Example Care Plan_Risk for Fall

An 86-year-old client is transferred from the long-term care facility to the hospital for treatment after falling in the hallway. The staff tell the nurse that the client is normally not a fall risk and has been healthy and active, with little to no cognitive impairments. Upon admission, the client’s laboratory workup indicates severe dehydration. Which of the following manifestations of dehydration would more likely develop in an older adult? Select all that apply.

The risk management nurse at a long-term care facility is reviewing the facility’s data related to recent client falls. The nurse should consider which of the following as a risk factor for client falls? Select all that apply.

A home care nurse is working with a client who is a fall risk. The nurse notes that the client uses a step stool in the kitchen and has many items placed high in the cupboards. Which information should the nurse provide that would best help this client to stay safe?

A nurse is filling out a fall risk assessment on a client who is considered to be at high risk of injury due to falls. Which of the following information is documented as part of the fall risk assessment?

A 70-year-old client has been diagnosed with osteoporosis after suffering an arm fracture when bumping into a counter. The client’s husband asks the nurse why his wife’s arm was broken so easily. Which of the following statements are correct about osteoporosis? Select all that apply.

A client with osteoporosis asks the nurse how to prevent fractures from the condition. The nurse should tell the client to avoid which of the following positions?

The nurse notes a biphosphonate is due to be administered based on a client’s medication administration record. Which of the following is an appropriate nursing consideration for this client?

A nurse is helping a client who is non-weight bearing on the left leg take a shower. Which of the following items are necessary for the non-weight bearing client to transfer successfully into the shower? Select all that apply.

The nurse is caring for a client who is taking a bisphosphonate. The nurse knows that this medication is given for which of the following conditions? Select all that apply.

The nursing student hears the term “kyphosis” while receiving bedside report with a preceptor on an elderly client. The student correctly understands that this term refers to which of the following?

Which of the following are risk factors for osteoporosis? Select all that apply.

The community health nurse is educating a group of individuals about osteoporosis. Which of the following are risk factors for osteoporosis? Select all that apply.

A home care nurse is working with a client who is a fall risk. The nurse notes that the client uses a step stool in the kitchen and has many items placed high in the cupboards. Which information should the nurse provide that would best help this client to stay safe?

A 70-year-old client has been diagnosed with osteoporosis after undergoing a bone mineral density test. When reviewing the results of the test, the nurse explains to the client that the T score is which of the following?