Asked by Isabella Wright on Jun 03, 2024

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A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patient's history and physical. (Select all that apply.)

A) Being a woman
B) Taking more than six medications
C) Having hypertension
D) Having cataracts
E) Muscle strength 3/5 bilaterally
F) Incontinence

Falls Prevention

Falls prevention involves strategies aimed at reducing the incidence and risk of falls, especially in older adults, to minimize injury and improve quality of life.

Muscle Strength

The ability of a muscle or group of muscles to exert force against resistance.

Hypertension

A chronic medical condition where the blood pressure in the arteries is persistently elevated, posing risks for heart disease and stroke.

  • Recognize the factors contributing to fall risks in patients and formulate prevention strategies.
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RS
Roshan SinghJun 06, 2024
Final Answer :
B, D, E, F
Explanation :
Adverse effects of medications can contribute to falls. Cataracts impair vision, which is a risk factor for falls. Poor muscle strength is a risk factor for falls. Incontinence of urine or stool increases risk for falls. Men have a higher risk for falls. Hypertension itself does not contribute to falls. Taking medications to treat hypertension that may lead to hypotension and dizziness is a fall risk. Dizziness does contribute to falls.