Deck 31: Home Care Safety

Question 1

The nurse instructs the client to perform self-injections of insulin.Which does the nurse include in client teaching to prevent a home accident to other family members?

A) Trains the client to avoid rubbing the injection site
B) Instructs the client to store used needles in a hard plastic bottle with a tight lid
C) Shows the client how to draw up precise insulin doses
D) Ensures that the client has low-dose syringes for small doses

Answer 1

Instructs the client to store used needles in a hard plastic bottle with a tight lid

Question 2

The nurse prepares the client to self-administer medications at home.Which does the nurse implement to best increase the chance of client compliance with the therapeutic regimen?

A) Provides client with a list of medication websites
B) Instructs client to decrease dose when feeling better
C) Discusses strategies for client use to prevent addiction
D) Develops a clear medication schedule with client help

Answer 2

Develops a clear medication schedule with client help

Question 3

The nurse assesses a home care client who has a possible cognitive impairment.Which should the nurse implement to validate the assessment finding before planning suitable nursing care?

A) Collaborate for a psychiatric evaluation.
B) Call a social worker to assess client needs.
C) Ask family members for additional information.
D) Review how the client takes care of things at home.

Answer 3

Review how the client takes care of things at home.

Question 4

The nurse is helping a client with diminished sight to remain as independent in his home as possible.Which does the nurse include in client teaching to improve home safety for the client?

A) Turn on a light before he or she walks into a dark room.
B) Clean the top of the stove twice daily.
C) Post emergency numbers on the front of the refrigerator.
D) Have furniture rearranged while he or she is napping.

Question 5

A client's family insists that the client live with one of the family members permanently because of a shuffling gait,but the client refuses.Which approach is most effective to provide a safe environment while also acting as a client advocate?

A) Teach the client to wear shoes with thin, firm soles.
B) Explain community services for older clients.
C) Help the client check the fit of his sneakers.
D) Tell the client that he can do whatever he wants.

Question 6

The nurse plans discharge teaching for several clients.Which client and family are most likely to benefit from the nurse's teaching plan?

A) The client's oxygen saturation ranges from 88% to 90%.
B) Client is 2 days postoperative after emergency amputation.
C) The family lacks financial resources for supplies and equipment.
D) The family looks forward to the therapeutic diet and exercise plan.

Question 7

The nurse is working with a client on her plan of care.Which client behavior does the nurse recognize as most illustrative that the client will cooperate with a plan of care?

A) Willingness to attempt a return demonstration
B) Refusal to talk about the needed assistive device
C) States that a few days of rest are all that is needed for recovery
D) States the equipment is too complex to learn

Question 8

The home care nurse assists a client with impaired fine-motor skills.Which should the nurse implement to benefit the client?

A) Large-print medication labels
B) An easily opened medication organizer
C) A telephone with a vibrating ringer
D) A color-coded medication schedule

Question 9

2. In adults with cognitive deficits,medications that cause confusion should be scheduled at ________.

Question 10

The nurse prepares to teach the client about managing multiple medications at home.Which client outcome does the nurse hope to accomplish as a result of client teaching?

A) The client reads each medication label at least twice before taking the drug.
B) The client stores the medication bottles on the bathroom counter.
C) The client is able to read each medication label and explain when to take each medication.
D) The client explains how to put several kinds of medications in the same container.

Question 11

The client's son tells the nurse that his mother is unable to learn about new medications because of her advanced age.Which does the nurse include in family teaching?

A) Older clients lack the motivation to learn.
B) Older clients can learn if one speaks loudly.
C) Visual aids are not helpful for older adults.
D) The ability to learn remains intact despite aging.

Question 12

The nurse finishes discharge teaching for the client after a home assessment.Which action by the client requires follow-up information from the home care nurse?

A) Stores a flashlight next to the bed
B) Checks batteries in the smoke detector
C) Stores the area rugs in the basement
D) Leaves a loaded gun in the nightstand

Question 13

A frail older client is being driven to the grocery store.Which aspect of safety prevention is most important for the nurse to stress to this client?

A) Tell the client to change positions slowly.
B) Move the client's seat at least 10 inches from the air bag.
C) Tell the client to ride in the motorized grocery cart.
D) Explain how good the sunshine is for the client.

Question 14

The nurse completes a home safety assessment and recommends removing a few pieces of large furniture to widen the pathway for a male client who ambulates with a walker.However,the client refuses to allow furniture to be removed.Which action should the nurse take at this time?

A) Remove the furniture because it is a safety hazard.
B) Discuss the unsettling nature of change with the client.
C) Instruct the client about potential injuries from falls.
D) Explain the nursing responsibility to reduce the risk.

Question 15

The nurse teaches an older client about minimizing the risk of falls at home.Which does the nurse include in client teaching to prevent falls?

A) Install extra towel bars in the bathtub and near the toilet.
B) Keep furniture so it can be easily walked around and keep pathways clear.
C) Have a neighbor check on the client every afternoon.
D) Secure throw rugs to the floor with double-sided tape.

Question 16

The home care nurse is visiting an adult client who has two young children under the age of 4.What strategy can the nurse teach the client to best protect the children from hazards in their home?

A) Get a medication container cap used by individuals with arthritis to secure the medication bottle.
B) Get down on the floor to look at the environment from the children's view to identify dangers present in the home.
C) Place safety plugs in the electrical outlets throughout the house.
D) Using a night light in the children's bathroom.

Question 17

The nurse is caring for an older client who has been getting more confused recently.What other characteristics might the family notice that alerts the nurse that the client may be at risk for wandering?

A) The client paces and cannot be redirected easily.
B) The client sleeps 6 hours at night and takes a brief nap during the day.
C) The client gets tired when cleaning the kitchen after cooking dinner.
D) The client uses a space heater for supplemental heat.

Question 18

The nurse is teaching the client how to safely take a diuretic and an antihypertensive pill.Which information does the nurse write for the client to reduce client risk of falls while maintaining the therapeutic medication regimen?

A) Take the diuretic in the morning at 8 AM and the antihypertensive pill at 1 PM.
B) Take both medications at the same time so the client can remember.
C) Change positions slowly, especially from lying down to standing.
D) Take the medications with orange juice to maintain the potassium level.

Question 19

The nurse prepares to discharge to home an older client who has fallen in the hospital.Which safety measure does the nurse include in client and family teaching?

A) Install a grab bar near the shower or tub.
B) Take all diuretics and antihypertensives at bedtime.
C) Install additional towel bars near the shower or tub.
D) Wear a well-fitting pair of sneakers.

Question 20

1. In older adults living alone,_________ can be caused by social isolation.

Question 21

The Joint Commission has identified goals related to client safety in the home.These goals focus on which of the following? (Select all that apply.)

A) Patient identification
B) Medication safety
C) Fall prevention
D) Patient education
E) Safety risk identification

Question 22

The nurse is working with a client who needs to make adaptations to the home environment before the client can safety return home.Which of the following principles are important to consider? (Select all that apply.)

A) Ask the client about his or her financial situation.
B) Make changes that support the patient's independence.
C) Only make the changes necessary to address disabilities.
D) Let the client make the final decision whenever possible.
E) Educate the family about preserving client autonomy.

Question 23

The nurse is assessing a client who has fallen at home using the mnemonic SPLATT.This refers to what assessment factors? (Select all that apply.)

A) Location of fall
B) Time of fall
C) Severity of fall
D) Trauma after fall
E) Place of fall
F) Activity at time of fall