When assessing your client who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)
Hearing
Vision
Cognitive disorders
Preprandial hypotension
Orthostatic hypotension
Correct Answer : B,C,D,E
A. Hearing.
While hearing impairment can affect overall awareness, it is not as directly linked to the risk of falls as vision, cognitive disorders, and blood pressure-related issues.
B. Vision.
Correct. Visual impairment can contribute to an increased risk of falls.
C. Cognitive disorders.
Correct. Cognitive impairment or disorders can impact a person's awareness and ability to navigate their environment safely.
D. Preprandial hypotension.
Correct. Low blood pressure before meals (preprandial hypotension) can contribute to dizziness and falls, especially in older adults.
E. Orthostatic hypotension.
Correct. Orthostatic hypotension, a drop in blood pressure upon standing, is a risk factor for falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Use cool or tepid water.
Explanation: Using cool or tepid water for activities like sponge baths or cool compresses can help lower body temperature and provide relief from heat.
B. Avoid alcohol.
Explanation: Alcohol can contribute to dehydration. Advising the client to avoid alcohol helps maintain proper hydration levels, which is crucial in preventing hyperthermia.
C. Minimize exertion.
Explanation: Excessive physical exertion in high temperatures can lead to overheating. Advising the client to minimize physical activity during peak heat hours can help prevent hyperthermia.
D. Wear cool clothing such as silk or polyester.
Explanation: Light and breathable fabrics like silk or polyester can assist in keeping the body cool by allowing better air circulation. This helps prevent overheating.
E. Drink plenty of fluids.
Explanation: Staying well-hydrated is essential in preventing hyperthermia. Encouraging the client to drink plenty of fluids helps maintain hydration and regulate body temperature.
Correct Answer is ["A","C","D","E"]
Explanation
A. Optimize physical health
Explanation: A person-centered community focuses on promoting and optimizing the physical health of its residents. This may include access to healthcare services, wellness programs, and activities that support overall well-being.
B. Provide financial assistance
Explanation: While financial considerations can impact an individual's overall well-being, providing financial assistance is not a standard component of a person-centered community. The focus is more on holistic care, social engagement, independence, and addressing basic needs. Financial assistance is often managed through external programs or services.
C. Provide social engagement
Explanation: Social engagement is a crucial component of person-centered care. Communities that prioritize person-centered care create environments that foster social interaction, community involvement, and meaningful connections among residents.
D. Maximize independence
Explanation: Person-centered communities aim to maximize the independence of their residents. This involves tailoring care and support to the individual's needs while empowering them to maintain autonomy and control over their daily lives.
E. Address basic needs
Explanation: Addressing basic needs is fundamental in a person-centered community. This includes ensuring that residents have access to essential necessities such as food, shelter, and personal care to create a supportive and dignified living environment.
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