What is an important strategy for fall prevention in older adults?

Encouraging regular exercise and physical activity.

Removing all rugs and carpets from the home.

Encouraging the use of medications that cause drowsiness.

Limiting social activities and outings.

Answer and Explanation

The Correct Answer is A

A.   This is an important strategy for fall prevention. Regular exercise helps improve strength, balance, flexibility, and coordination, which can significantly reduce the risk of falls. Physical activity also enhances overall health and mobility, making it easier for older adults to perform daily tasks safely.
B.   Removing all rugs and carpets can reduce tripping hazards, but it’s not always practical or aesthetically pleasing. Instead, it’s advisable to secure rugs with non-slip backing and ensure they are not placed in high-traffic areas. Therefore, while removing some rugs can be helpful, not all should be removed.
C.   Medications that cause drowsiness can increase the risk of falls by impairing balance, coordination, and alertness. Older adults should be encouraged to discuss their medications with healthcare providers to minimize side effects that may contribute to fall risks.
D.   In fact, social engagement can promote physical activity and mental well-being, both of which can help reduce fall risk. Limiting social activities can lead to isolation, which may negatively impact an older adult's physical and emotional health.

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Correct Answer is D

Explanation

A. This action is not appropriate as it could stimulate the gag reflex and lead to choking or aspiration. It does not contribute to effective oral care. Instead, gentle techniques using appropriate tools should be used to clean the mouth.
B. Holding the toothbrush at a 90° angle can be effective for brushing teeth as it allows for better access to the surfaces of the teeth. However, for an unconscious patient, this angle might not be practical or safe depending on the circumstances.
C. Vigorous brushing is not recommended, especially for an unconscious client. It could cause damage to the gums, lead to discomfort, or risk aspiration of fluids. Gentle brushing is advised to clean the teeth and gums without causing injury.
D. Turning the client to the side helps prevent aspiration of saliva or any fluids that may be in the mouth. It also provides better access for oral care and minimizes the risk of choking. This position is often recommended for unconscious patients to maintain their safety during oral care.

A. Critical pathways result in better client outcomes at a reduced cost. B. Critical pathways are developed by individual providers to direct the delivery of care for their clients. C. Critical pathways must be followed in the prescribed order to meet optimal outcomes. D. Critical pathways are utilized to guide health promotion activities.

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.

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What is an important strategy for fall prevention in older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?

Correct Answer is A

Explanation

A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates an understanding of body mechanics?

A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?

What is an important strategy for fall prevention in older adults?

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