A nurse is teaching an older adult client about safety in the home environment. Which of the following actions should the nurse recommend?

Place throw rugs over thresholds between rooms.

Set the water heater to 54.5° C (130° F).

Set the home thermostat to 26° C (79° F).

Replace the shower head with a hand-held nozzle.

Answer and Explanation

The Correct Answer is D

A. Place throw rugs over thresholds between rooms.Throw rugs can be a tripping hazard, especially for older adults who may have difficulty with balance and mobility.
B. Set the water heater to 54.5° C (130° F). This temperature is too high and can cause burns. It is recommended to set the water heater to no higher than 48.9° C (120° F) to prevent scalding.
C. Set the home thermostat to 26° C (79° F).This temperature might be uncomfortable and is not directly related to safety. It is more important to ensure the home is at a comfortable and safe temperature, typically around 21-23° C (70-73° F).
D. Replace the shower head with a hand-held nozzle. A hand-held shower nozzle can help prevent falls by allowing the client to remain seated while bathing, thereby reducing the risk of slipping.

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Correct Answer is C

Explanation

A. Offer the client hot chocolate or tea prior to rest periods. While warm beverages can be comforting and help some people relax, hot chocolate and many teas contain caffeine, which can interfere with sleep. Even decaffeinated options might not be the best choice close to bedtime due to the fluid content, which could increase the need for nighttime urination, disrupting sleep.
B. Encourage the client to ambulate in the hallway before resting. Light physical activity, such as ambulating, can help promote relaxation and reduce muscle tension, which might aid sleep. However, it is essential to consider the client's postoperative status and ensure that ambulation is safe and appropriate for their condition. Overexertion close to bedtime might have the opposite effect and increase alertness.
C. Cluster routine care activities to allow rest periods without interruptions. This is a highly recommended intervention. By clustering care activities, the nurse can minimize disturbances during rest periods, allowing the client to have longer, uninterrupted sleep. This is crucial in a hospital setting where frequent interruptions can significantly impact the quality of sleep.
D. Encourage the client to watch television to relax. While watching television can be relaxing for some, it can also be stimulating and potentially interfere with sleep due to the light and noise. Blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. Therefore, this is generally not recommended as a sleep aid.

A. Ginkgo biloba B. Feverfew C. Echinacea D. Melatonin

Correct Answer is D

Explanation

A. Ginkgo biloba is often used to improve cognitive function and memory, not for sleep.
B. Feverfew is commonly used to prevent migraines and not typically for insomnia.
C. Echinacea is primarily used to boost the immune system and treat colds, not for sleep.
D. Melatonin: This is correct. Melatonin is a hormone that regulates sleep-wake cycles and is commonly used as a supplement to treat insomnia.

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A nurse is teaching an older adult client about safety in the home environment. Which of the following actions should the nurse recommend?

Nursing Test Bank

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