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 A

Explanation

A. Electronic health records (EHRs) allow for immediate access to a patient's health information, improving coordination of care and enabling timely decision-making.
B. EHRs actually improve coordination of care by providing real-time access to patient information for multiple healthcare providers.
C. While some EHR systems offer patient portals, this is not a core advantage of electronic documentation itself.
D. EHRs can help reduce duplicate testing by providing access to previous test results and preventing unnecessary procedures.

A. Increase in cerumen in the ear canal. B. Increased peripheral vision. C. Increased sensitivity to touch. D. Increase in size of pupils.

Correct Answer is A

Explanation

A. As people age, the glands in the ear may produce more cerumen (earwax), and the ear canal may also become narrower, leading to a buildup of wax. This can affect hearing and may require regular cleaning by a healthcare professional.
B. With aging, peripheral vision often decreases due to changes in the retina and other parts of the eye. Older adults may experience difficulties in peripheral awareness, making it harder to detect objects or movements outside their central line of sight.
C. As people age, they may experience decreased sensitivity to touch due to changes in nerve endings and skin elasticity. Many older adults report a reduced sense of touch, which can affect balance and coordination.
D. In fact, older adults typically experience decreased pupil size and a reduced response to changes in light. The pupils may become more fixed and less able to dilate quickly in response to dim light.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reinforcing teaching with a newly licensed nurse about the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is collecting data on an older adult client. Which of the following findings should the nurse expect?

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.