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 D
Explanation
A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.
B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.
C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.
D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.
Correct Answer is C
Explanation
A. Physical activity. Physical activity levels generally decline with age due to factors like reduced mobility, health issues, and decreased energy levels.
B. Cognition. Cognitive function can decline with age, particularly in areas such as memory, processing speed, and executive function.
C. Sexuality. While sexual function may change with age, interest in and desire for sexual activity can remain relatively stable. Sexuality is often minimally affected compared to other areas like physical activity and cognition.
D. Productivity. Productivity may decline with age due to retirement, physical limitations, or health issues, although it can vary greatly among individuals.
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