The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

Fever

A decrease in venous return

Orthostatic hypotension

Dehydration

Answer and Explanation

The Correct Answer is C

A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.

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Correct Answer is B

Explanation

A. Age 55 and above: Age 55 is often considered middle-aged or early retirement age, not typically categorized as older adulthood.
B. Age 65 and above: The term older adulthood usually applies to individuals aged 65 and above, aligning with common retirement age and eligibility for senior benefits.
C. Age 75 and above: Age 75 is considered older adulthood but does not encompass all individuals typically categorized as older adults.
D. Age 70 and above: While age 70 is within the range of older adulthood, it does not include those aged 65 to 69, who are also considered older adults.

A. Moderate B. Panic C. Mild D. Severe

Correct Answer is D

Explanation

A. Moderate: Moderate anxiety typically involves increased alertness and focus, not severe physiological changes.

B. Panic: Panic is characterized by extreme dread and inability to function, often with a sense of unreality.

C. Mild: Mild anxiety involves slight discomfort and can enhance learning and performance.

D. Severe: Severe anxiety includes significant physiological responses (elevated vital signs) and a sense of impending doom.

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The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When discussing aging, to whom does the term older adulthood apply?

Correct Answer is B

Explanation

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?

Correct Answer is D

Explanation

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