A nurse is reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select all that apply.)
Ensure the client wears nonskid slippers when walking around the house.
Attach full-length side rails to the client's bed.
Install a raised toilet seat in the client's bathroom.
Encourage an annual review of the medications the client is taking.
Place throw rugs on uncarpeted floors in the client's home.
Correct Answer : A,C,D
Ensure the client wears nonskid slippers when walking around the house.
Explanation: Nonskid slippers provide better traction and stability, reducing the risk of slipping.
B.Attach full-length side rails to the client's bed.
Explanation: Side rails can pose a risk of entrapment and may not prevent falls. The use of side rails is associated with safety concerns, and their use should be carefully evaluated.
C.Install a raised toilet seat in the client's bathroom.
Explanation: A raised toilet seat makes it easier for the client to sit down and stand up, reducing the risk of falls in the bathroom.
D.Encourage an annual review of the medications the client is taking.
Explanation: Medication reviews help identify drugs that may increase the risk of falls or interactions that could affect balance or cognitive function.
E.Place throw rugs on uncarpeted floors in the client's home.
Explanation: Throw rugs can be tripping hazards, especially for older adults with mobility issues. It's safer to have clear, unobstructed pathways in the home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Fidelity: Fidelity refers to the concept of keeping promises and being faithful to commitments made to individuals. In this scenario, when the nurse states they will return as soon as possible with pain medication, they are making a commitment to the client and demonstrating fidelity by keeping that promise.
Justice: Justice pertains to fairness and the equitable distribution of resources. It is not directly related to the nurse's commitment to providing pain medication.
Autonomy: Autonomy involves respecting the individual's right to make decisions about their own care. While informing the client about the plan for pain medication is part of communication, the primary ethical principle being demonstrated here is fidelity.
Nonmaleficence: Nonmaleficence is the principle of doing no harm. While it is important in healthcare, the scenario described focuses more on the nurse's commitment to providing pain relief.
Correct Answer is ["A","C","D"]
Explanation
Ensure the client wears nonskid slippers when walking around the house.
Explanation: Nonskid slippers provide better traction and stability, reducing the risk of slipping.
B.Attach full-length side rails to the client's bed.
Explanation: Side rails can pose a risk of entrapment and may not prevent falls. The use of side rails is associated with safety concerns, and their use should be carefully evaluated.
C.Install a raised toilet seat in the client's bathroom.
Explanation: A raised toilet seat makes it easier for the client to sit down and stand up, reducing the risk of falls in the bathroom.
D.Encourage an annual review of the medications the client is taking.
Explanation: Medication reviews help identify drugs that may increase the risk of falls or interactions that could affect balance or cognitive function.
E.Place throw rugs on uncarpeted floors in the client's home.
Explanation: Throw rugs can be tripping hazards, especially for older adults with mobility issues. It's safer to have clear, unobstructed pathways in the home.
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