Author Question: During a home safety assessment, the nurse identifies that there are a number of hazards present. Of ... (Read 24 times)

brutforce · **on:** Jul 23, 2018

During a home safety assessment, the nurse identifies that there are a number of hazards present. Of the following hazards that are noted by the nurse, which one represents the greatest risk for this client with diabetic peripheral neuropathy?

1. Improper water heater settings
2. Absence of smoke detectors
3. Cluttered walkways
4. Lack of bathroom grab bars

Question 2

The nurse is working with a client with a moderate hearing impairment. To promote communica-tion with this client, the nurse should:

1. Use a louder tone of voice than normal
2. Use visual aids such as the hands and eyes when speaking
3. Approach a client quietly from behind before speaking
4. Select a public area to have a conversation

matt95 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Clients with impaired tactile sensation, as the client with diabetic neuropathy, should be cau-tioned to have the setting on the water heater no higher than 120 F. The greatest risk for the cli-ent with diabetic peripheral neuropathy is an improper water heater setting, because the client would not be able to feel a setting that is too hot and could therefore experience injury. An ab-sence of smoke detectors is not the greatest risk for the client with diabetic peripheral neuropa-thy. It would be of greater risk for the client who has an olfactory impairment. Although a lack of bathroom grab bars may place a client at risk for falls, it is not the greatest risk for the client with diabetic peripheral neuropathy.

Answer to Question 2

ANS: 2
To promote communication with the client who has a hearing impairment, the nurse should use visible expressions, such as speaking with the hands, face, or eyes. A normal tone of voice and inflections of speech should be used when communicating with a client with a hearing impair-ment. The nurse should get the client's attention and not startle the client when entering a room. The nurse should not approach a client from behind. It is best to select a quiet environment without background noise to facilitate communication when a client is hearing impaired.