What expected physiological changes of the older adult put them at risk of falls? (Select all that apply).
Reduced muscle strength.
Sensory losses like vision and hearing.
Slowing of reflexes.
Dementia.
Inability to adapt.
Correct Answer : A,B,C
Reduced muscle strength, sensory losses like vision and hearing, and slowing of reflexes are all expected physiological changes of the older adult that can put them at risk of falls.
Reduced muscle strength can make it more difficult for older adults to maintain balance and stability.
Sensory losses like vision and hearing can affect an older adult’s ability to perceive their environment and navigate safely.
Slowing of reflexes can make it more difficult for older adults to react quickly to changes in their environment and prevent falls.
Choice D is not an answer because dementia is not a physiological change but rather a cognitive condition that can increase the risk of falls.
Choice E is not an answer because the inability to adapt is not a specific physiological change but rather a general characteristic that can increase the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Background noise can interfere with the ability of a person with hearing loss to understand speech, even when wearing a hearing aid.
By turning off the television, the nurse can reduce background noise and improve communication with the client.
Choice A) Chewing gum is not an appropriate intervention to improve communication with a client who has hearing loss.
Choice C) Speaking loudly and clearly may help, but it is not as effective as reducing background noise.
Choice D) Using paper and pencil may be helpful in some situations, but it is not the most effective intervention to improve communication with a client who is wearing a hearing aid.
Correct Answer is B
Explanation
A surgical sponge left in a client’s incision is a “never event”.
A “never event” is a serious, largely preventable safety incident that should not occur if the available preventative measures are implemented1.
These events include things like wrong-site surgery or foreign objects left in a person’s body after an operation2.
Choice A is incorrect because no blood incompatibility during a blood transfusion is not a “never event”.
Choice C is incorrect because a client falling in their own home is not a “never event”.
Choice D is incorrect because inserting a urinary catheter before surgery is not a “never event”.
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