The nurse is completing a home safety assessment during the first care visit. What should be the focus when assessing the client's bedroom? Select all that apply

1. Adequate space
2. Night light availability
3. Flooring in good repair
4.Handrails fastened to wall
5. Ease in getting into and out of bed


1, 2, 3, 5

Rationale 1: When assessing the home environment the bedroom should be assessed for adequate space.

Rationale 2: When assessing the home environment the bedroom should be assessed for the presence of a night light.

Rationale 3: When assessing the home environment the bedroom should be assessed for flooring in good repair.

Rationale 4: Handrails fastened to the wall would be appropriate when assessing the stairs.

Rationale 5: When assessing the home environment the bedroom should be assessed for ease in getting into and out of the bed.

Global Rationale: When assessing the home environment the bedroom should be assessed for adequate space, the presence of a night light, flooring in good repair, and ease in getting into and out of the bed.Handrails fastened to the wall would be appropriate when assessing the stairs.

Nursing

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A nurse teaches a client who is prescribed a central vascular access device. Which statement should the nurse include in this client's teaching?

a. "You will need to wear a sling on your arm while the device is in place." b. "There is no risk of infection because sterile technique will be used during insertion." c. "Ask all providers to vigorously clean the connections prior to accessing the device." d. "You will not be able to take a bath with this vascular access device."

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The patient has been hospitalized for hypertensive episodes three times in the last months. While preparing the discharge teaching plan, the nurse assesses that he does not comply with his medication regimen

The nurse's immediate course of action would be to: a. reteach him about his medications. b. have a serious talk with him and his family about compliance. c. arrange for home visits after discharge. d. collect more information to identify his reasons for noncompliance.

Nursing

List five types of patients who are at high risk for pressure ulcer development.

What will be an ideal response?

Nursing

It is necessary to hold the thermometer in place when taking an axillary temperature.

Answer the following statement true (T) or false (F)

Nursing