Topic 7: Safety and Mobility

The nurse is concerned that a depressed resident of an assisted living facility does not participate in weekly outings with other residents. Which action will the nurse take first?

Ask the client which activities are preferred.

The nurse is caring for an older client with diminished positioning sensations in the lower extremities. Which action will the nurse take?

Assess risk for falls.

An older adult client has been diagnosed with low bone density. Which intervention will the nurse implement to support this client?

Assess the need for assistive devices.

An older adult client with sundowning syndrome wanders around the care area in the evening. Which action will the nurse take to ensure this client's safety?

Assign to a room near the nurse's station.

The nurse is concerned that a client is at risk for developing osteoporosis. Which recommendation(s) will the nurse make to lessen the risk? Select all that apply.

Begin smoking cessation. Engage in regular exercise.

An older adult client has been on bedrest while recovering from a stroke. Which action will the nurse take to prevent muscle atrophy?

Direct the client in active range-of-motion exercise.

The adult child of a client is concerned about the older adult parent's loss of independence after a recent hospitalization. Which recommendation(s) will the nurse make to promote the client's ongoing independence? Select all that apply.

Encourage the client to perform activities of daily living (ADLs) independently. Allow the client to make choices. Include the client in household activities. Stimulate the mind with mental activity.

An older adult client is at risk for trauma. What contributing factor(s) did the nurse identify to determine this risk? Select all that apply.

Hearing deficit Poor muscle tone Improper use of cane Altered cognitive function

An older adult client arrives to be x-rayed after losing balance while tripping over an area rug at home and falling. The client's adult child reports finding the parent on the side in great pain. Which area(s) of the body will the nurse assess in preparation for a radiologic examination? Select all that apply.

Hip Wrist

An older adult client who has been less mobile due to a recent stroke reports calf pain. Which assessment will the nurse make first?

Homan sign

A client recently diagnosed with plantar fasciitis reports heel pain. Which information will the nurse provide during client teaching?

Ice the area to relieve inflammation.

An older adult client has been performing strength training exercises as recommended; however, the client's muscle tone has not improved. The client is upset. What should the nurse emphasize with this client?

Increase the amount of weight used

An older adult client with an overactive parathyroid has been diagnosed with demineralization of the bones. Which action will the nurse take to support this client?

Keep the client's necessary articles close to the client.

A client agrees to increasing physical activity every day; however, the client does not want to feel sore and tired afterwards. What should the nurse suggest to this client?

Perform parts of the activity throughout the day

A nurse was recently assisting an older adult resident with a biweekly bath. While the nurse was helping the client transfer out of the bathtub, the client feels like she is falling and grabs on to the nurse forcefully, becomes rigid, and exclaims, "Help me quick." Which action will the nurse take next?

Prevent the resident from falling.

The nurse is facilitating a support group for the families of older adult clients who live alone at home. Which safety recommendation is the most important to include in the teaching plan?

Purchase non-skid footwear for the parent.

An older adult client expresses anxiety when having to drive during the day in city traffic. What should the nurse suggest to this client?

Restrict driving to non-congested areas

An older adult client wants to stop participating with a mall walking group three times per week. For which reason will the nurse advise against stopping this activity?

Walking improves cardiovascular health.

The nurse is caring for an older adult client at risk for falls. The nurse surveys the client's surroundings in the hospital for safety concerns. Which will the nurse survey? Select all that apply.

adequate lighting at night bed in low position client's ability to use the call button spills and tripping hazards

The report of an older adult client's ophthalmologic examination states variability with the Amsler grid. Which activity will the nurse consider as being unsafe for this client?

driving a vehicle

The nurse evaluates the environment of an assistive living facility and find that residents need to walk down two steps to gain access to the dining area. What should the nurse suggest to reduce the risk of resident falls?

place a strip of red tape along each step's edge

A 60-year-old client is beginning an exercise program. Which method will the nurse describe to help the client determine effectiveness?

reaching the target heart rate during exercise