An adult client who underwent right knee arthroplasty 3 days ago is scheduled for discharge on postoperative day 4.
History:
Osteoarthritis
Hypertension
Hyperthyroidism
Home medications:
Celecoxib
Metoprolol
Levothyroxine
Social history:
The client’s partner died 5 years ago; currently, the client lives with an adult child who is retired.
Which of the following findings by the nurse may present complications for the client? Select all that apply.
A Shower
B Flooring
C Home entrance
D Inside walking pathway
E Rugs
F Inside lighting
G Home assistance
H Toilet
I Bedroom Location
J Handrails
The correct answer and Explanation is :
For a client who has undergone right knee arthroplasty, several home environment factors can pose risks and may complicate their recovery. Here’s an evaluation of each option:
A. Shower: A shower, especially if it lacks grab bars or a non-slip mat, can be hazardous due to the risk of slipping, which could be dangerous for someone recovering from knee surgery.
B. Flooring: The type of flooring is crucial. Hard surfaces can be slippery, and uneven flooring can pose tripping hazards. This is particularly important for a postoperative patient who may have mobility issues.
C. Home entrance: If the home entrance has steps or is not well-lit, it can be difficult and risky for someone with limited mobility.
D. Inside walking pathway: Clear and wide walking paths are essential to avoid tripping hazards and allow safe movement, especially when using assistive devices like a walker or crutches.
E. Rugs: Loose or small rugs can cause tripping hazards. They should be secured or removed to prevent falls.
F. Inside lighting: Adequate lighting is necessary to prevent falls and ensure the client can see obstacles or changes in flooring.
G. Home assistance: If the client does not have adequate home assistance, they may struggle with mobility and daily activities, increasing the risk of complications.
H. Toilet: Accessibility of the toilet is important. If it is too low or lacks grab bars, it can be difficult for the client to use safely.
I. Bedroom Location: The location of the bedroom could be an issue if it’s on an upper floor without elevator access or if it requires navigating stairs.
J. Handrails: Handrails should be available on stairs and in key areas to provide support and stability.
Correct Answers: A, B, C, D, E, F, H, I
Explanation:
- A. Shower: Without modifications, showers can be slippery, posing a risk of falls.
- B. Flooring: Hard or uneven flooring increases the risk of falls and can be problematic for someone who has just undergone knee surgery.
- C. Home entrance: Steps or poor lighting at the entrance can complicate mobility and increase fall risk.
- D. Inside walking pathway: Clear pathways are crucial for preventing trips and falls.
- E. Rugs: Loose or unsecured rugs can be a tripping hazard.
- F. Inside lighting: Poor lighting can lead to missteps and falls.
- H. Toilet: If not accessible or equipped with safety features, using the toilet can be challenging.
- I. Bedroom Location: A bedroom on an upper floor without proper access can be problematic.
Ensuring these aspects of the home are addressed can significantly reduce the risk of complications and promote a safer recovery environment for the client.