as ensuring that the consent form is signed and documented is crucial for legal and procedural reasons before performing an EGD.
Correct Answer is B
Explanation
A. Ammonia 55 mcg/dL (10 to 80 mcg/dL): This value is within the normal range and does not indicate an immediate concern for a liver biopsy.
B. Platelets 60,000/mm³ (150,000 to 400,000/mm³): This value is significantly below the normal range and indicates thrombocytopenia, which increases the risk of bleeding during a liver biopsy and should be reported to the provider.
C. Aspartate aminotransferase 34 units/L (0 to 34 units/L): This value is on the upper limit of normal and generally does not require reporting unless there are other clinical concerns.
D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL): This value is at the upper limit of normal and does not require reporting unless there are additional symptoms or concerns.
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