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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Correct Answer is C
Explanation
Choice A reason: While creating diversionary activities for children is important, it is not the priority. These activities can help alleviate stress and provide a sense of normalcy, but they do not address immediate survival needs.
Choice B reason: Helping clients gather needed supplies is also important, but it is secondary to addressing immediate physical needs. Supplies can be essential for comfort and recovery, but the first concern should be life-sustaining measures.
Choice C reason: Addressing the physical needs of clients is the priority in a disaster situation. This includes providing first aid, securing food and water, and ensuring safety. These actions are crucial for survival and must be addressed before other needs.
Choice D reason: Exploring the feelings the clients are experiencing is a part of psychological first aid and is vital for long-term recovery. However, it is not the immediate priority when compared to physical needs, which are essential for survival.
Correct Answer is C
Explanation
A. Echinacea has anti-inflammatory properties that can help reduce pain and swelling associated with arthritis. Studies have shown that echinacea can be effective in managing inflammatory conditions like arthritis, making this a likely indicator of its effectiveness.
B. While echinacea may have some calming effects, it is not primarily used to treat sleep disorders. Therefore, improved sleep is not a direct indicator of echinacea's effectiveness.
C. Echinacea is known for its immune-boosting properties, which can aid in wound healing. However, this is not its primary use, and other factors could contribute to wound healing.
D. Echinacea does not have a significant impact on blood pressure. Therefore, a change in blood pressure is not an indicator of its effectiveness.
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