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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Has a family caregiver that lives in the home." This is not a requirement for hospice care. While having a caregiver can be beneficial, it is not a criterion for qualifying for hospice.
B. "Is to continue to receive chemotherapy medications." This is incorrect. Hospice care is generally for individuals who are no longer seeking curative treatments, such as chemotherapy, and are instead focusing on comfort and quality of life.
C. "Has a terminal illness unresponsive to drug therapy." While a terminal illness is a criterion, the key point for hospice eligibility is the prognosis of life expectancy rather than the response to drug therapy alone.
D. "Is expected to live for less than six months." This is correct. Hospice care is intended for patients with a terminal illness who are expected to have a prognosis of six months or less if the illness follows its usual course.
Correct Answer is ["A","B","C","D"]
Explanation
A. Collaborating with a health care provider is essential in palliative care for integrating medical treatments and addressing the overall care plan.
B. A nutritionist is important for managing dietary needs and ensuring nutritional support in palliative care.
C. A social worker assists with psychosocial issues, resource needs, and family support, which are crucial in palliative care.
D. A chaplain provides spiritual care and support, addressing the emotional and spiritual needs of patients and families in palliative settings.
E. A registrar, while important for administrative functions, is not directly involved in patient care and would not be a primary collaborator in interprofessional rounds for palliative care.
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