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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["250"]
Explanation
To calculate the infusion rate, the total volume of the IV fluid (2000 mL) should be divided by the total time of infusion (8 hours). This results in an infusion rate of 250 mL/hr. Therefore, the nurse should set the IV pump to deliver 250 mL of 0.45% sodium chloride (NaCl) per hour to infuse the total volume over the 8-hour period.
Correct Answer is C
Explanation
A. While institutional policies are important, they are not the primary consideration.
B. Availability from the pharmacy is necessary but not the primary factor.
C. Specific characteristics of the medications, such as their pharmacokinetics and pharmacodynamics, are the primary consideration to ensure efficacy and safety.
D. The client's home schedule is important for continuity but must be secondary to the medication's specific requirements.
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