The nurse is visiting an 80-year-old patient at home who has hypertension and diabetes. In addition to obtaining vital signs and blood glucose levels, what other actions would be appropriate for the nurse to do? (Select all that apply.)
a. Check the bathroom for safety bars in the tub/shower area.
b. Ask why the bed has not been made or the dishes washed.
c. Note the presence of scatter rugs or other impediments to free movement.
d. Ask the patient about lighting at night when getting up to use the bathroom.
e. Inspect bathroom cupboards for contents.
f. Search the kitchen for high-salt or sugar foods.
ANS: A, C, D
A, C, and D are safety checks that the nurse should do during a home visit to promote safety for the patient. Housekeeping is not within the realm of the nurse unless it is noted to endanger the patient. Searching the bathroom is not appropriate. Education related to appropriate dietary measures is important, but searching the kitchen is not appropriate.
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