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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Correct Answer is C
Explanation
A. Beclomethasone is an inhaled corticosteroid used for long-term control, not for acute attacks.
B. Formoterol is a long-acting beta-agonist, which is not intended for immediate relief of acute symptoms.
C. Albuterol is a short-acting beta-agonist (SABA) that is used for quick relief of acute asthma symptoms.
D. Salmeterol is also a long-acting beta-agonist and is not suitable for immediate relief of acute asthma attacks.
Correct Answer is A
Explanation
A. Sleepiness or sedation is a common side effect when starting fluphenazine, but it typically subsides within a week as the body adjusts to the medication.
B. A low-grade fever is not a common or expected side effect of fluphenazine.
C. Stopping the medication abruptly can cause withdrawal symptoms and should be discussed with the provider if hypotension occurs.
D. Fluphenazine does not turn urine orange; this side effect is associated with other medications, such as rifampin.
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