NCLEX-RN

Category - Safety

A home health nurse is visiting an elderly couple. The woman has diabetes mellitus and has poor vision, while her husband has mild dementia. The nurse is identifying health and safety hazards around their home and suggests important preventive measures. Which of the following measures is the most important and suitable for the both of them?
  1. Ensure appropriate lighting.
  2. Attach grab bars around the corridor.
  3. Label drug bottles properly.
  4. Mark doors and cabinets properly.
Explanation
Answer: A - An important preventive measure that would benefit the couple is to ensure adequate lighting at all times since the woman has poor vision. Adequate lighting helps reduce confusion, agitation and prevents hallucination/delusion in demented clients. All other preventive measures are important but will not significantly benefit the couple.
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