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. A nurse gives a client the choice to take a pain medication via intramuscular or oral route: This represents autonomy, not beneficence.
B. A nurse provides nonpharmacological pain interventions to each client equally: While providing equitable care is important, beneficence focuses on doing what is best for the client, not just providing equal interventions.
C. A nurse fulfills a promise to a client that they will return with their pain medication: This demonstrates fidelity, not beneficence.
D. A nurse administers scheduled pain medication for a client who is having pain: This is an example of beneficence, which involves acting in the best interest of the client to relieve suffering.
Correct Answer is A
Explanation
A. Homeopathy: Homeopathy involves using highly diluted substances to stimulate the body's natural healing processes.
B. Ayurveda: Ayurveda is an alternative medicine system from India that emphasizes balance in the body’s energies, but it doesn't rely on diluted substances.
C. Naturopathy: Naturopathy focuses on natural remedies and treatments, but it is broader than homeopathy and does not specifically rely on diluted substances.
D. Functional medicine: Functional medicine focuses on personalized, integrative approaches to health but does not rely on diluted substances.
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