The nurse completes a safety assessment during a home visit to an older adult client. Of the fol-lowing observations made by the nurse, the one that is of greatest concern for this client who has evidence of sensory impairment is:
1. Low-pile carpeting throughout the home
2. A handrail on the stairs that extends the full length
3. Higher wattage incandescent lighting in all the rooms
4. The gray/black settings on the stove handles
ANS: 4
Sometimes settings on electrical appliances and equipment are only highlighted in black and white or shades of gray. Color contrasts help to distinguish settings. The greatest concern for safety for the client with sensory impairment is the gray/black setting on the stove handles. Low-pile carpeting helps to prevent falls. A handrail on the stairs that extends the full length is beneficial for preventing falls. Higher wattage incandescent lighting helps prevent glare and is an appropriate adaptation for visual loss.
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A client has bipolar I disorder. She has been taking lithium carbonate 300 mg three times daily for maintenance therapy. Her mother reports that the client stopped taking her lithium about 3 months ago because it caused her to gain weight
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