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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Mild, occasional itching: Contact dermatitis usually causes more persistent and sometimes severe itching rather than mild and occasional.
B. Oily skin: Contact dermatitis typically causes dryness and irritation rather than oily skin.
C. Warm hands: Warm hands are not a characteristic finding of contact dermatitis.
D. Scaly patches on the cheeks: This is correct. Contact dermatitis can cause scaly patches, redness, and irritation on the skin, including the cheeks.

A. Place the client in contact Isolation. B. Prepare the client for a colonoscopy. C. Administer docusate sodium 500 mg daily. D. Use a bleach solution to clean the client's bedside table. E. Use hand sanitizer immediately after caring for the client.

Correct Answer is ["A","D"]

Explanation

A. Place the client in contact isolation. Contact isolation helps prevent the spread of C. difficile to other patients and staff by requiring the use of gowns and gloves when entering the patient's room.
B. Prepare the client for a colonoscopy. This is not typically part of the standard care plan for C. difficile infection. Colonoscopies are not indicated for diagnosing or managing C. difficile.
C. Administer docusate sodium 500 mg daily. Docusate sodium is a stool softener and is not appropriate for treating C. difficile, which causes diarrhea.
D. Use a bleach solution to clean the client's bedside table. Bleach is effective at killing C. difficile spores, which are resistant to many other cleaning agents.
E. Use hand sanitizer immediately after caring for the client. Hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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