During the admission assessment, the nurse assesses the patient for fall risk. Which of the following has the greatest potential to increase the patient's risk for falls?
a. The patient is 59 years of age.
b. The patient walks 2 miles a day.
c. The patient takes Benadryl (diphenhydramine) for allergies.
d. The patient recently became widowed.
ANS: C
Benadryl (diphenhydramine) has the potential to cause drowsiness and dizziness as a side effect, thereby increasing the risk for falls. Over 60 is the age typically found on fall assessments that increase the risk for falls. Walking has many benefits, including increasing strength, which would be beneficial in decreasing risk. Becoming widowed would increase stress and may affect concentration but is not the greatest risk.
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