Author Question: A man 75 years of age is being discharged to his home following a fall in his kitchen that resulted ... (Read 43 times)

michelleunicorn · **on:** Jul 23, 2018

A man 75 years of age is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need?

A) Sleep and rest
B) Support from family members
C) Protection from potential harm
D) Feeling a sense of accomplishment

Question 2

A boy age 2 years arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention?

A) Giving him his favorite stuffed animal to hold
B) Assessing respirations and administering oxygen
C) Raising the side rails and restraining his arms
D) Asking his mother what are his favorite foods

Kdiggy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Physical safety and security means being protected from potential or actual harm. Assessing potential risks for harm in the home environment is necessary to meet physical safety needs. For this situation, protecting the patient from potential harm has a higher priority than interventions that focus on sleep and rest, support from family members, and feeling a sense of accomplishment.

Answer to Question 2

Ans: B
The priority need for a child having respiratory difficulty is for oxygen. Therefore, the nurse's immediate interventions should be to meet physiologic oxygen needs by assessing respirations and administering oxygen. Oxygen needs are more basic than are needs for food or safety and security.