Claire's daughter brings her in today after Claire fell at her home. Which assessments are indicated at this time?
A) Orthostatic vital signs
B) Review of her medications
C) Assessment of gait and balance
D) All of the above
D) All of the above
Falls are common in the elderly and can often result in serious injuries. When assessing the cause of falls, gait and balance should be checked first. Medication, particularly use of more than three, is associated with falls. Vision problems, lower-limb joint problems, and cardiovascular problems such as arrhythmias may be reasonable to search for. Orthostatic vital sign changes should be sought.
You might also like to view...
A patient is experiencing anaphylaxis. Which of the following medications will most likely be administered?
A) Epinephrine B) Norepinephrine C) Acetylcysteine (Mucomyst) D) Dantrolene sodium (Dantrium)
When taking a health history from a client with lung cancer, the nurse would most likely expect to find which modifiable primary risk factor?
A) Cigarette smoking B) Pipe smoking C) Cigar smoking D) Secondhand smoke
Which newborn testing must be performed prior to discharge from the hospital? (Select all that apply.)
a. Pulse oximetry b. Hearing c. Guthrie d. Hypothyroidism e. Galactosemia
When obtaining a health history and physical assessment for a 36-year-old female patient with possible multiple sclerosis (MS), the nurse should
a. assess for the presence of chest pain. b. inquire about urinary tract problems. c. inspect the skin for rashes or discoloration. d. ask the patient about any increase in libido.