A nurse is assisting with the care of a client.
A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.
Macular degeneration
Uses a cane to ambulate
Electrical cord on floor over walkway
Grab bar in bathroom
Throw rugs in kitchen
Correct Answer : A,B,C,E
A. Macular degeneration affects central vision, impairing the client’s ability to detect hazards and increasing the risk of falls.
B. Using a cane for ambulation indicates mobility limitations, which can increase fall risk, especially if the cane is used improperly or the client is in unfamiliar surroundings.
C. Electrical cords over walkways are environmental hazards that significantly increase the risk of tripping and falling.
D. Grab bars in the bathroom are a safety feature that reduces fall risk, not a contributing factor.
E. Throw rugs in the kitchen are common tripping hazards, especially for individuals with mobility or vision issues, increasing the likelihood of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Vitamin D is essential for bone health, but it does not reduce birth defects.
B. Omega-3 fatty acids support fetal brain development.
C. Lutein supports eye health but is not related to birth defects.
D. Folic acid reduces the risk of neural tube defects and is recommended for women during pregnancy.
Correct Answer is A
Explanation
A. Warm the enema solution to prevent discomfort and potential injury from a cold solution.
B. Clean technique is used when administering enemas, not sterile technique.
C. The left lateral position is preferred for enema administration.
D. An oil-based lubricant is not recommended for enema tubing; a water-based lubricant is preferred.
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