The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?
Fever
A decrease in venous return
Orthostatic hypotension
Dehydration
The Correct Answer is C
A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The sites of entry and exit: While important for assessing burn severity, immediate concern is not the primary issue.
B. Control of bleeding: Electrical burns do not typically cause significant external bleeding.
C. The likelihood of cardiac arrest: Electrical burns can cause cardiac arrhythmias or arrest, making this the primary concern.
D. The extent and depth of the burn While important for treatment, the immediate concern is cardiac arrest.
Correct Answer is B
Explanation
A. Aerobic: While aerobic exercises improve cardiovascular health, they are less effective in building muscle strength needed to prevent falls.
B. Weight-bearing: Weight-bearing exercises, such as resistance training, help strengthen muscles and improve balance, reducing the risk of falls.
C. Running: Running may be too intense and not suitable for all aging patients, particularly those with joint issues or balance problems.
D. Daily: The frequency of exercise is less relevant than the type; weight-bearing exercises specifically target muscle strength.
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