Which of the following actions can help reduce falls in older adults?
Encouraging the use of sedatives to promote better sleep.
Removing tripping hazards from the home.
Ensuring proper lighting in all areas of the home.
Avoiding the use of diuretics at night.
The Correct Answer is B
Choice A rationale
Encouraging the use of sedatives to promote better sleep is incorrect. Sedatives can increase the risk of falls in older adults due to their side effects, such as dizziness and impaired coordination. It is important to use non-pharmacological methods to promote sleep and reduce fall risk.
Choice B rationale
Removing tripping hazards from the home is a key action to reduce falls in older adults. This includes securing loose rugs, keeping walkways clear, and ensuring that cords and other objects are not in areas where they could cause a trip. By creating a safer environment, the risk of falls is significantly reduced.
Choice C rationale
Ensuring proper lighting in all areas of the home is also important for fall prevention. Adequate lighting helps older adults see potential hazards and navigate their environment safely. This includes using nightlights in hallways and bathrooms and ensuring that all rooms are well-lit.
Choice D rationale
Avoiding the use of diuretics at night can help reduce the need for nighttime bathroom trips, which can be a fall risk. However, this choice alone is not as comprehensive as removing tripping hazards, which addresses multiple potential fall risks in the home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Any competent adult regardless of age or health status can create an advance directive. Advance directives are legal documents that allow individuals to specify their preferences for medical care in case they become unable to communicate their wishes. Competence is the key requirement, meaning the individual must be able to understand and make decisions about their medical care.
Choice B rationale
Only individuals with terminal illnesses is incorrect. While individuals with terminal illnesses may benefit from having an advance directive, it is not a requirement. Advance directives are available to any competent adult, regardless of their health status.
Choice C rationale
Only individuals over the age of 65 is incorrect. Advance directives can be created by any competent adult, regardless of age. It is important for all adults to consider having an advance directive to ensure their medical preferences are known and respected.
Choice D rationale
Only individuals with chronic medical conditions is incorrect. While individuals with chronic medical conditions may benefit from having an advance directive, it is not a requirement.
Advance directives are available to any competent adult, regardless of their health status.
Correct Answer is B
Explanation
Choice A rationale
Evaluation is the phase of the nursing process where the nurse assesses the effectiveness of the interventions and determines whether the patient’s goals have been met. Checking blood sugar before administering insulin is not part of the evaluation phase.
Choice B rationale
Assessment is the phase of the nursing process where the nurse gathers information about the patient’s condition. Checking the client’s blood sugar before administering insulin is an assessment activity, as it involves collecting data to determine the patient’s current blood glucose level.
Choice C rationale
Planning is the phase of the nursing process where the nurse develops a plan of care based on the assessment data. Checking blood sugar is not part of the planning phase; it is an assessment activity.
Choice D rationale
Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the plan of care. While administering insulin is part of the implementation phase, checking blood sugar is an assessment activity that occurs before the implementation of the intervention.
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