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During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.
What action should the nurse take?

Suggest that the patient get a walker.

Encourage the patient to acquire a medical alert device.

Ensure the patient’s privacy while in the bathroom.

Identify potential safety hazards in the home.

Answer and Explanation

The Correct Answer is D

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While suggesting that the patient get a walker might help with mobility, it does not directly address the safety concerns in the home environment.

Choice B rationale

A medical alert device could be beneficial in case of emergencies, but it does not prevent the risk of falls or accidents in the home.

Choice C rationale

Ensuring the patient’s privacy is important, but it does not address the immediate safety concerns observed by the nurse.

Choice D rationale

Identifying potential safety hazards in the home is the most immediate and effective action the nurse can take. By doing this, the nurse can work with the patient and their family to make necessary changes to improve safety and prevent falls.

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Correct Answer is A

Explanation

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.

Choice B rationale

Informing the parents of problems associated with perspiration for those with eczema is also important. However, this does not directly address the teenager’s desire to play sports. It’s more of a secondary action that supports the primary action of managing the condition.

Choice C rationale

Informing the athletic coach of the teenager’s skin condition and its manifestations could be helpful in ensuring that the coach understands the teenager’s needs and can support them appropriately. However, this is not the most direct action that the nurse can take to help the teenager manage their condition while playing sports.

Choice D rationale

Encouraging the teenager to join the swim team instead of an outdoor sport could potentially reduce exposure to triggers for eczema flares, such as sweat and heat. However, chlorine in swimming pools can also be a trigger for some people with eczema. Therefore, this option might not be the best for everyone and should be considered on an individual basis.

A. Assist the residents in planning a campaign to remind drivers passing through the school zone to always wear seatbelts. B. Advise the residents to keep their porch lights on during the hours when children are walking to and from school. C. Encourage residents with older homes along the school route to have their homes inspected for high lead levels. D. Facilitate a discussion about the advantages of having designated safe houses located throughout the school neighborhood.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While reminding drivers to wear seatbelts is important for overall road safety, it does not directly enhance the safety of children walking to and from school.

Choice B rationale

Advising residents to keep their porch lights on can improve visibility during hours of low light. However, this measure may not significantly enhance the safety of children walking to and from school during daylight hours.

Choice C rationale

Encouraging residents to have their homes inspected for high lead levels is important for overall community health, but it does not directly impact the safety of children walking to and from school.

Choice D rationale

Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.

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During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports.Which action should the nurse take?

Correct Answer is A

Explanation

The nurse is collaborating with a Parent-Teacher Organization (PTO) to enhance safety for children walking to and from a nearby elementary school.Which action should the nurse include to achieve this goal?

Correct Answer is D

Explanation

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During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.
What action should the nurse take?