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 A
Explanation
A. One cup is equivalent to 240 mL in metric measurements.
B. One teaspoon equals 5 mL, not 10 mL.
C. One pint equals 473 mL, not 960 mL.
D. Two tablespoons equal 30 mL, not 15 mL.
Correct Answer is B
Explanation
A. Bathing every day, rather than every other day, is typically recommended for adolescents due to increased sweat and oil production during puberty.
B. Using deodorant daily helps manage body odor, a common concern during adolescence, making it an important hygiene practice.
C. Washing hair once a week is not adequate for most adolescents, who may need more frequent washing to remove excess oil and prevent buildup.
D. Using a comedogenic cleanser can clog pores and worsen acne; non-comedogenic products are more appropriate for skin hygiene.
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