A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls?
Chronic obstructive pulmonary disease.
Chronic kidney disease.
Osteoarthritis.
Wide-angle glaucoma.
The Correct Answer is C
Choice A reason: Chronic obstructive pulmonary disease (COPD) can increase the risk of falls due to shortness of breath and general weakness. However, it is not the most significant risk factor compared to the musculoskeletal impact of osteoarthritis.
Choice B reason: Chronic kidney disease may contribute to an overall decline in health and can be associated with anemia or bone mineral disorders, which could indirectly increase fall risk. Nonetheless, it does not directly affect the musculoskeletal system as osteoarthritis does.
Choice C reason: Osteoarthritis is the correct answer because it directly affects the joints, leading to pain, stiffness, and reduced mobility. These symptoms can impair balance and coordination, significantly increasing the risk of falls in clients.
Choice D reason: Wide-angle glaucoma primarily affects vision. While visual impairment is a risk factor for falls, osteoarthritis has a more direct impact on the risk of falling due to its effect on joint function and stability.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.
Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.
Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.
Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.
Correct Answer is C
Explanation
Choice A reason:While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.
Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.
Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment.Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.
Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.
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