The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.

Answer and explanation The correct answer is B. Choice A rationale

Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.

Choice B rationale

Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.

Choice C rationale

Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.

Choice D rationale

Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.

Answer and explanation

The correct answers are Choices A, B, C, D, and E.

Choice A rationale

Feeding assistance may be necessary for an older adult with Parkinson’s disease due to motor symptoms like tremors or stiffness that can make self-feeding difficult. Special utensils and other dining aids can help these individuals maintain their independence during meals.

Choice B rationale

People with Parkinson’s disease can experience changes in their skin, such as becoming oily or flaky. While the term “fragile skin” is not typically used in the context of Parkinson’s, these individuals may have skin that is more susceptible to damage due to these changes.

Choice C rationale

Parkinson’s disease often leads to motor symptoms such as stiff muscles and balance impairment, which can increase the risk of falls. Therefore, measures to prevent falls should be a key part of the care plan for an older adult with Parkinson’s disease.

Choice D rationale

Chronic pain is twice as common in people with Parkinson’s disease as it is in people without the condition. This pain can be caused by various factors, including muscle stiffness and dystonia (painful muscle spasms), and should be addressed in the client’s care plan.

Choice E rationale

Depression is more common in people with Parkinson’s disease compared to the general population. It’s important to monitor for signs of depression in these individuals and provide appropriate treatment if necessary.