Author Question: The registered nurse from the home health agency is performing an initial assessment on a ... (Read 44 times)

Cooldude101 · **on:** Jul 22, 2018

The registered nurse from the home health agency is performing an initial assessment on a 72-year-old patient who was released from a nursing home.

The patient had been admitted to the nursing home for therapy after surgery for repair of a fractured left hip. During a survey of the home environment, which finding would cause the nurse to intervene? a. Bedside lamp plugged into the wall outlet behind the bed
b. Handrail on one side of the stairs only
c. Throw rugs in the bedroom
d. No handrail near the toilet

Question 2

The nurse is observing a patient's posture while sitting, standing, and assessing gait. What is the rationale for the nurse's assessment?

a. To determine type of assistance with anthropometric measurements
b. To determine type of assistance with joint mobility
c. To determine type of assistance with range of motion (ROM)
d. To determine type of assistance with ambulation

amanda_14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Common physical hazards that lead to falls in the home include inadequate lighting, barriers along normal walking paths and stairways, and a lack of safety devices. All other answers do not indicate a safety risk to the home.

Answer to Question 2

D
Observing the patient's posture while sitting and standing and assessing gait helps to determine the type of assistance the patient requires for ambulation or transfer. Assessment of ROM is important as a baseline measurement to compare and evaluate whether loss in joint mobility has occurred. Anthropometric measurements are for nutrition, not for mobility. Anthropometric measurements include height, weight, mid upper-arm circumference, and triceps skinfold measurements.