A nurse is reviewing a newly admitted client's medical record to determine the need to implement fall prevention interventions. The nurse should identify that which of the following findings places the client at risk for a fall?

The client has gastroesophageal reflux disease.

The client is 62 years old.

The client smokes half a pack of cigarettes per day.

The client has urinary incontinence.

Answer and Explanation

The Correct Answer is D

A. The client has gastroesophageal reflux disease. GERD does not typically increase the risk of falls.
B. The client is 62 years old. Age alone does not necessarily indicate a high fall risk, especially if the client is relatively healthy.
C. The client smokes half a pack of cigarettes per day. Smoking is a risk factor for many health issues but is not directly linked to an increased risk of falls.
D. The client has urinary incontinence. This is correct. Urinary incontinence increases the risk of falls, particularly if the client needs to frequently get up quickly to use the bathroom, potentially slipping or tripping.

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Correct Answer is D

Explanation

A. Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) used for short-term pain management but is not typically used for fibromyalgia-related pain.
B. Oxycodone is an opioid pain medication, but it is generally not recommended for fibromyalgia due to potential side effects and the risk of dependence.
C. Ibuprofen, another NSAID, can help with pain and inflammation but is not typically the first choice for fibromyalgia, which often requires medications targeting nerve pain.
D. Gabapentin is commonly used to manage nerve pain associated with fibromyalgia. It is effective for the burning pain often experienced by fibromyalgia patients.

A. Keeping a record of dry nights in a daily diary B. Beginning medication therapy to inhibit urination C. Using an alarm to wake the child at the onset of urination D. Using stickers as positive reinforcement for dry nights

Correct Answer is C

Explanation

A. Keeping a record of dry nights in a daily diary: This can be helpful for tracking progress but is not the most effective intervention for treating enuresis.
B. Beginning medication therapy to inhibit urination: Medication can be used in some cases, but it is typically not the first-line treatment for enuresis.
C. Using an alarm to wake the child at the onset of urination: This is correct. Bedwetting alarms are considered the most effective intervention for treating enuresis. They condition the child to wake up or hold urine when the bladder is full.
D. Using stickers as positive reinforcement for dry nights: This can be useful as part of a behavioral approach but is not as effective as using a bedwetting alarm.

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A nurse is reviewing a newly admitted client's medical record to determine the need to implement fall prevention interventions. The nurse should identify that which of the following findings places the client at risk for a fall?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who reports chronic, burning pain due to fibromyalgia in his lower extremities. Which of the following medications should the nurse expect to administer to this client?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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