A nurse is speaking with several clients at a health fair.
Which of the following statements should the nurse assess further?
"Prepare my medications for the week on Sundays.".
"Prepare all of my own meals.".
"Need to change my hearing aid battery weekly.".
"Have to turn my head completely to see things that are beside me.".
The Correct Answer is D
This statement suggests that the client may have a problem with their peripheral vision or neck mobility, which should be assessed further by the nurse.
Choice A, “Prepare my medications for the week on Sundays,” is not a cause for concern as it shows that the client is organized and proactive in managing their medications.
Choice B, “Prepare all of my own meals,” is also not a cause for concern as it shows that the client is independent and capable of taking care of their nutritional needs.
Choice C, “Need to change my hearing aid battery weekly,” is not a cause for concern as it is a routine maintenance task for those who use hearing aids.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This outcome addresses the ethical principle of distributive justice by ensuring that resources, in this case Medicare benefits, are distributed fairly and equitably to those who are eligible to receive them.
Choice A, “Clients verbalize their right to refuse treatment,” addresses the ethical principle of autonomy, which is the right of individuals to make decisions about their own healthcare.
Choice B, “Clients understand their right to confidentiality,” addresses the ethical principle of confidentiality, which is the obligation to protect a client’s personal health information.
Choice D, “Clients demonstrate completion of advance directives,” addresses the ethical principle of autonomy by allowing clients to make decisions about their future healthcare.
Correct Answer is ["A","E"]
Explanation
The findings that require action by the nurse are A and E.
The water heater being set at 140°F is a safety concern because it can cause scalding.
It is recommended to set the water heater temperature to 120°F to prevent scalding1.
An extension cord extending across the floor of a long room is also a safety concern because it can pose a tripping hazard and can be damaged if walked on, potentially causing a fire or electrical shock2.
Choices B, C, and D do not require action by the nurse.
A nightlight in the bedroom at night can provide visibility and prevent falls. Carpeted floors can provide cushioning in case of falls.
A rubber-backed bath mat outside the shower can prevent slipping.
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