A charge nurse is planning an in-service for a group of staff nurses about fall prevention. Which of the following factors should the charge nurse include as increasing a client's risk for falls?
Saline lock
Prescribed mucolytic
Age 60 years or older
Diabetic neuropathy
The Correct Answer is D
A. Saline lock (or peripheral intravenous lock) does not significantly increase the risk for falls by itself.
B. Prescribed mucolytic help loosen mucus but do not specifically increase fall risk.
C. Age 60 years or older can be a risk factor for falls due to changes in balance, strength, and coordination. However, the risk increases significantly with advanced age, making this a relevant factor to consider.
D. Diabetic neuropathy can impair sensation in the feet, increasing the risk of falls due to lack of awareness of foot position and potential injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The parent of a school age child who has cystic fibrosis While personal experiences can be helpful, they may not provide comprehensive, evidence-based information.
B. The website for the Cystic Fibrosis Foundation This is a reliable source for accurate, evidence-based information about cystic fibrosis.
C. A commercial website that ends in ".com" Commercial websites can have biased or non-evidence-based information.
D. An assistive personnel who cares for a child who has cystic fibrosis While they may have practical insights, they are not typically the best source for detailed, evidence-based information.
Correct Answer is B
Explanation
A. Potassium chloride 20 mEq oral every other day This statement does not contain any error-prone abbreviations.
B. Regular insulin 2U SQ before meals The abbreviation "U" for units can be mistaken for "0" or "4", leading to dosing errors. The correct term is "units".
C. Vancomycin 1 g IV piggyback every 8 hr This statement does not contain any error-prone abbreviations.
D. Ativan 0.5 mg IV every 2 hr as needed for anxiety This statement does not contain any error-prone abbreviations.
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