A home health nurse is assessing the health history of a new client.
Which of the following conditions should the nurse identify as increasing the client’s risk for falls?
Wide-angle glaucoma.
Chronic kidney disease.
Chronic obstructive pulmonary disease.
Osteoarthritis.
The Correct Answer is D
Choice A rationale
Wide-angle glaucoma is a type of eye condition that can affect vision, but it is not typically associated with an increased risk of falls.
Choice B rationale
Chronic kidney disease can have many effects on the body, but it is not typically identified as a direct risk factor for falls.
Choice C rationale
Chronic obstructive pulmonary disease (COPD) can cause shortness of breath and fatigue, which could potentially contribute to instability. However, it is not one of the most common conditions associated with an increased risk of falls.
Choice D rationale
Osteoarthritis can cause pain and stiffness in the joints, which can lead to mobility issues and an increased risk of falls. Therefore, a nurse should identify osteoarthritis as a condition that increases a client’s risk for falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Airborne precautions are recommended for a client who has laryngeal tuberculosis. This is because tuberculosis is an airborne disease, meaning it is spread through the air when a person with active tuberculosis in their lungs or throat coughs, sneezes, speaks, or sings.
Choice B rationale
A protective environment is not specifically required for a client with laryngeal tuberculosis. This type of precaution is typically used for patients who are severely immunocompromised, such as those undergoing stem cell transplants.
Choice C rationale
Contact precautions are not necessary for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread by direct or indirect contact, which is not the case with tuberculosis.
Choice D rationale
Droplet precautions are not recommended for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread through droplets in the air, such as influenza or pertussis, but tuberculosis requires airborne precautions due to the smaller size and longer airborne life of the tuberculosis bacteria.
Correct Answer is C
Explanation
Choice A rationale
Requesting a referral for a social worker may be beneficial in some cases, but it is not the most appropriate initial response. The nurse should first seek to understand the client’s feelings and concerns.
Choice B rationale
Discussing the client’s wishes with their provider is important, but it should come after understanding the client’s perspective. The nurse should respect the client’s autonomy and privacy.
Choice C rationale
This is the correct answer. The nurse should ask the client why they do not want to continue treatment. This allows the nurse to understand the client’s perspective, provide emotional support, and ensure that the client is making an informed decision.
Choice D rationale
Instructing the client to change their advance directives first is not the most appropriate initial response. While advance directives are important legal documents that express a client’s wishes for medical treatment, the nurse should first seek to understand the client’s feelings and concerns.
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