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 D

Explanation

A. Acute pain typically causes an increase in blood pressure, not a decrease.
B. Acute pain often leads to decreased, not hyperactive, bowel sounds due to sympathetic nervous system activation.
C. Acute pain typically causes an increase in respiratory rate, not a decrease.
D. Increased heart rate is a common physiological response to acute pain due to the activation of the sympathetic nervous system.

A. Institutional policies regarding routine medications B. Time at which the medication can be available from the pharmacy C. Specific characteristics of the medications D. Schedule of administration that the client follows at home

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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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

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

Correct Answer is D

Explanation

A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

Correct Answer is C

Explanation

A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?

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A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions?

A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication?

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A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

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