Asked by angelica vazquez on Jun 12, 2024

verifed

Verified

A visiting nurse completes an assessment of the ambulatory patient in the home and determines the nursing diagnosis of Risk for injury related to decreased vision.On the basis of this assessment,the patient will benefit the most from which of the following actions?

A) Installing fluorescent lighting throughout the house.
B) Evaluating the need to reposition furniture.
C) Maintaining complete bed rest in a hospital bed with side rails.
D) Applying physical restraints.

Decreased Vision

A reduction in the ability to see clearly, which can affect one or both eyes, ranging from slight to significant loss of vision.

Nursing Diagnosis

A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.

Fluorescent Lighting

A type of lighting system that uses fluorescence to produce visible light, known for its energy efficiency compared to incandescent bulbs.

  • Identify risk factors and implement strategies to prevent falls and injury.
  • Understand the role of health assessments in identifying risks related to safety and injury.
verifed

Verified Answer

LA
Lence Ahmed

Jun 12, 2024

Final Answer :
B
Explanation :
Evaluating the positioning of furniture in the room and stairways is the best intervention to help prevent falls for the patient with decreased vision.Attempts should be made to reduce glare.Light bulbs that are 60 W or less may be changed to 75 W nonglare to help improve visibility.The best intervention to prevent falls is first to orient the patient to the surroundings.Maintaining complete bed rest is not the best option.Complete bed rest can cause other health problems because of a lack of mobility.The patient should not be restrained for poor vision.Attempts should be made to help compensate for the decreased vision to prevent falls.