A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

The client has a nonslip bath mat in his shower.

The client uses a raised toilet seat.

The client takes alprazolam.

The client wears fitted slippers.

Answer and Explanation

The Correct Answer is C

A. A nonslip bath mat is a safety measure that should help prevent falls.
B. A raised toilet seat can help prevent falls by making it easier for the client to sit and stand.
C. Alprazolam, a benzodiazepine, can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls in older adults.
D. Wearing fitted slippers is generally a safety measure to prevent falls.

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Correct Answer is A

Explanation

A. Phenytoin is usually taken long-term for seizure control. The statement indicates a lack of understanding that this is a long-term medication and abrupt discontinuation can increase the risk of seizures.
B. Phenytoin has many drug interactions, so notifying the doctor before taking other medications is appropriate.
C. Phenytoin should not be switched between brands due to variations in bioavailability; this statement indicates proper understanding.
D. Regular dental visits are important as phenytoin can cause gingival hyperplasia.

A. 1500 B. 1600 C. 1700 D. 1800

Correct Answer is D

Explanation

A. Regarding the infusion of 5% dextrose in water IV, if 500 mL is left at 1400 and needs to infuse over 8 hours, the nurse should administer the next bag at 1800 to maintain the prescribed infusion rate of 125 mL/hr.
B. Regarding the infusion of 5% dextrose in water IV, if 500 mL is left at 1400 and needs to infuse over 8 hours, the nurse should administer the next bag at 1800 to maintain the prescribed infusion rate 125 mL/hr.
C. Regarding the infusion of 5% dextrose in water IV, if 500 mL is left at 1400 and needs to infuse over 8 hours, the nurse should administer the next bag at 1800 to maintain the prescribed infusion rate 125 mL/hr.
D. Regarding the infusion of 5% dextrose in water IV, if 500 mL is left at 1400 and needs to infuse over 8 hours, the nurse should administer the next bag at 1800 to maintain the prescribed infusion rate 125 mL/hr.

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A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hr. At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?

Correct Answer is D

Explanation

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