A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

The client has a nonslip bath mat in his shower.

The client uses a raised toilet seat.

The client takes alprazolam.

The client wears fitted slippers.

Answer and Explanation

The Correct Answer is C

A. A nonslip bath mat is a safety measure that should help prevent falls.
B. A raised toilet seat can help prevent falls by making it easier for the client to sit and stand.
C. Alprazolam, a benzodiazepine, can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls in older adults.
D. Wearing fitted slippers is generally a safety measure to prevent falls.

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Correct Answer is C

Explanation

A. Potassium levels are important but not directly influenced by lithium.
B. Vitamin C is important for overall health but not specifically related to lithium therapy.
C. Sodium intake is crucial because low sodium levels can increase lithium toxicity, while high sodium levels can reduce lithium effectiveness.
D. Vitamin K is important for blood clotting but not related to lithium therapy.

A. The client developed a tolerance to the medication B. The client is experiencing episodes of confusion C. The client not been taking the medication properly. D. The client has become addicted to the medication.

Correct Answer is A

Explanation

A. Tolerance to opioids like morphine means that over time, the client needs higher doses to achieve the same level of pain relief.
B. Episodes of confusion do not explain the need for increased doses of morphine.
C. Improper medication administration could lead to underdosing, but this is less likely than tolerance in the context of terminal cancer pain management.
D. Addiction is characterized by compulsive use despite harm, but increased dosing for pain relief in a terminally ill client is more likely due to tolerance.

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A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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