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 B
Explanation
A. Toilet paper should not be included in the collection.
B. The first void is discarded to ensure that the collection begins with the correct timing.
C. The last void should be saved, not discarded.
D. The first void should be discarded at the start, not saved.
Correct Answer is ["B","C","E"]
Explanation
A. Fixed-height IV stands are not ergonomic.
B. Wrist supports for computer keyboards help prevent strain on the wrist.
C. Height-adjustable beds allow for proper body mechanics during care.
D. Standard height toilets may not accommodate all patients' needs for ergonomic safety.
E. Shower chairs assist with safe positioning and prevent strain during patient care.
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