A visiting nurse is seeing an older woman with the nursing diagnosis of risk for trauma related to decreased bone density secondary to osteoporosis. Which assessment findings would indicate to the nurse that a priority goal for this diagnosis has been met
(Select all that apply.)
A.
All scatter rugs have been removed.
B.
Burned-out light bulbs have been replaced.
C.
Hot water heater temperature is set to 110 °F.
D.
Patient wears non-skid shoes or slippers.
E.
Pets have been given away to friends.
ANS: A, B, D
A priority goal for this diagnosis is to make the home safe. Removing scatter rugs, having the home well lit, and wearing non-skid footwear are all indications that the home is safe. The temperature on the water heater is important to prevent injury, but is not related to osteoporosis. Giving away pets is not advised, as pets often contribute to emotional well-being. However, they can get underfoot, and the nurse needs to caution the patient about this risk.
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