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.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
The statement “There is no genetic link to an increased risk for a gambling disorder” is incorrect. Research has shown that there may be a genetic predisposition to developing gambling disorders, similar to substance use disorders.
Choice B rationale
The statement “Gambling behaviors can increase during times of stress” is correct. Stress is a known trigger for many addictive behaviors, including gambling. Individuals may use gambling as a coping mechanism to escape from or manage stress.
Choice C rationale
The statement “A person must gamble at least four to six times per month to have a gambling disorder” is incorrect. The frequency of gambling does not determine whether a person has a gambling disorder. Instead, it is the impact of gambling on a person’s life and their inability to control their gambling behavior that characterizes a gambling disorder.
Choice D rationale
The statement “Family members should provide financial assistance during times of increased gambling” is incorrect. Providing financial assistance can enable the gambling behavior and prevent the individual from experiencing the consequences of their actions, which may delay the recognition of the problem and seeking help.
Correct Answer is D
Explanation
Choice A rationale
Notifying spiritual support personnel about a client who requests a visit is an important aspect of holistic care, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice B rationale
Requesting a dietitian consult for a client who asks for information about a vegan diet is important for the client’s nutritional health, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice C rationale
Asking social services to inform a client about community support organizations is a valuable part of discharge planning, but it is not the nurse’s priority action when reviewing information
to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice D rationale
This is the correct answer. Informing the physical therapist of activity restrictions for a client following a hip arthroplasty is the nurse’s priority action when reviewing information to report to other members of the interprofessional team. This information is crucial for the physical therapist to plan appropriate therapy and to ensure the client’s safety during therapy sessions.
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