A nurse is conducting a fall risk assessment for a patient.
Which of the following factors would increase the patient’s risk of falling?

The presence of a grab bar in the bathroom.

An electrical cord lying across a walkway.

The patient has macular degeneration.

There are throw rugs in the kitchen.

The patient uses a cane to ambulate.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale

The presence of a grab bar in the bathroom is actually a safety measure that can help prevent falls. It provides support for the patient when they are getting up or moving around, reducing the risk of a fall.

Choice B rationale

An electrical cord lying across a walkway is a tripping hazard and would increase the patient’s risk of falling. It is important to keep walkways clear of clutter and potential obstacles to prevent falls.

Choice C rationale

Macular degeneration can affect the patient’s vision, making it difficult for them to see obstacles or changes in the walking surface. This can increase their risk of falling.

Choice D rationale

Throw rugs in the kitchen can easily slip or bunch up, creating a tripping hazard. They should be secured with non-slip backing or removed to reduce the risk of falls.

Choice E rationale

While a cane can provide support and improve balance, it also indicates that the patient has mobility issues, which increases their risk of falling. It is important that the patient uses the cane correctly and that it is the right height for them.

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Free Nursing Study Resources

Correct Answer is ["75"]

Explanation

Step 1 is to divide the total volume of TPN by the total time in hours.

So, 1800 mL ÷ 24 hr = 75 mL/hr.

A. Colonoscopy B. Endoscopic retrograde cholangiopancreatography (ERCP) C. Upper GI series D. Upper GI endoscopy .

Correct Answer is A

Explanation

Choice A rationale

A colonoscopy is the standard investigation for colorectal cancer. It allows for the visualization of the entire colon and rectum, and can also allow for the removal of polyps and the taking of biopsies if needed.

Choice B rationale

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver, not rectal cancer.

Choice C rationale

An upper GI series, which involves X-rays of the esophagus, stomach, and small intestine, would not be used for screening for rectal cancer.

Choice D rationale

An upper GI endoscopy, which involves the use of a flexible endoscope to visualize the esophagus, stomach, and duodenum, would not be used for screening for rectal cancer.

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A nurse is conducting a fall risk assessment for a patient.Which of the following factors would increase the patient’s risk of falling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer is ["75"]

Explanation

A nurse is planning care for a patient who requires screening for rectal cancer. Which of the following tests should the nurse anticipate in the patient’s plan of care?

Correct Answer is A

Explanation

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A nurse is conducting a fall risk assessment for a patient.
Which of the following factors would increase the patient’s risk of falling?