Question

1. What recommendation should a nurse make to the family of a patient diagnosed with ataxia when preparing discharge to home?

a. Remove all scatter rugs from the home.
b. Rearrange the bedroom furniture.
c. Arrange for someone to stay with the patient 24 hours a day.
d. Purchase oversized shoes so that they are easy to get on.

Answer 1

A nurse should advise removing scatter rugs and ensuring a safe home layout for a patient with ataxia. Constant supervision isn't always necessary, and supportive, well-fitting footwear is more important than oversized shoes.

Step-by-step explanation:

When preparing a home for the discharge of a patient diagnosed with ataxia, a nurse should recommend certain safety adjustments to prevent falls and injuries. Primarily, it is advisable to:

1. Remove all scatter rugs from the home to reduce tripping hazards.
2. Ensure that furniture does not obstruct the patient’s pathways, but rearranging bedroom furniture may not be necessary unless it contributes to a safer environment.
3. While constant supervision is important, it may not be practical or necessary for someone to stay with the patient 24 hours a day; instead, arranging for periodic check-ins and a supportive environment could be more manageable and appropriate.
4. Purchasing oversized shoes may help with ease of dressing, but it is more important that footwear is stable and supportive to aid in mobility.

Overall, the focus should be on creating a safe environment tailored to the patient's specific mobility needs.