References: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing:Patient-centered collaborative care (6th ed., p. 683). St. Louis: Saunders.Lehne, R. (2010). Pharmacology for nursing care(7th ed., p. 616). St. Louis: Saunders.Cognitive Ability: UnderstandingClient Needs: Safe and Effective Care EnvironmentIntegrated Process: Nursing Process/ImplementationContent Area: SafetyAwarded 1.0 points out of 1.0 possible points.BN.70.ID: 327496257A nurse, assessing a client’s readiness for discharge, is performing a home safety assessment to determine whether there are any environmental hazards in the home. Which of the following statements, if made by the client, would prompt the nurse to investigate further? Select all that apply.A. “I live in a single-story house.”B. “I don’t have any nightlights in the house.”CorrectC. “I’ve removed the scatter rugs from the house.”
D. “I keep my personal items within reach when I sit in my easy chair.”E. “I haven’t changed the batteries in the smoke detectors in my home for quite a Rationale: If the client tells the nurse that there are no nightlights in the home, the nurse should further investigate the situation. Nightlights help prevent falls by the client who may need to get up during the night. The batteries in smoke detectors should be changed at least once a year, so the nurse must investigate further if the client indicates that this has not been done for “quite a few years.” The other statements by the client do not reflect environmental hazards in the home.few years now.”CorrectTest-Taking Strategy: Note the strategic words “investigate further.” These words indicate a negativeevent query and the need to select the statements by the client that indicate the presence of environmental hazards. Reading each option carefully will direct you to the correct options. Review environmental hazards in the home if you had difficulty with this question.Reference: Perry, A., & Potter, P. (2010). Clinical nursing skills & techniques (7th ed., p. 1062). St. Louis: Mosby.Cognitive Ability: EvaluatingClient Needs: Safe and Effective Care EnvironmentIntegrated Process: Nursing Process/EvaluationContent Area: SafetyAwarded 1.0 points out of 1.0 possible points.BO.
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