Exam (elaborations) PrepU Safety and Mobility - Grade A Guide

PrepU Safety and Mobility - Grade A Guide The nurse manager on a gerontological unit is designing a rennovation for the unit and should consider which factors when deciding whether to carpet the new unit? Select all that apply. You Selected: ● Possibility of pests residing on the undersurface of carpeting ● The process of cleaning spills on carpeted surfaces ● Static electricity generated as clients walk the halls Correct response: ● Static electricity generated as clients walk the halls ● The process of cleaning spills on carpeted surfaces ● Possibility of pests residing on the undersurface of carpeting Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 8 See full question 41s The nurse visits the home of an older client recovering from hip replacement surgery. What should the nurse suggest to improve safety in the bathroom? You Selected: ● use a shower chair when in the bathtub Correct response: ● use a shower chair when in the bathtub Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 9 See full question 38s The nurse is concerned about an older client walking down the hall in the assisted living facility. Which observation most likely caused the nurse to have this concern? PrepU Safety and Mobility - Grade A Guide You Selected: ● barefoot using a cane on the side of the weaker leg Correct response: ● barefoot using a cane on the side of the weaker leg Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 10 See full question 1m 19s An older client is returns to the assisted living facility after being hospitalized for pneumonia. Which activity should the nurse suggest that the client skip in the days ahead? You Selected: ● showering unattended Correct response: ● shopping trip to the mall Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 1m 9s The nurse provides diet teaching to an older client with gout. Which client statement indicates that additional instruction is required? You Selected: ● “I can eat bacon with my eggs for breakfast.” Correct response: ● “I can eat bacon with my eggs for breakfast.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 12 See full question 1m 12s The nurse helps a new resident move into a new room. Which action should the nurse identify as a priority to meet the client’s micro-environmental needs? You Selected: ● Clear path to walk to the bathroom Correct response: ● Clear path to walk to the bathroom Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 13 See full question 45s The nurse identifies the diagnosis Risk of Trauma for an older client. What finding caused the nurse to select this diagnosis for the client? You Selected: ● Poor vision Correct response: ● Poor vision Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 14 See full question 14s The nurse is helping an older client relocate to a new room in an assisted living facility. Which temperature should the nurse ensure the thermostat is set for this client’s comfort? You Selected: ● 75°F (24°C) Correct response: ● 75°F (24°C) Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 15 See full question 13s The nurse notes that an older resident of an assisted living facility has stopped drinking fluids with the evening meal. What should the nurse suspect is occurring with this resident? You Selected: ● Restricting fluids to reduce the need to void overnight Correct response: ● Restricting fluids to reduce the need to void overnight Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 16 See full question 1m 14s An older client has reduced tactile sensation of the feet. What should the nurse instruct the client to do to reduce the risk of injury? You Selected: ● Examine the bottom of the feet every day with a mirror Correct response: ● Examine the bottom of the feet every day with a mirror Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 17 See full question 19s An older client admits to not participating in physical activity as suggested because of extreme muscle soreness afterwards. What should the nurse recommend to this client? You Selected: ● Stretch for 5 to 10 minutes before and after an activity Correct response: ● Stretch for 5 to 10 minutes before and after an activity Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, pp. 473-474. Safety and Mobility - Page 473-474 Add a Note Question 18 See full question 36s During a home visit the nurse notes that the family of an older client prepares and serves the meals and cleans the dishes while the client sits at the table and then ambulates to a chair in the living room. What should the nurse recommend to improve the client’s endurance to physical activity? You Selected: ● Add an additional activity such as serving or cleaning up after meals Correct response: ● Add an additional activity such as serving or cleaning up after meals Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 462. Safety and Mobility - Page 462 Add a Note Question 19 See full question 53s The nurse assesses the musculoskeletal status of an older client who is right-hand dominant. What should the nurse expect when assessing this client’s lower extremities? You Selected: ● Both legs equally strong Correct response: ● Both legs equally strong Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 20 See full question 42s A client is observed walking with a short shuffling gait. For which health problem should the nurse assess this client? You Selected: ● Parkinsonism Correct response: ● Parkinsonism Question 1 See full question 45s While conducting a home visit, the nurse learns that the older adult client has developed cataracts. Which statement would be most appropriate related to the client’s ability to drive? You Selected: ● "You might want to consider planning to avoid nighttime driving." Correct response: ● "You might want to consider planning to avoid nighttime driving." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 464. Safety and Mobility - Page 464 Add a Note Question 2 See full question 54s The staff on a unit that provides care to older adult clients with dementia want to make changes to the clients' environment. Which recommendation for lighting would be most appropriate? You Selected: ● Avoiding the use of the fluorescent lights over the beds at night Correct response: ● Avoiding the use of the fluorescent lights over the beds at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 16s A nurse recommends to an older client's family to place a seat alongside the bathtub to enable the older adult bather to rest while drying off. The nurse offers this recommendation based on which reason? You Selected: ● A drop in blood pressure may follow bathing. Correct response: ● A drop in blood pressure may follow bathing. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 4 See full question 25s The nurse visiting a client living in the daughter's home finds the client in an old hospital bed that has bilateral full-length side rails. Which action by the nurse would be most appropriate? You Selected: ● Present alternatives to the family Correct response: ● Present alternatives to the family Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 5 See full question 58s A gerontological nurse initiates a program at the long-term care facility to motivate residents to move and be active. Which rationale would the nurse incorporate into the plan as useful in stimulating opportunities for activity? You Selected: ● Those engaged in social events are more likely to perform self-cares. Correct response: ● Those engaged in social events are more likely to perform self-cares. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 475. Safety and Mobility - Page 475 Add a Note Question 6 See full question 1m 2s An 81-year-old resident of an assisted living facility has reported to the nurse problems with nighttime muscle cramping, a problem that causes significant pain. When developing the client’s plan of care to address this complaint, which intervention would be most appropriate to include? You Selected: ● Performing passive stretching of the limbs Correct response: ● Performing passive stretching of the limbs Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 7 See full question 3m 11s A gerontological nurse is developing a plan of care to promote the independence of a resident who requires a wheelchair for mobility. Which intervention would be most appropriate for the nurse to include? You Selected: ● Assure that the call light is within reach. Correct response: ● Obtain a long-handled reaching device. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 8 See full question 40s The nurse is caring for an older client who is confused and wanders the halls. The nurse knows that there is a strict prohibition against restraints in the facility. What intervention is most appropriate? You Selected: ● Raise two of the client's four siderails when in bed Correct response: ● Raise two of the client's four siderails when in bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 9 See full question 28s An older client enters a family member’s home and sits down for the duration of the visit. When preparing to leave to go home, the client places one hand on the wall and the other on the counter when walking to the door. What is this client demonstrating? You Selected: ● orthostatic changes Correct response: ● fear of falling Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 467. Safety and Mobility - Page 467 Add a Note Question 10 See full question 1m 29s The nurse prepares an educational session on safety for residents in an extended care facility. What should the nurse include in this teaching? You Selected: ● climb stairs slowly Correct response: ● climb stairs slowly Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 11 See full question 43s An older client desires to begin an exercise program. What should the nurse recommend as a first step for this client? You Selected: ● have a recent physical examination Correct response: ● have a recent physical examination Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 12 See full question 17s During a home visit the nurse notes that an older client has a prescription bottle for furosemide and another one for Lasix. The client reports taking one of each medication each morning as prescribed. Which nursing diagnosis should the nurse identify as a priority for this client? You Selected: ● Knowledge deficit Correct response: ● Fluid volume deficit Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 13 See full question 1m 7s The nurse learns that an older client is developing cataracts in both eyes. Which action should the nurse take to improve this client’s environment? You Selected: ● Turn on more lights Correct response: ● Reduce glare Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 482. Safety and Mobility - Page 482 Add a Note Question 14 See full question 50s A client will be returning to home, having to use a wheelchair for several months. Which areas of the home environment should the nurse identify as needing modifications to support this client’s needs? Select all that apply. You Selected: ● Stairs ● Doorways ● Bathroom sink Correct response: ● Stairs ● Doorways ● Bathroom sink Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 15 See full question 15s A resident of an assisted living facility asks others about the noise from the street construction. What affect might the environmental noise have on the client? You Selected: ● Increase fatigue Correct response: ● Increase anxiety Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 480. Safety and Mobility - Page 480 Add a Note Question 16 See full question 47s An adult daughter is having the bathroom of an older client renovated. What should the nurse recommend to ensure safety when the client uses the shower? You Selected: ● Install a bath bench Correct response: ● Install a bath bench Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 481. Safety and Mobility - Page 481 Add a Note Question 17 See full question 26s An older client has been experiencing dizziness when moving from a sitting to a standing position. What should the nurse instruct the client to reduce the risk of falling when getting out of bed in the morning? Select all that apply. You Selected: ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Correct response: ● Stretch muscles before moving ● Spend several minutes in bed resting ● Sit for several minutes on the side of the bed ● Move to a sitting position on the side of the bed Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 477. Safety and Mobility - Page 477 Add a Note Question 18 See full question 51s A client agrees to increasing physical activity every day however does not want to feel sore and tired afterwards. What should the nurse suggest to this client? You Selected: ● Perform parts of the activity throughout the day Correct response: ● Perform parts of the activity throughout the day Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 478. Safety and Mobility - Page 478 Add a Note Question 19 See full question 39s The nurse prepares a teaching sheet on osteoarthritis for the orthopedic clinic. What should the nurse include as predisposing factors for this health problem? Select all that apply. You Selected: ● Low vitamin D level ● Genetics ● Trauma ● Obesity Correct response: ● Obesity ● Trauma ● Genetics ● Low vitamin D level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468. Safety and Mobility - Page 468 Add a Note Question 20 See full question 54s A client with heel pain is diagnosed with plantar fasciitis. What treatment should the nurse expect to be prescribed for this client? You Selected: ● Orthotics Correct response: ● Orthotics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 468 Question 1 See full question 50s During a home visit the nurse learns that an older client with macular degeneration restricts the intake of fluids after 6 pm. What would the nurse suspect as a reason for the client to limit fluids after this time? You Selected: ● A fear of falling at night Correct response: ● A fear of falling at night Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 471. Safety and Mobility - Page 471 Add a Note Question 2 See full question 1m 23s The home care nurse is conducting a home environment assessment for an older client with peripheral vascular disease and foot wounds. Which finding would the nurse identify as a safety issue for the client? Select all that apply. You Selected: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Correct response: ● Hot water temperature 124°F ● Medication labels absent from prescription containers Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safety and Mobility, Chapter 22: Safe Mobility, p. 465. Safety and Mobility - Page 465 Add a Note Question 3 See full question 1m 6s An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the