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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hard-milled soap: Hard-milled soaps can be less irritating than other types, but it’s more about the ingredients rather than the milling process.
B. Perfumed soap: Perfumed soaps often contain alcohol and other chemicals that can dry and irritate the skin, making pruritus worse.
C. Lotion soap: Lotion soaps often contain moisturizers and can be less drying, so they are generally recommended for dry skin.
D. Antibacterial soap: Antibacterial soaps can be harsh and drying due to the active ingredients that kill bacteria.
Correct Answer is C
Explanation
A. Skeletal x-ray: Skeletal x-rays can show bone loss but are not sensitive enough for early detection of osteoporosis.
B. Calcium blood level: Blood calcium levels do not directly indicate bone density.
C. Bone density scan: Bone density scans (DEXA scans) are the gold standard for diagnosing osteoporosis and assessing fracture risk.
D. CAT scan: CAT scans are not typically used for assessing bone density.
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