A nurse is assisting with the care of a client.
A nurse in a provider's 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.
Uses a cane to ambulate
Throw rugs in kitchen
Electrical cord on floor over walkway
Grab bar in bathroom
Macular degeneration
Correct Answer : B,C,E
A. While a cane can be helpful for balance, it doesn't necessarily increase fall risk. In fact, it can help reduce the risk.
B. Throw rugs can be tripping hazards, especially for individuals with visual impairments like macular degeneration.
C. Electrical cords can cause tripping and falls, especially in areas with high foot traffic.
D. A grab bar can actually help prevent falls, especially in the bathroom where there is a risk of slipping.
E. This eye condition can impair vision, making it difficult to see obstacles and potential hazards, increasing the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Critical pathways are designed to standardize care processes, which can lead to improved efficiency, reduced length of stay, and better patient outcomes, all of which can contribute to lower healthcare costs. This is a key reason why critical pathways are used.
B. Critical pathways are typically developed by interdisciplinary teams or healthcare organizations rather than by individual providers. They are standardized plans that guide the care of groups of patients with similar conditions, rather than tailored to individual patient needs.
C. They do not need to be followed in a strict order; adjustments may be necessary based on the
patient’s response to treatment. This option oversimplifies the use of critical pathways.
D. Critical pathways primarily focus on the management of specific clinical conditions and patient care processes rather than broader health promotion activities. While they can contribute to overall care quality, their main purpose is not to guide health promotion.
Correct Answer is ["B","C","E"]
Explanation
A. While a cane can be helpful for balance, it doesn't necessarily increase fall risk. In fact, it can help reduce the risk.
B. Throw rugs can be tripping hazards, especially for individuals with visual impairments like macular degeneration.
C. Electrical cords can cause tripping and falls, especially in areas with high foot traffic.
D. A grab bar can actually help prevent falls, especially in the bathroom where there is a risk of slipping.
E. This eye condition can impair vision, making it difficult to see obstacles and potential hazards, increasing the risk of falls.
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