A nurse is assisting with the care of a client.
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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While obtaining blood work is important for assessing the client's physical health, it is primarily a biomedical approach and does not necessarily encompass the holistic view of the client's overall well- being. It focuses on specific physiological data rather than the broader picture.
B. Requesting medication for pain relief addresses the physical aspect of pain management, but it does not consider the emotional, psychological, or social factors that may be contributing to the client’s chronic pain. This approach is more traditional and less holistic.
C. Checking oxygen saturation is a vital sign assessment that helps evaluate respiratory function. While it's important for overall health, it does not address the specific needs of a client experiencing chronic pain or provide a holistic view of their condition.
D. Deep breathing techniques can help reduce anxiety, promote relaxation, and manage pain, addressing both the physical and emotional aspects of the client's experience.
Correct Answer is C
Explanation
A. This action is important for maintaining balance during the move, but it should be done after establishing a strong base of support.
B. Engaging core muscles can help protect the nurse's back during lifting and moving, but it's not the first step in the process.
C. This provides a strong base of support, which is crucial for safe and efficient patient repositioning.
D. While raising the bed can help reduce the nurse's bending and straining, it's not the initial step. Proper body mechanics should be prioritized first.
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