All of the following are modifiable risk factors for falls EXCEPT
History of stroke
A high basal insulin dose of Lantus every evening
Low vitamin D levels
Morphine use for Parkinson's Disease
The Correct Answer is A
A. History of stroke: A prior stroke represents a fixed neurologic event that cannot be altered. While rehabilitation can improve function, the underlying history of stroke itself remains a non-modifiable risk factor for falls due to persistent deficits such as weakness or impaired balance.
B. A high basal insulin dose of Lantus every evening: Insulin dosing can be adjusted to reduce the risk of nocturnal or early-morning hypoglycemia, which increases fall risk. Medication review and dose modification make this a modifiable factor.
C. Low vitamin D levels: Vitamin D deficiency can be corrected with supplementation, improving muscle strength and balance. Addressing low vitamin D has been shown to reduce fall risk in older adults.
D. Morphine use for Parkinson's Disease: Opioids increase fall risk through sedation, dizziness, and impaired coordination. Medication choice, dosing, or discontinuation can be modified to reduce this risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The Pharmacists’ Patient Care Process (PPCP) emphasizes patient-centered care while allowing for collaboration with family members or caregivers when the patient consents. Involving caregivers can provide additional insights into medication adherence, daily routines, and health status. This approach supports comprehensive assessment, informed decision-making, and effective implementation of the care plan.
Correct Answer is ["A","B","C"]
Explanation
A. Fatigue: Reduced cardiac output limits oxygen delivery to tissues, leading to generalized fatigue and decreased exercise tolerance. This is a common presenting symptom in heart failure and other cardiac conditions, especially in older adults.
B. Chest pain: Chest pain is a classic symptom of myocardial ischemia and other cardiac events. It results from inadequate coronary perfusion and may signal angina or acute coronary syndrome requiring urgent evaluation.
C. Edema: Peripheral edema occurs when impaired cardiac function leads to venous congestion and fluid accumulation in dependent tissues. It is commonly seen in right-sided or advanced heart failure due to increased venous pressure.
D. Bilateral tingling in feet: Tingling in the feet is more suggestive of peripheral neuropathy, electrolyte imbalance, or diabetic complications. It is not a typical manifestation of primary cardiac dysfunction.
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