A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

Review the home medication schedule with the client and family.

Provide the client with information about medical alert devices.

Arrange for a bedside commode to be delivered to the home.

Meet with the case manager to plan a home safety evaluation.

Answer and Explanation

The Correct Answer is D

A) Review the home medication schedule with the client and family:
While reviewing the home medication schedule is an important step in ensuring that the client understands their medications, it is not the immediate priority when considering the client's safety at home. The primary concern should be addressing the client’s ability to safely navigate their home environment.

B) Provide the client with information about medical alert devices:
Providing information about medical alert devices is valuable for enhancing the client’s safety. However, it should come after addressing the more immediate concern of assessing the home environment for safety issues. The client’s current ability to walk and potential home hazards need to be evaluated first.

C) Arrange for a bedside commode to be delivered to the home:
While a bedside commode can be helpful for the client’s convenience and safety, it is not the most critical action to address immediately. Ensuring that the overall home environment is safe and suitable for the client’s needs should take precedence.

D) Meet with the case manager to plan a home safety evaluation:
Meeting with the case manager to arrange a home safety evaluation is the most crucial initial step. A home safety evaluation will identify potential hazards and ensure that the living environment is adapted to the client’s needs, which is essential for preventing falls and other accidents. This assessment will help in planning for appropriate modifications and support services to ensure the client’s safety at home.

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Correct Answer is A

Explanation

A) Review current epidemiological population data that might document a low immunization rate:
The first step in addressing low immunization rates is to gather and review current epidemiological data to confirm the extent of the problem. This data will provide a clear picture of the immunization rates in the area and help identify the specific gaps that need to be addressed. Accurate data is essential for designing targeted interventions and measuring their effectiveness.

B) Call a meeting of citizens to inform them of the importance of having their children immunized:
Informing the community about the importance of immunizations is a crucial step, but it should follow an assessment of the current immunization rates. Without data, it is difficult to know the exact need or how to effectively tailor the education to the community’s specific situation.

C) Join a political action group that focuses attention on the issue in the local news media:
While raising awareness through media and political action can be effective, it is more important to first understand the specific problem through data. The approach to media and political action can be informed and refined based on the findings from the epidemiological data review.

D) Partner with a local children's hospital in setting up free "shot" clinics in the neighborhood:
Setting up free clinics can be a valuable intervention, but before implementing such a program, it is essential to understand the scope of the problem through data review. This ensures that resources are allocated effectively and that the clinics are set up in the areas with the greatest need.

A. Provide rehabilitation services to injured farm hands. B. Work with legislators to mandate safe tractor design. C. Teach farm workers not to smoke around farm equipment. D. Translate written vehicle instructions into picture format.

Correct Answer is B

Explanation

A) Provide rehabilitation services to injured farm hands:
Providing rehabilitation services is important for recovery and improving the quality of life for those who have been injured, but it addresses the consequences of injuries rather than the prevention of injuries. This action focuses on managing the outcome of injuries rather than addressing the prevention of the agent causing the injuries.

B) Work with legislators to mandate safe tractor design:
Focusing on the agent in the epidemiological triad involves addressing the factors directly responsible for causing the injury. Working with legislators to mandate safe tractor design targets the agent (the tractor and its design) to prevent injuries. By ensuring that farm machinery is designed with safety features, the risk of injury is reduced, effectively addressing the source of the problem.

C) Teach farm workers not to smoke around farm equipment:
While teaching farm workers not to smoke around farm equipment is a valuable safety measure, it addresses a risk behavior related to fire hazards rather than the machinery itself. This action focuses on modifying behaviors rather than altering the agent of injury, which is the machinery.

D) Translate written vehicle instructions into picture format:
Translating instructions into picture format can improve understanding and safety by making instructions more accessible. However, this action primarily addresses the communication of safety procedures rather than changing or improving the agent causing the injuries. Focusing on the agent involves modifying the machinery itself rather than just improving instructions.

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A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

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Naxlex Comprehensive Predictor Exams

The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?

Correct Answer is A

Explanation

The epidemiological triad can be used to frame strategies for the prevention of farm machinery injuries. Which action should the nurse take to focus on the agent?

Correct Answer is B

Explanation

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