What is an important strategy for fall prevention in older adults?

Encouraging regular exercise and physical activity.

Removing all rugs and carpets from the home.

Encouraging the use of medications that cause drowsiness.

Limiting social activities and outings.

Answer and Explanation

The Correct Answer is A

A.   This is an important strategy for fall prevention. Regular exercise helps improve strength, balance, flexibility, and coordination, which can significantly reduce the risk of falls. Physical activity also enhances overall health and mobility, making it easier for older adults to perform daily tasks safely.
B.   Removing all rugs and carpets can reduce tripping hazards, but it’s not always practical or aesthetically pleasing. Instead, it’s advisable to secure rugs with non-slip backing and ensure they are not placed in high-traffic areas. Therefore, while removing some rugs can be helpful, not all should be removed.
C.   Medications that cause drowsiness can increase the risk of falls by impairing balance, coordination, and alertness. Older adults should be encouraged to discuss their medications with healthcare providers to minimize side effects that may contribute to fall risks.
D.   In fact, social engagement can promote physical activity and mental well-being, both of which can help reduce fall risk. Limiting social activities can lead to isolation, which may negatively impact an older adult's physical and emotional health.

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Correct Answer is A

Explanation

A. As people age, the glands in the ear may produce more cerumen (earwax), and the ear canal may also become narrower, leading to a buildup of wax. This can affect hearing and may require regular cleaning by a healthcare professional.
B. With aging, peripheral vision often decreases due to changes in the retina and other parts of the eye. Older adults may experience difficulties in peripheral awareness, making it harder to detect objects or movements outside their central line of sight.
C. As people age, they may experience decreased sensitivity to touch due to changes in nerve endings and skin elasticity. Many older adults report a reduced sense of touch, which can affect balance and coordination.
D. In fact, older adults typically experience decreased pupil size and a reduced response to changes in light. The pupils may become more fixed and less able to dilate quickly in response to dim light.

A. Increased ability to detect temperature B. Burning sensation in feet C. Loss of sensation to pressure D. Hyperreflexia

Correct Answer is B

Explanation

A. Peripheral neuropathy typically results in a decreased ability to detect temperature changes due to nerve damage. Clients often experience reduced sensation or may not feel temperature variations accurately.
B. This is a common symptom of peripheral neuropathy. Many clients report a burning, tingling, or "pins and needles" sensation in their feet. This phenomenon is often associated with nerve damage, especially in conditions like diabetes.
C. Peripheral neuropathy can lead to diminished or altered sensation, including the inability to sense pressure accurately. Clients may not feel pressure on their feet, which increases the risk of injuries and ulcers.
D. Hyperreflexia refers to increased reflex responses, which may occur with upper motor neuron lesions or central nervous system issues, not peripheral nerve damage. Peripheral neuropathy usually results in diminished reflexes or areflexia.

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What is an important strategy for fall prevention in older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on an older adult client. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is collecting data on a client who has peripheral neuropathy. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

A nurse is assisting with the care of a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?

A nurse is caring for a client who had radiation therapy and is experiencing painful dermatitis. The nurse should identify the client is experiencing which of the following types of pain?

A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?

A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?

A nurse is teaching a client about the benefits of an electronic health record. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?