A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?

A 68-year-old client with stage 2 thyroid cancer who takes levothyroxine daily

An 82-year-old client with diabetes mellitus who takes metformin daily

A 78-year-old client with decompensated heart failure who is dyspneic on exertion

A 74-year-old client with hypertension taking lisinopril

Answer and Explanation

The Correct Answer is C

A. Although thyroid cancer and medication use can affect health, they are not the most immediate factors influencing fall risk compared to heart failure symptoms.
B. Diabetes mellitus and metformin use are not directly associated with increased fall risk as much as heart failure and its symptoms.
C. Decompensated heart failure and dyspnea on exertion significantly increase fall risk due to decreased physical stability and balance issues.
D. While hypertension and lisinopril can contribute to fall risk, they are less directly impactful than the symptoms of decompensated heart failure.

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Correct Answer is B

Explanation

A. Telehealth does not directly cover the cost of prescriptions, medical equipment, or other health care expenditures; it focuses on providing access to care.
B. Telehealth is beneficial for homebound clients as it facilitates communication with primary care providers, overcoming barriers to accessing in-person care.
C. Telehealth cannot replace all services provided by health care institutions; it complements but does not duplicate every aspect of in-person care.
D. Telehealth is not specifically a supplemental program for gaps in insurance coverage but rather a mode of delivering care that can enhance access.

A. High gloss floors B. Multiple ceiling lights C. Extension cords across hallway D. Grab bar in the shower

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

Explanation

A. High gloss floors can be slippery, increasing the risk of falls, especially if wet or not maintained properly.
B. Multiple ceiling lights do not inherently pose a safety risk; adequate lighting is generally beneficial for safety.
C. Extension cords across hallways are a tripping hazard and pose a significant risk for falls.
D. A grab bar in the shower is a safety feature designed to prevent falls and assist with stability, not a risk.

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A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

Correct Answer is B

Explanation

A nurse is visiting a client in the home to assess for potential safety risks. Which of the following findings would the nurse identify as being risks to the client's safety? (Select all that apply)

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

Explanation

The nurse is preparing a continuing education class for a group of nurses on the impact of health disparities. Which of the following statements would the nurse include in the teaching session?

A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier?

The nurse plans to use pamphlets to teach newly immigrated clients about diabetes mellitus. Prior to initiating this education, what priority information should the nurse obtain?

The nurse is assessing a client to determine if the client meets the criteria for being homebound. Which of the following criteria would the nurse identify as evidence that a client is homebound?

Which of the following is an example of secondary prevention of infectious disease?

The nurse is developing a community health promotion program and identifies the need to understand the impact of health disparities. Which of the following statements would the nurse identify as a crucial factor to consider when developing this program?

A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?