A home health nurse is educating a student nurse about fall risk factors in the home. Which client would the student identify as having the highest risk of falling, demonstrating understanding of the teaching?
A 68-year-old client with stage 2 thyroid cancer who takes levothyroxine daily
An 82-year-old client with diabetes mellitus who takes metformin daily
A 78-year-old client with decompensated heart failure who is dyspneic on exertion
A 74-year-old client with hypertension taking lisinopril
The Correct Answer is C
A. Although thyroid cancer and medication use can affect health, they are not the most immediate factors influencing fall risk compared to heart failure symptoms.
B. Diabetes mellitus and metformin use are not directly associated with increased fall risk as much as heart failure and its symptoms.
C. Decompensated heart failure and dyspnea on exertion significantly increase fall risk due to decreased physical stability and balance issues.
D. While hypertension and lisinopril can contribute to fall risk, they are less directly impactful than the symptoms of decompensated heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Understanding health promotion can lead to better health outcomes by encouraging preventive behaviors and lifestyle changes that reduce the risk of disease.
B. While serving as a community mentor is valuable, it is not the primary reason for understanding primary prevention strategies for personal health.
C. Emphasizing effort and change might be discouraging; instead, highlighting the benefits of health promotion is more motivating.
D. The geographic environment may influence health behaviors, but the focus should be on the personal benefits of understanding health promotion.
Correct Answer is B
Explanation
A. Palliative focuses on relieving symptoms and improving quality of life of patients and not aggressive treatment. This statement reflects an accurate understanding of palliative care.
B. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, with the goal of improving quality of life for both the patient and the family. It is appropriate at any age and at any stage in a serious illness and can be provided alongside curative treatment.
C. Hospice care is typically for clients expected to live six months or less, not a year or more. This statement reflects a misunderstanding of hospice care criteria.
D. Hospice care can be provided in various settings, including hospitals, and is not restricted to home care only. This statement indicates a lack of understanding of the flexibility of hospice care services.
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