Deal of The Day! Hurry Up, Grab the Special Discount - Save 25% - Ends In 00:00:00 Coupon code: SAVE25
Welcome to Pass4Success

- Free Preparation Discussions

NCLEX-PN Exam - Topic 2 Question 22 Discussion

The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?
A) The client should remove all scatter rugs from the floor and minimize clutter.
B) The client should not get up and move around the house.
C) The client does not need to install a raised toilet and grab bar because she is able to walk on her own.
D) The client should wear a robe and socks while walking in the house.

NCLEX-PN Exam - Topic 2 Question 22 Discussion

Actual exam question for NCLEX's NCLEX-PN exam
Question #: 22
Topic #: 2
[All NCLEX-PN Questions]

The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?

Show Suggested Answer Hide Answer
Suggested Answer: A

Rugs and clutter are a primary cause of falls in the home and should be eliminated if possible to decrease the risk of a fall. The elderly and those with gait issues are at an increased risk for a fall at home. The client should have a raised toilet seat and grab bars available in the bathroom to aid in movement in this potential slippery area of the home. Some clients find it difficult to rise up and down from the toilet and to get in and out of the shower. These items are all important in maintaining safety in the home. The client should not limit her movement within the home unless ordered by the physician. This decreases the ability of the client to perform activities of daily living and hinders the client's return to a normal lifestyle after surgery. The client should notwear baggy clothing such as long robes, and the client should not wear socks on slippery floors. These items can cause the client to trip, slip, or fall.Health Promotion and Maintenance


Contribute your Thoughts:

0/2000 characters
I recall that wearing proper footwear is crucial, so I’m not sure why wearing a robe and socks would be recommended for walking around the house.
upvoted 0 times
...
Angella
5 days ago
I practiced a similar question where installing grab bars was emphasized, so I think that's definitely something she should consider, even if she can walk.
upvoted 0 times
...
Raul
10 days ago
I'm not entirely sure, but I feel like telling her not to move around at all seems too extreme. She needs to stay active, right?
upvoted 0 times
...
Whitney
15 days ago
I remember studying about fall prevention, and I think removing scatter rugs is really important to avoid tripping hazards.
upvoted 0 times
...

Save Cancel