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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
Reporting the presence of a viral endemic at the daycare center would be premature without first confirming the diagnosis of the children sent home.
Choice B rationale
While confirming the number of children exhibiting symptoms is important, it is more crucial to first verify that the children sent home did indeed develop chickenpox.
Choice C rationale
The nurse’s initial action should be to verify that the children sent home did indeed develop chickenpox. This is because chickenpox is a highly contagious disease caused by the varicella- zoster virus. Early identification and confirmation of the disease can help in implementing appropriate control measures to prevent further spread.
Choice D rationale
Determining the number of people potentially exposed is an important step in managing a chickenpox outbreak. However, this should be done after confirming the diagnosis.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Converting written vehicle instructions into a pictorial format can help improve understanding, but it does not directly address the physical dangers associated with the machinery.
Choice B rationale
Educating farm workers not to smoke around farm equipment can prevent fires, but it does not directly reduce the risk of machinery-related injuries.
Choice C rationale
Offering rehabilitation services to injured farm workers is important, but it is a reactive measure. The goal should be to prevent injuries from occurring in the first place.
Choice D rationale
Collaborating with lawmakers to mandate safe tractor design can have a significant impact on reducing farm machinery injuries. By addressing the issue at the design level, many injuries can be prevented.
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