Which of the following actions can help reduce falls in older adults?

Encouraging the use of sedatives to promote better sleep.

Removing tripping hazards from the home.

Ensuring proper lighting in all areas of the home.

Avoiding the use of diuretics at night.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Encouraging the use of sedatives to promote better sleep is incorrect. Sedatives can increase the risk of falls in older adults due to their side effects, such as dizziness and impaired coordination. It is important to use non-pharmacological methods to promote sleep and reduce fall risk.
Choice B rationale
Removing tripping hazards from the home is a key action to reduce falls in older adults. This includes securing loose rugs, keeping walkways clear, and ensuring that cords and other objects are not in areas where they could cause a trip. By creating a safer environment, the risk of falls is significantly reduced.
Choice C rationale
Ensuring proper lighting in all areas of the home is also important for fall prevention. Adequate lighting helps older adults see potential hazards and navigate their environment safely. This includes using nightlights in hallways and bathrooms and ensuring that all rooms are well-lit.
Choice D rationale
Avoiding the use of diuretics at night can help reduce the need for nighttime bathroom trips, which can be a fall risk. However, this choice alone is not as comprehensive as removing tripping hazards, which addresses multiple potential fall risks in the home.

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Correct Answer is C

Explanation

Choice A rationale
A 30-year-old male patient with an active GI bleed requiring multiple blood transfusions is not suitable for assignment to an LPN. This patient is unstable and requires close monitoring and frequent assessments, which are beyond the LPN’s scope of practice. The RN should manage this patient to ensure proper care and timely interventions.
Choice B rationale
A 55-year-old male patient who is post-surgery and ready for discharge, requiring discharge instructions, is also not suitable for assignment to an LPN. Discharge instructions involve comprehensive education and assessment of the patient’s understanding, which are responsibilities of the RN. The RN must ensure the patient comprehends the instructions and can safely manage their care at home.
Choice C rationale
A 40-year-old diabetic patient requiring re-teaching on insulin administration is the best choice for assignment to an LPN. This patient is stable and the task of re-teaching insulin administration falls within the LPN’s scope of practice. The LPN can effectively provide education and ensure the patient understands how to administer insulin correctly.
Choice D rationale
A newly admitted patient is not suitable for assignment to an LPN. New admissions require comprehensive assessments and care planning, which are responsibilities of the RN. The RN must evaluate the patient’s condition, develop a care plan, and initiate appropriate interventions.

A. I will keep the fluorescent ceiling light on in my room at night. B. I will keep my walker at the end of my bed. C. I will place grip bars in my shower to use when I bathe. D. I will place an area rug at the entry of my bathroom.

Correct Answer is C

Explanation

Choice A rationale
Keeping the fluorescent ceiling light on at night can cause glare and disrupt sleep, which is not ideal for safety. It may also create shadows that can be disorienting.
Choice B rationale
Keeping the walker at the end of the bed is not practical. The walker should be within easy reach to ensure the client can use it immediately upon getting out of bed.
Choice C rationale
Placing grip bars in the shower is a correct and effective safety measure. Grip bars provide stability and support, reducing the risk of falls while bathing.
Choice D rationale
Placing an area rug at the entry of the bathroom can be a tripping hazard. Rugs can slip or bunch up, increasing the risk of falls.

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Which of the following actions can help reduce falls in older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient below is best assigned to the LPN?

Correct Answer is C

Explanation

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is C

Explanation

To verify the correct patient, procedure, and surgery, which of the following should be done?

A nurse is teaching a group of older adults about fall prevention. Which strategy is most effective for this audience?

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