Question 1

The nurse instructs the client to perform self-injections of insulin.Which does the nurse include in client teaching to prevent a home accident to other family members?

Accepted Answer

The nurse instructs the client to dispose of used needles in a hard plastic bottle with a tight lid to prevent accidental needlestick injuries to other family members; if small children are in the home,the nurse suggests keeping the bottle in a locked cabinet.The nurse instructs the client to protect his or her skin integrity by not rubbing the injection site.The nurse shows the client how to draw up precise doses of insulin and ensures that the client uses the best equipment to avoid hyperglycemic or hypoglycemic emergencies.However,problems in these areas should not cause accidents involving other family members.

Question 2

The nurse prepares the client to self-administer medications at home.Which does the nurse implement to best increase the chance of client compliance with the therapeutic regimen?

Accepted Answer

Many clients take medication improperly and thereby increase the risks of adverse effects and ineffective therapy.One method to increase client compliance is to simplify medication administration with a schedule for client use.The nurse develops the schedule with the client's assistance to engage the client in therapy and tailor the schedule to suit the client's needs.Clients take medication improperly because many misunderstand the risk of noncompliance with therapy; thus the nurse instructs the client about the risks and benefits of therapy and noncompliance to increase client ability to make an informed decision.The nurse instructs the client to take the medication as prescribed.Clients may fear addiction to medication,including medications that are not addictive,primarily from lack of education; the nurse explains that most medications are not addictive.In addition,the nurse explains the low rate of addiction to opioids for clients with real pain.The nurse educates the client on self-administration of other addicting agents and how to avoid addiction.

Question 3

The nurse assesses a home care client who has a possible cognitive impairment.Which should the nurse implement to validate the assessment finding before planning suitable nursing care?

Accepted Answer

The nurse reviews home maintenance duties with the client before planning suitable nursing care or follow-up nursing interventions for a client who has a possible cognitive impairment.After completing the client interview,the nurse compares the client assessment findings to the appearance of the house to evaluate the consistency of client perceptions.This information provides valuable information about client self-care abilities.The nurse does not need a psychiatric evaluation or a social worker yet but can include the request in follow-up nursing care.The nurse completes the client evaluation first before obtaining additional information from the family.

Question 4

The nurse is helping a client with diminished sight to remain as independent in his home as possible.Which does the nurse include in client teaching to improve home safety for the client?

Accepted Answer

The nurse instructs the client with diminished sight to light living areas.This decreases the chance of bumping into things and becoming injured.The top of the stove should be cleaned when it is dirty.The nurse instructs the client to post emergency numbers with large print to increase his or her ability to see them.However,this strategy does not improve client safety.The client should participate in relocating furniture.He or she could be injured if unaware that furniture had been relocated during a nap.

Question 5

A client's family insists that the client live with one of the family members permanently because of a shuffling gait,but the client refuses.Which approach is most effective to provide a safe environment while also acting as a client advocate?

Accepted Answer

The shuffling gait is a safety hazard and could cause the client to fall.Shoes with thin,firm soles and moderate traction provide the best stability for him or her.The nurse should avoid having the client who shuffles wear sneakers; the thicker soles can result in tripping because they can stick on the floor during walking.Explaining the community services available will still not provide safety for this client.Telling the client that he or she can do whatever he or she wants ignores the client's specific safety needs.

Question 6

The nurse plans discharge teaching for several clients.Which client and family are most likely to benefit from the nurse's teaching plan?

Accepted Answer

The family looking forward to the therapeutic diet and exercise plan is most likely to benefit from the nurse's teaching plan because the members are enthusiastic and positive,providing motivation and energy to succeed.They are willing to change their behavior when change is required.The hypoxic client will most likely have difficulty following directions and retaining information while struggling for oxygen.The client who had an emergency amputation is not ready for discharge because it is unlikely that the client received enough physical therapy; in addition,the client most likely had significant blood loss and could still be unstable.The client and family lacking financial resources for home health care need community resources before the teaching plan can be implemented.

Question 7

The nurse is working with a client on her plan of care.Which client behavior does the nurse recognize as most illustrative that the client will cooperate with a plan of care?

Accepted Answer

The client who is willing to perform a return demonstration for the nurse is demonstrating a health-seeking behavior; thus the nurse plans interventions to facilitate client motivation and drive to master the task.The client who refuses to talk about the equipment is angry or in denial.The client who states that resting will solve the problem is in denial.The client who states the task is too difficult has a poor self-image and can benefit from slow,steady teaching and encouragement.

Question 8

The home care nurse assists a client with impaired fine-motor skills.Which should the nurse implement to benefit the client?

Accepted Answer

The client with neuromuscular weakness has limited fine-motor skills; the nurse facilitates client self-administration of medications by organizing the medication in easy-open containers.It is easier to flip a lid open than to unscrew or squeeze it; however,this type of medication container is unsuitable in the presence of children.Large-print labels and color-coded systems assist a client with a visual impairment.A telephone equipped with a vibrating ringer assists a client with a hearing impairment.

Question 9

2. In adults with cognitive deficits,medications that cause confusion should be scheduled at ________.

Accepted Answer

The answer of 2. In adults with cognitive deficits,medications that...

Question 10

The nurse prepares to teach the client about managing multiple medications at home.Which client outcome does the nurse hope to accomplish as a result of client teaching?

Accepted Answer

The nurse's goal is to ensure that the patient is able to identify and understand each prescription ordered and when to take it.The nurse instructs the client to read the medication label 3 times before taking the drug to ensure accurate medication and dosage; if the client has any questions about the medication,provide resources to him or her for clarification.Medications should be stored in a dark,locked,dry place,not on an open counter exposed to water.The nurse instructs the client to avoid mixing several medications in the same container because this can cause confusion.

Question 11

The client's son tells the nurse that his mother is unable to learn about new medications because of her advanced age.Which does the nurse include in family teaching?

Accepted Answer

The nurse instructs the family that older clients are willing and able to learn new things,including how to self-administer new medication.In fact,nursing research indicates that learning new things is a stimulant for improved cognitive function.Learning can take more time for older clients,but they are capable nonetheless.Lack of motivation is a generalization.Many older clients have a hearing impairment; thus the nurse speaks clearly and directly in front of the client to facilitate hearing.Visual aids are as helpful for older adults as they are for any age-group.Using visual aids is more dependent on the client's learning style than on age.

Question 12

The nurse finishes discharge teaching for the client after a home assessment.Which action by the client requires follow-up information from the home care nurse?

Accepted Answer

The nurse needs to teach the client to keep the gun unloaded in a locked area and the bullets in a separate area for safety.Storing a flashlight,checking smoke detector batteries,and removing area rugs are suitable safety measures.

Question 13

A frail older client is being driven to the grocery store.Which aspect of safety prevention is most important for the nurse to stress to this client?

Accepted Answer

Frail older adults should not ride in the passenger seat of the car with airbags unless the seat can be at least 10 inches from the airbag.The impact of the airbag,if deployed,can cause serious injury because of the client's frailty.There are no data supporting the client's orthostatic hypotension.He or she should change positions slowly anytime,not only when riding in a car.There are no data that say that the client tires easily or cannot walk when grocery shopping.Sunshine in moderation can lift the spirits and provide vitamin D,but it is not the safety aspect that needs to be stressed.

Question 14

The nurse completes a home safety assessment and recommends removing a few pieces of large furniture to widen the pathway for a male client who ambulates with a walker.However,the client refuses to allow furniture to be removed.Which action should the nurse take at this time?

Accepted Answer

The nurse invites the client to discuss change and its potential to cause distress (even when the change is desirable)to gather additional information about client refusal to remove a few pieces of furniture.The client can fear loss of control,grieve loss of function,or deny his physical limitations.The more the nurse knows about the client's feelings and thoughts about the furniture and his mobility issues,the greater the potential for the nurse to facilitate client home safety.The nurse has no right to move the client's furniture because the client retains the right to self-determination and to refuse therapy.The nurse should provide information about the client's risk from falling; however,he or she should phrase the information carefully to avoid a threatening or condescending manner.The client's safety is not about the nurse,and it is unethical for the nurse to use guilt to coerce the client.

Question 15

The nurse teaches an older client about minimizing the risk of falls at home.Which does the nurse include in client teaching to prevent falls?

Accepted Answer

To prevent falls in the home,the nurse instructs the client to keep furniture arrangements so that the furniture can be walked around easily and keep walking paths free of clutter.If a change must occur,the client should practice moving around in the new arrangement with assistance as much as possible and use full lighting during any ambulation.Towel bars are not sturdy.Safety grab bars should be installed in the bathroom to help prevent falls.The neighbor can help to prevent a fall by assisting the client with awkward tasks.Throw rugs and area rugs are trip hazards because they create an uneven surface,with or without tape.

Question 16

The home care nurse is visiting an adult client who has two young children under the age of 4.What strategy can the nurse teach the client to best protect the children from hazards in their home?

Accepted Answer

The nurse instructs the parents or caregivers to get down on the floor and look at the environment from the children's view to identify dangers present in the home.Childproof containers are very difficult for clients with limited dexterity or hand strength to open.The caps requested by individuals with arthritis are much easier for a child to open.Safety plugs are wonderful to cover the electrical outlets,but other items or situations in the home can be a hazard (e.g.,purses placed on the floor that contain pills or lotions that can harm a child when ingested).A night light in the children's bathroom only takes care of a specific time period in a specific place.

Question 17

The nurse is caring for an older client who has been getting more confused recently.What other characteristics might the family notice that alerts the nurse that the client may be at risk for wandering?

Accepted Answer

Pacing with difficulty being redirected is a characteristic that the family needs to report to the nurse.Six hours of sleep at night with a daytime nap is an expected sleep pattern for an older client.Tiring after cleaning the kitchen following cooking dinner is not unexpected for an older client.A space heater is not necessarily a hazard for a client with confusion as long as it does not contain fuel to create the heat.

Question 18

The nurse is teaching the client how to safely take a diuretic and an antihypertensive pill.Which information does the nurse write for the client to reduce client risk of falls while maintaining the therapeutic medication regimen?

Accepted Answer

The nurse instructs the client to take a diuretic early in the day so trips to the bathroom will not interrupt sleep at night.Taking the medications at different times minimizes the side effects (e.g.,lowering the blood pressure too fast and causing dizziness,which can lead to falls).The two types of medications taken together could cause a major drop in blood pressure and cause the client to fall.The nurse instructs the older client to change positions slowly,but this doesn't include instructions about scheduling the medications.There is no information to support whether or not the medications deplete potassium.

Question 19

The nurse prepares to discharge to home an older client who has fallen in the hospital.Which safety measure does the nurse include in client and family teaching?

Accepted Answer

A grab bar is rigid and can provide effective support in case of a near fall.Sneakers are not necessarily the best shoes for someone who has fallen.The nurse instructs the client to take diuretics and antihypertensives in the morning so the client can sleep through the night and not have to rush to the bathroom.Towel bars are ineffective safety bars; the nurse instructs the client to install safety bars in the bathroom.

Question 20

1. In older adults living alone,_________ can be caused by social isolation.

Accepted Answer

The answer of 1. In older adults living alone,_________ can...

Quiz 31: Home Care Safety