The nurse is caring for a client with a nursing diagnosis Impaired physical mobility. Which home safety assessment datum does the nurse determine needs adaptation for the client needs?
1. A carbon monoxide detector
2. Seating on hard wood surfaces
3. Safety caps on electrical outlets
4. Space heater for supplemental heat
2
2. The nurse determines that seating placed on hard wood surfaces is a hazard for the client with impaired physical mobility because the chair or sofa is likely slide out from underneath the client while the client is attempting to sit or get up. To decrease the risk of falls, the nurse assists the family in placing rubber footings between each leg of a chair or sofa to prevent slippage.
1. The carbon monoxide (CO) detector is an important safety alarm for households with fireplaces, gas appliances, gas heating, or any device inside of the house with a flame because the flame emits CO; if the CO does not vent properly, anyone inside the house breathes CO, loses consciousness, and eventually dies from CO poisoning. Inhaled CO binds to hemoglobin in the absence of oxygen, forming carboxymethog-lobin, and effectively suffocates the client. The death occurs insidiously because the victim falls asleep quietly.
3. Safety caps on electrical outlets are important when children and incompetent adults are in the house.
4. A space heater is not necessarily a hazard for a client with impaired physical mo-bility as long as it does not contain fuel to create the heat; place a UL-approved elec-trical device a safe distance away from any flammable object and out of the client's pathway for a better choice.
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