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.
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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Related Questions
Correct Answer is D
Explanation
A. Carbonated beverages can interact with some medications, but they are not as commonly problematic as grapefruit juice.
B. Orange juice does not commonly interact with medications to the same extent as grapefruit juice.
C. Milk can affect the absorption of certain medications, but it is not as broadly problematic as grapefruit juice.
D. Grapefruit juice is known to interact with many medications, potentially leading to dangerous levels of the drug in the bloodstream due to its effect on the cytochrome P450 enzyme system.
Correct Answer is C
Explanation
A. Returning the medication to the pharmacy is not the immediate appropriate action.
B. Giving expired medication can be unsafe and ineffective.
C. Discarding the medication is the correct action to ensure patient safety.
D. Notifying the provider is unnecessary for the immediate action needed to ensure patient safety; discarding the expired medication is the correct step.
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