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. Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.
B. Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.
C. Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.
D. Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.
Correct Answer is C
Explanation
A. 12 or younger: While early onset is a risk factor, it is not as predictive as ages slightly older, where patterns of behaviour are more established.
B. 10 or younger: Very early onset is a risk factor but is less common and less studied.
C. 14 or younger: Research shows that starting alcohol consumption at 14 or younger significantly increases the risk of developing alcohol addiction.
D. 8 or younger: While extremely early onset is concerning, it is less predictive than slightly older ages due to the rarity and less data available.
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