A home health nurse is assessing the health history of a new client.
Which of the following conditions should the nurse identify as increasing the client’s risk for falls?

Wide-angle glaucoma.

Chronic kidney disease.

Chronic obstructive pulmonary disease.

Osteoarthritis.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Wide-angle glaucoma is a type of eye condition that can affect vision, but it is not typically associated with an increased risk of falls.

Choice B rationale

Chronic kidney disease can have many effects on the body, but it is not typically identified as a direct risk factor for falls.

Choice C rationale

Chronic obstructive pulmonary disease (COPD) can cause shortness of breath and fatigue, which could potentially contribute to instability. However, it is not one of the most common conditions associated with an increased risk of falls.

Choice D rationale

Osteoarthritis can cause pain and stiffness in the joints, which can lead to mobility issues and an increased risk of falls. Therefore, a nurse should identify osteoarthritis as a condition that increases a client’s risk for falls.

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Correct Answer is A

Explanation

Choice A rationale

This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.

Choice B rationale

Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.

Choice C rationale

Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.

Choice D rationale

Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.

A. Providing nutrition education to employees who have a BMI of greater than 30. B. Providing education about safety and injury prevention for employees. C. Screening employees who have been exposed to high levels of noise for hearing loss. D. Coordinating disaster planning efforts at the factory.

Correct Answer is C

Explanation

Choice A rationale

Providing nutrition education to employees who have a BMI of greater than 30 is an example of primary prevention. It aims to prevent the onset of disease (in this case, obesity-related diseases) by promoting healthy behaviors.

Choice B rationale

Providing education about safety and injury prevention for employees is also an example of primary prevention. It aims to prevent injuries before they occur.

Choice C rationale

Screening employees who have been exposed to high levels of noise for hearing loss is an example of secondary prevention. Secondary prevention aims to identify and treat an illness or disease at an early stage.

Choice D rationale

Coordinating disaster planning efforts at the factory is an example of tertiary prevention. It aims to manage and mitigate the effects of a disaster, which is an existing condition.

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A home health nurse is assessing the health history of a new client.Which of the following conditions should the nurse identify as increasing the client’s risk for falls?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A home health nurse is assessing the health history of a new client.
Which of the following conditions should the nurse identify as increasing the client’s risk for falls?