A nurse is assisting with the care of a client.

Exhibits

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

Answer and Explanation

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.

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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.

A. Fill the client's bathtub with water at 48" (18.4" F B. Give the client a long-handled sponge. C. Offer the client bar soap. D. Provide the client with a fixed showerhead.

Correct Answer is B

Explanation

A. Fill the client's bathtub with water at 48° C (118.4° F): The water temperature should be no higher than 37.8°C (100°F) to avoid burns, especially in clients with spinal cord injuries.

B. Give the client a long-handled sponge: This allows for safe, independent cleaning of hard-to-reach areas.

C. Offer the client bar soap: Liquid soap is preferred to prevent dryness and irritation of the skin.

D. Provide the client with a fixed showerhead: A handheld showerhead is preferred for flexibility and control during bathing.

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A nurse is assisting with the care of a client. Exhibits 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.

Nursing Test Bank

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Correct Answer is B

Explanation

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A nurse is assisting with the care of a client.

Exhibits

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.