A charge nurse is planning an in-service for a group of staff nurses about fall prevention. Which of the following factors should the charge nurse include as increasing a client's risk for falls?
Saline lock
Prescribed mucolytic
Age 60 years or older
Diabetic neuropathy
The Correct Answer is D
A. Saline lock (or peripheral intravenous lock) does not significantly increase the risk for falls by itself.
B. Prescribed mucolytic help loosen mucus but do not specifically increase fall risk.
C. Age 60 years or older can be a risk factor for falls due to changes in balance, strength, and coordination. However, the risk increases significantly with advanced age, making this a relevant factor to consider.
D. Diabetic neuropathy can impair sensation in the feet, increasing the risk of falls due to lack of awareness of foot position and potential injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A decrease in skinfold thickness: A decrease in skinfold thickness could be due to loss of subcutaneous fat, which might not be immediately concerning without other symptoms.
B. A triglyceride level of 150 mg/dL: A triglyceride level of 150 mg/dL is generally considered within normal limits.
C. A random blood glucose reading of 160 mg/dL: A random blood glucose reading of 160 mg/dL is elevated and could indicate impaired glucose tolerance, warranting further investigation.
D. A mole that is dark in color and tender: A dark, tender mole could be a sign of a potentially malignant melanoma and should be evaluated by a provider for further investigation and potential biopsy.
Correct Answer is D
Explanation
A. Cirrhosis of the liver is a risk factor for the development of sleep apnea. Cirrhosis is not a known risk factor for sleep apnea. Risk factors include obesity, large neck circumference, and smoking.
B. People who have sleep apnea fall asleep uncontrollably throughout the day. This describes narcolepsy, not sleep apnea. Sleep apnea may cause daytime sleepiness but not uncontrollable sleep attacks.
C. The most common type of sleep apnea is central sleep apnea. Obstructive sleep apnea is the most common type, not central sleep apnea.
D. Sleep apnea causes airflow through the mouth and nose to stop for at least 10 seconds. This is the correct definition of sleep apnea.
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