BSN 205 Final Exam Questions and Answers 100% Pass

BSN 205 Final Exam Questions and Answers 100% Pass An 80-year-old patient with rheumatoid arthritis is being admitted for a procedure where injections will be placed in her back to relieve pain. She reports having fallen less than 1 year ago on icy steps to her house. She is alert and oriented and occasionally uses a cane. She has never smoked, but takes an antihypertensive medication for her blood pressure. Is this patient at risk for a fall? - Answer- Yes A 48-year-old patient is being admitted for surgery. He is alert and oriented and his gait is steady. He does not need any ambulatory devices and denies having a recent fall. He wears glasses. His only medication is an antibiotic for infection. Is this patient a fall risk? - Answer- No An 82-year-old patient is being admitted to the nursing home. Her husband passed away 3 months ago. This patient has fallen twice during that time and has suffered some contusions and a laceration as a result. She wears a hearing aid and glasses, and she uses a cane when she goes outside because her knees "get weak." Inside, she holds onto furniture as she ambulates. She is alert and oriented. Her closest child lives approximately 100 miles away and is in poor health herself. The patient and her family decided on nursing home placement. What factors place her at risk for sustaining a fall now that she is a resident of a nursing home? - Answer- * Being in an unfamiliar environment * Use of hearing aids and glasses * Use of a cane * History of falling * Age There has been an increased number of falls on a busy extended care (recuperative care) unit over the last 6 months. You, the quality improvement nurse, have decided to conduct a meeting for the NAPs regarding safety precautions for preventing falls. What should you include in this in-service? - Answer- *Keeping the bed locked and in low position *Keeping the patient's personal items within reach *Putting nonskid footwear on the patients *Notifying the nurse of patient behaviors that indicate confusion Rationale for performing the timed Get Up and Go Test? - Answer- Determines if patient needs assistance with ambulating Rationale for opening the curtains and look around the patient's room? - Answer- Identified environmental risk factors for falls such as poor lighting, cluttered hallways, wet floors Rationale for noting that the patient takes an antihypertensive for fall risk? - Answer- Specific classes of meds may cause hypotension Rationale for noting that the patient requires opioids for pain management for fall risk? - Answer- Creates risk for patient being drowsy Rationale for determining whether the patient has glasses or a hearing aid for fall risk? - Answer- Sensory impairment increases a patients physical risk factors for falling Rationale for assessing patients memory, ability to identify objects, and orientation for fall risk? - Answer- Physiological impairments such as impaired cognition increases a patients risk for falls What is the purpose of a wedge cushion? - Answer- A seat belt or wedge cushion helps prevent the patient from sliding out of the chair. The NAP is preparing to transfer a patient from a bed to a chai