What expected physiological changes of the older adult put them at risk of falls? (Select all that apply).
Reduced muscle strength.
Sensory losses like vision and hearing.
Slowing of reflexes.
Dementia.
Inability to adapt.
Correct Answer : A,B,C
Reduced muscle strength, sensory losses like vision and hearing, and slowing of reflexes are all expected physiological changes of the older adult that can put them at risk of falls.
Reduced muscle strength can make it more difficult for older adults to maintain balance and stability.
Sensory losses like vision and hearing can affect an older adult’s ability to perceive their environment and navigate safely.
Slowing of reflexes can make it more difficult for older adults to react quickly to changes in their environment and prevent falls.
Choice D is not an answer because dementia is not a physiological change but rather a cognitive condition that can increase the risk of falls.
Choice E is not an answer because the inability to adapt is not a specific physiological change but rather a general characteristic that can increase the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Echinacea is known to enhance immunity.
It has been shown to increase the number of white blood cells, which are part of the body’s immune system and help fight off infections.
Ginseng has been shown to increase physical endurance.
Studies have found that it can reduce fatigue and improve physical performance . Aloe vera has been found to promote wound healing.
It contains compounds that can reduce inflammation and improve antioxidant defenses, which can help accelerate the healing process .
Choice A is not correct because there is no evidence that Gingko Biloba causes fibrin clot formation.
Fibrin is a protein that helps in the clotting of blood, but there is no evidence to suggest that Gingko Biloba has any effect on this process.
Choice D is not correct because there is no evidence that Chamomile enhances the immune response to influenza A.
While Chamomile has been found to have some anti-inflammatory and calming effects, there is no evidence to suggest that it can enhance the immune response to influenza A specifically.
Correct Answer is D
Explanation
Encouraging bed rest would be an inappropriate nursing intervention to promote mobility for a client with decreased mobility.
Bed rest can lead to further complications of immobility1.
Choice A is not an answer because teaching the client to do active range of motion (AROM) exercises every 2 hours can help maintain joint mobility and muscle strength2.
Choice B is not an answer because evaluating the client’s need for ambulatory aids can help them move safely and independently1.
Choice C is not an answer because keeping skin clean and dry is important for preventing skin breakdown, which can be a complication of immobility1.
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