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Which are examples of primary prevention techniques to decrease falls that the nurse could suggest for older adults who are living in their own homes? (SELECT ALL THAT APPLY)

Place commonly used items within easy reach

Advise attendance at Illness support groups

Remove small area rugs from home

Install grab bars in the shower

Encourage screenings for blood pressure, cancer and osteoporosis

Answer and Explanation

Correct Answer : A,C,D

A. Placing commonly used items within easy reach minimizes the need for reaching or climbing, reducing fall risk.

B. Attendance at illness support groups is not directly related to fall prevention.

C. Removing small area rugs prevents tripping hazards.

D. Installing grab bars in the shower provides support and stability.

E. Screenings for blood pressure, cancer, and osteoporosis are secondary prevention measures, not primary prevention for falls.

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Correct Answer is D

Explanation

A. While bending the knees helps with body mechanics, twisting the spine should still be avoided.

B. Moving the hips and legs first could lead to twisting the spine if not done correctly, so the spine must be kept aligned during all movements.

C. The client should avoid pulling on side rails or assisting with movement until fully cleared by the physician, as this could put unnecessary strain on the spine.

D. It is essential to maintain spinal alignment and prevent twisting of the spine during repositioning. The client should be turned as one unit to minimize strain on the healing vertebrae.

A. Measure the circumference of the thigh. B. Instruct the client to wiggle his toes. C. Monitor the client's call for edema. D. Palpate the femoral pulse. E. Instruct the client not to take medication prior to ambulating

Correct Answer is B

Explanation

A. Measuring the circumference of the thigh can help assess swelling but does not directly evaluate neurovascular status.

B. Asking the client to wiggle toes assesses motor function and nerve integrity, crucial components of neurovascular assessment.

C. Monitoring for edema is important but does not provide specific information about neurovascular status.

D. Palpating the femoral pulse helps evaluate circulation but is less specific than assessing distal motor function.

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Which are examples of primary prevention techniques to decrease falls that the nurse could suggest for older adults who are living in their own homes? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a herniated disc who has undergone a lumbar laminectomy and diskectomy at L4-5. When assisting the client to move in bed, the nurse should include what specific technique?

Correct Answer is D

Explanation

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

Correct Answer is B

Explanation

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