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 C

Explanation

A. Whole grain cereal: Not recommended. Whole grains can be high in insoluble fiber, which may worsen diarrhea.
B. Chocolate ice cream: Not recommended. Ice cream, especially chocolate-flavored, contains dairy and fat, which may exacerbate diarrhea.
C. Sliced bananas: Bananas are easy to digest, provide potassium, and can help firm up stools.
D. Hot coffee: Not recommended. Coffee is a stimulant and can irritate the gastrointestinal tract, potentially worsening diarrhea.

A. Keep daily cholesterol intake between 500 to 750 mg. B. Keep daily fat intake between 20% to 35% of total calories. C. Keep daily protein intake between 40% to 50% of total calories. D. Keep daily sodium intake between 2,000 to 2,500 mg.

Correct Answer is B

Explanation

A. Keep daily cholesterol intake between 500 to 750 mg. The recommended daily cholesterol intake is less than 300 mg.
B. Keep daily fat intake between 20% to 35% of total calories. This is the recommended range for fat intake according to dietary guidelines.
C. Keep daily protein intake between 40% to 50% of total calories. The recommended range for protein intake is about 10% to 35% of total calories.
D. Keep daily sodium intake between 2,000 to 2,500 mg. The recommended daily sodium intake is less than 2,300 mg, and ideally less than 1,500 mg for most adults.

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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

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