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.

Uses a cane to ambulate

Throw rugs in kitchen

Electrical cord on floor over walkway

Grab bar in bathroom

Macular degeneration

Answer and Explanation

Correct Answer : B,C,E

A.   While a cane can be helpful for balance, it doesn't necessarily increase fall risk. In fact, it can help reduce the risk.
B.   Throw rugs can be tripping hazards, especially for individuals with visual impairments like macular degeneration.
C.   Electrical cords can cause tripping and falls, especially in areas with high foot traffic.
D.   A grab bar can actually help prevent falls, especially in the bathroom where there is a risk of slipping.
E.   This eye condition can impair vision, making it difficult to see obstacles and potential hazards, increasing the risk of falls.

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Correct Answer is D

Explanation

A. Holding the cane on the same side as the affected leg can decrease balance and support, making walking more difficult and unsafe.
B. Holding the cane behind the body can lead to instability and increase the risk of falls. The cane should be positioned forward and to the side for better support.
C. While it may seem balanced, it doesn't provide optimal support. The cane should be held to the side for better weight distribution and balance.
D. Holding the cane on the opposite side of the affected leg provides maximum stability and support. The general rule is to move the cane and the affected leg together, allowing for better balance while walking.

A. Alternate between bearing weight on the crutches and the injured leg B. Use the crutches to hop forward without putting weight on the injured leg C. Keep the injured leg elevated at all times D. Lean heavily on the crutches to avoid putting weight on the injured leg

Correct Answer is A

Explanation

A. This is the correct way to walk with crutches. It allows for weight-bearing on the injured leg as tolerated, promoting healing and preventing muscle atrophy.
B. Hopping can put additional stress on the injured leg and other joints, increasing the risk of further injury.
C. While elevating the injured leg can help reduce swelling, it's important to engage in regular weight- bearing exercises to maintain muscle strength and prevent stiffness.
D. Leaning heavily on the crutches can put excessive pressure on the wrists and shoulders, leading to pain and discomfort.

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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.

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Naxlex Comprehensive Predictor Exams

What is the correct way to use a cane while walking?

Correct Answer is D

Explanation

When using crutches, what is the correct way to walk?

Correct Answer is A

Explanation

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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.