A nurse is assisting with the care of a client.

Exhibits

A nurse in a provider’s office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Choice A reason : This response is patient-centered and collaborative. It acknowledges the client's concerns and preferences, which is crucial in managing diabetes effectively. By involving the client in the decision-making process, the nurse empowers the client to take an active role in their health care. This approach can lead to better adherence to dietary recommendations and improved glycemic control. It is also aligned with the principles of effective communication with patients living with diabetes, which emphasize understanding, empathy, and cultural competency.

Choice B reason : This statement is accusatory and could make the client feel guilty or blamed for their condition. It is not constructive and does not contribute to a positive therapeutic relationship. Diabetes mellitus is a complex disease with multiple risk factors, including genetics, lifestyle, and environmental factors. It is not helpful to oversimplify the cause of the disease to one factor, such as diet alone.

Choice C reason : While this statement may be true for some, it does not acknowledge the individual challenges the client may face in adjusting to a new diet. It is important to recognize that each person's experience with diabetes and dietary changes is unique. A more supportive approach would be to offer guidance and resources to help the client gradually adapt to the changes.

Choice D reason : This statement is presumptive and does not take into account the client's current feelings or potential difficulties they may encounter. While a healthier diet can lead to better health outcomes, it is essential to validate the client's feelings and provide support and education to help them understand the benefits of the dietary changes.

Choice A reason : Dry mouth, also known as xerostomia, is a common side effect of diphenhydramine, an antihistamine used to treat insomnia among other conditions. It occurs because diphenhydramine has anticholinergic properties, which means it inhibits the action of the neurotransmitter acetylcholine. This inhibition can reduce saliva production, leading to a feeling of dryness in the mouth.

Choice B reason : Hypertension, or high blood pressure, is not a typical side effect of diphenhydramine. While some medications, particularly decongestants, can raise blood pressure, diphenhydramine does not usually have this effect. However, individuals with pre-existing heart conditions should consult a healthcare provider before using it.

Choice C reason : Memory loss is not commonly listed as a side effect of diphenhydramine. However, because it can cause drowsiness and has sedative effects, it may lead to temporary forgetfulness or confusion, especially in older adults or when taken in higher doses.

Choice D reason : 'Medications' is not an adverse reaction but rather a general term for drugs used to diagnose, treat, or prevent illness. In the context of diphenhydramine, it would be more appropriate to discuss specific side effects or adverse reactions related to its use.