Example Care Plan_Risk for Fall

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?

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.

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?

The student nurse is reviewing the chart of an assigned client and notes that the client has bone resorption. Which of the following would the student expect to see when assessing this client?

A 70-year-old client is at the primary care clinic for a routine physical exam. The nurse is talking to the client about changes in nutrition needs as an older adult. Which type of nutrient is the client at the greatest risk of a deficiency?

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?

A nurse is helping a client to get up out of bed after hip replacement surgery. Which action would the nurse implement that would most likely prevent a fall in this client?

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 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 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?

An older adult client presents to the emergency room with a suspected hip fracture. Which of the following is an expected finding? Select all that apply.

A client with osteoporosis asks the nurse why it is important to take vitamin D. Which response by the nurse is correct?

The nurse is caring for a 70-year-old female with osteoporosis admitted for pneumonia. The nurse knows to implement which of the following precautions?