Recognizing that falls are a significant source of morbidity among older adults, the manager of a geriatric medical unit is conducting a workshop for the health care team on fall prevention
Which of the following patients would the care providers most likely anticipate being at a potentially high risk for falls?
A)
A 76-year-old woman with diagnoses of Parkinson disease and orthostatic hypotension
B)
A 78-year-old woman admitted for rheumatoid arthritis exacerbation and uncontrolled diabetes mellitus
C)
An 81-year-old woman with exacerbation of her chronic obstructive pulmonary disease (COPD) and increasing shortness of breath
D)
An 80-year-old man with benign prostatic hyperplasia and consequent urinary retention
Ans:
A
Feedback:
Parkinson disease and orthostatic hypotension are both considered common contributors to falls. The health problems cited in answers B, C, and D are not as strongly correlated with falls in older adults.
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Your patient complains of left upper quadrant pain, fever, extreme fatigue, and spontaneous bruising. The clinician should recognize that these symptoms are often related to:
A. Hematopoetic disorders B. Hepatomegaly C. Esophageal varices D. Pleural effusion
A person who was seriously hurt in a mugging has been experiencing flashbacks. Which statements indicate that the individual has a good understanding of how to manage the flashbacks? Select all that apply
A) "I try to imagine a safe place." B) "I try to imagine a safety 'container.'" C) "I name one thing I can see in the room, one thing I can hear, one thing I can sense in my body." D) "I breathe fast to get rid of negative, intrusive thoughts." E) "I try to relive the incident to feel stronger."
The nurse is making a first visit with a client receiving home care for COPD. Which of the following safety measures should the nurse take when driving to, and walking into, the client's home?
A) Use isolated stairs instead of the elevator in apartment buildings. B) Lock the car doors after putting things away in the car. C) Check agency guidelines before giving a ride to a client. D) Park the car on a side street, not right in front of the client's residence.
When patients are administered medications using the buccal route, they should be taught to alternate ________ with each dose to avoid mucosal irritation.
Fill in the blank(s) with the appropriate word(s).