A nurse is assisting with the care of a client.

Exhibits

A nurse in a providers 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.

Macular degeneration

Uses a cane to ambulate

Electrical cord on floor over walkway

Grab bar in bathroom

Throw rugs in kitchen

Answer and Explanation

Correct Answer : A,B,C,E

A. Macular degeneration affects central vision, impairing the client’s ability to detect hazards and increasing the risk of falls.

B. Using a cane for ambulation indicates mobility limitations, which can increase fall risk, especially if the cane is used improperly or the client is in unfamiliar surroundings.

C. Electrical cords over walkways are environmental hazards that significantly increase the risk of tripping and falling.

D. Grab bars in the bathroom are a safety feature that reduces fall risk, not a contributing factor.

E. Throw rugs in the kitchen are common tripping hazards, especially for individuals with mobility or vision issues, increasing the likelihood of falls.

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Correct Answer is D

Explanation

A. Decrease number of referrals needed for client: An interprofessional team may not necessarily decrease the number of referrals needed.
B. Decrease the number of visits to client by staff: The number of visits may not be directly impacted by the interprofessional team.
C. Increase in length of stay for client: An interprofessional team typically works to optimize care, which may reduce the length of stay.
D. Efficiency in client care services: An interprofessional team improves coordination and efficiency in care, ensuring more streamlined and effective treatment.

A. Gently roll the insulin vial to mi B. Inject the insulin 2.5 cm (1) from the client's naval. C. Aspirate the injection after inserting the needle. D. Administer the insulin into a muscle.

Correct Answer is A

Explanation

A. Gently rolling the vial mixes the insulin suspension without introducing air bubbles, ensuring consistent dosing.

B. Insulin should be injected into subcutaneous tissue and positioned at least 2 inches (5 cm) away from the navel to prevent complications.

C. Aspiration is not necessary for subcutaneous injections, including insulin, as it does not improve safety and may increase discomfort.

D. Insulin is designed for subcutaneous administration, as intramuscular injections can alter absorption rates and lead to unpredictable glucose control.

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A nurse is assisting with the care of a client. Exhibits A nurse in a providers 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.

Nursing Test Bank

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A nurse is assisting with the care of a client.

Exhibits

A nurse in a providers 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.