The registered nurse from the home health agency is performing an initial assessment on a 72-year-old patient who was released from a nursing home
The patient had been admitted to the nursing home for therapy after surgery for repair of a fractured left hip. During a survey of the home environment, which finding would cause the nurse to intervene? a. Bedside lamp plugged into the wall outlet behind the bed
b. Handrail on one side of the stairs only
c. Throw rugs in the bedroom
d. No handrail near the toilet
C
Common physical hazards that lead to falls in the home include inadequate lighting, barriers along normal walking paths and stairways, and a lack of safety devices. All other answers do not indicate a safety risk to the home.
You might also like to view...
Thrush is caused by which of the following?
1. Virus 2. Fungus 3. Bacterium 4. Parasite
What is the primary reason why every step of an intervention is planned before the intervention is implemented?
a. It is required by the nursing process procedure. b. It is the way in which agencies expect to see performance by the nurse. c. It saves time, and the implementation process goes more smoothly. d. It allows the nurse to remember what was going to be done.
The nurse observes flaring of nares in a newborn. This should be interpreted as:
a. nasal occlusion. b. sign of respiratory distress. c. common response to sneezing. d. snuffles of congenital syphilis.
The nurse prepares to administer a vitamin K injection during the admission assessment for a newborn. The father asks, "Why does my baby need a shot?" Which rationale for administering this injection should the nurse include in the response?
1. Activates clotting factors 2. Dissolves blood clots 3. Promotes gas exchange 4. Promotes the production of hemoglobin