Author Question: A home health care nurse is visiting a client discharged home after a hip replacement. The client is ... (Read 158 times)

biggirl4568 · **on:** Jun 25, 2018

A home health care nurse is visiting a client discharged home after a hip replacement. The client is still on partial weight bearing and using a walker. What safety precautions can the nurse recommend to the client? (Select all that apply.)

a. Buy and install an elevated toilet seat.
b. Install grab bars in the shower and by the toilet.
c. Step into the bathtub with the affected leg first.
d. Remove all throw rugs throughout the house.
e. Use a shower chair while taking a shower.

Question 2

A client has rheumatoid arthritis (RA) and the visiting nurse is conducting a home assessment. What options can the nurse suggest for the client to maintain independence in activities of daily living (ADLs)? (Select all that apply.)

a. Grab bars to reach high items
b. Long-handled bath scrub brush
c. Soft rocker-recliner chair
d. Toothbrush with built-up handle
e. Wheelchair cushion for comfort

flannelavenger · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D, E
Buying and installing an elevated toilet seat, installing grab bars, removing throw rugs, and using a shower chair will all promote safety for this client. The client is still on partial weight bearing, so he or she cannot step into the bathtub leading with the operative side. Stepping into a bathtub may also require the client to bend the hip more than the allowed 90 degrees.

Answer to Question 2

ANS: A, B, D
Grab bars, long-handled bath brushes, and toothbrushes with built-up handles all provide modifications for daily activities, making it easier for the client with RA to complete ADLs independently. The rocker-recliner and wheelchair cushion are comfort measures but do not help increase independence.