A client with a history of falls and hearing deficit resides in an assistive care facility. He is preparing for his discharge home. The home health nurse reviews fall prevention strategies with the client as he prepares to transition home. Which statement by the client indicates a need for further education?

Correct Answer: D

Rationale: The correct answer is D. Placing rugs at doorways and stairs can increase the risk of falls as they can become tripping hazards. Step-by-step rationale: 1. Rugs can easily slide or bunch up, causing a trip hazard. 2. Doorways and stairs are high-traffic areas where falls are more likely. 3. The client should avoid using rugs in these areas to prevent falls. Summary: A, B, and C are incorrect because they all promote safe practices for fall prevention, such as marking spills, avoiding climbing on step stools, and wearing hearing aids for increased awareness.

Correct Answer: D

Rationale: The correct answer is D: Administer intramuscular sedative medication to the client. This option addresses the immediate safety concern by calming the delirious and combative client, preventing harm to themselves and others. Sedative medication can help manage the client's behavior and facilitate a safe environment for both the client and the staff. Rationale: 1. Removing objects (Option A) does not address the client's behavior and may not effectively manage the situation. 2. Applying wrist restraints (Option B) can lead to physical and psychological harm, should only be used as a last resort, and does not address the underlying cause of the behavior. 3. Recruiting staff to physically hold the client (Option C) is unsafe, may escalate the situation, and poses a risk of injury to both the client and staff.

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. The client post suture placement for a minor leg laceration is stable and does not require immediate medical attention. 2. Discharging this client would free up a bed for incoming injured clients from the mass casualty event. 3. This decision ensures that resources are prioritized for those in critical need during the emergency situation. Summary: A: Urinary tract infection requires ongoing treatment, not suitable for immediate discharge during a mass casualty event preparation. B: COPD with dyspnea may deteriorate rapidly, needing constant monitoring and care, not suitable for discharge. C: New onset heart palpitations could indicate a serious cardiac issue, necessitating further evaluation, not suitable for discharge.

Correct Answer: C

Rationale: The correct answer is C because slipping arms into arm holes simultaneously minimizes contamination risk. Choice A is incorrect because tying the back of the gown should be done by someone else to maintain sterility. Choice B is incorrect as touching the inside of the gown can introduce contamination. Choice D is incorrect as fingers should be extended gradually into the gloves to prevent tearing and contamination.

Correct Answer: C

Rationale: Step 1: An infection is caused by pathogens (such as bacteria, viruses, fungi) invading the body. Step 2: These pathogens disrupt the normal functions of the body, leading to illness. Step 3: Infection can result in a variety of diseases, from minor to severe. Step 4: Choice C accurately defines infection as a disease resulting from pathogens in or on the body. Summary: A: Incorrect - An unclean environment may contribute to infection, but it does not define infection itself. B: Incorrect - Lack of knowledge about food preparation may lead to foodborne illnesses, not necessarily infections. D: Incorrect - Traumatic injury can lead to infections, but not all infections are a result of traumatic injury.