A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

A. Lanugo: Lanugo is fine, soft hair that often grows on the body as a response to extreme weight loss and decreased body fat, which is common in anorexia nervosa.
B. Cold extremities: Due to the significant reduction in body fat and poor circulation associated with anorexia nervosa, clients often experience cold extremities.
C. Hypotension: Low blood pressure is frequently observed in individuals with anorexia nervosa due to dehydration, electrolyte imbalances, and overall malnutrition.
D. Tooth erosion: This finding is more commonly associated with bulimia nervosa, where frequent vomiting leads to acid erosion of the teeth, rather than anorexia nervosa.
E. Diarrhea: This is not typically associated with anorexia nervosa; clients may experience constipation more frequently due to reduced food intake and low fiber consumption.

A. The goal of palliative care is to prolong the life of a client: The primary goal of palliative care is to improve the quality of life by alleviating symptoms and providing support, rather than specifically prolonging life.
B. Palliative care is not restricted to clients who are terminally ill: Palliative care can be provided to any client with a serious illness, regardless of the stage of their condition. It focuses on comfort and quality of life rather than just end-of-life care.
C. Palliative care should be avoided for a client who is receiving a cure: Palliative care is not mutually exclusive with curative treatment. It can be provided alongside curative therapies to manage symptoms and improve the client’s quality of life.
D. Palliative care is limited to clients who are in a health care facility: Palliative care can be provided in various settings, including at home, in outpatient clinics, and in healthcare facilities. It is not restricted to any particular location.