The nurse is completing a fall risk assessment for a client. Which factor places the client at the highest risk for falls?

Age over 65 years.

Use of anticoagulant medications.

History of previous falls.

Presence of sensory deficits.

Answer and Explanation

The Correct Answer is C

Answer: c. History of previous falls. Explanation: A history of previous falls is a significant risk factor for future falls. Clients who have fallen before are more likely to fall again, making it a high-risk factor to consider in fall prevention strategies.

Incorrect choices: a. Age over 65 years is a general risk factor for falls but does not provide as much predictive value as a history of previous falls. b. Use of anticoagulant medications increases the risk of bleeding but does not necessarily indicate a higher risk for falls. d. Presence of sensory deficits, such as visual or auditory impairments, can contribute to fall risk but may not be the highest-risk factor compared to a history of previous falls.

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Correct Answer is A

No explanation

A. "I will use a nightlight in my bedroom and bathroom. B. I will make sure to rush to answer the phone. C. I will keep my medication bottles on the kitchen counter D. I will wear socks with a smooth sole for better comfort.

Correct Answer is A

Explanation

Answer: a. "I will use a nightlight in my bedroom and bathroom." Explanation: The statement "I will use a nightlight in my bedroom and bathroom" indicates understanding of the need for adequate lighting to prevent falls during nighttime activities.

Incorrect choices: b. "I will make sure to rush to answer thephone." This statement demonstrates a misunderstanding of the importance of prioritizing safety over rushing to answer the phone, which may increase the risk of falls. c. "I will keep my medication bottles on the kitchen counter." This statement suggests a potential hazard of leaving medication bottles on the counter, which can increase the risk of falls due to clutter and potential spills. d. "I will wear socks with a smooth sole for better comfort." This statement indicates a lack of understanding of the importance of wearing nonskid footwear to maintain traction and prevent slips and falls. Smooth-soled socks may increase the risk of slipping on smooth surfaces.

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The nurse is completing a fall risk assessment for a client. Which factor places the client at the highest risk for falls?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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