BSN 205 Final Week 3&4 Verified
Questions Merged With Correct
Complete Solutions || Already Graded
A+ || 2026-2027 Latest Update!!!
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 patient’s
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 patient’s 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 chair. What
equipment should the NAP have? - ANSWER-A gait belt should be
used when transferring a patient from the bed to a chair.
As a student nurse, you are writing a care plan for a hospitalized
patient. You have determined the nursing diagnosis "risk for falls
related to unfamiliar environment." You have also developed the
following outcomes: (1) patient and family demonstrate use of call
light to obtain assistance, and (2) patient and family state reasons why
safety devices are used. What other expected outcome would be most
Questions Merged With Correct
Complete Solutions || Already Graded
A+ || 2026-2027 Latest Update!!!
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 patient’s
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 patient’s 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 chair. What
equipment should the NAP have? - ANSWER-A gait belt should be
used when transferring a patient from the bed to a chair.
As a student nurse, you are writing a care plan for a hospitalized
patient. You have determined the nursing diagnosis "risk for falls
related to unfamiliar environment." You have also developed the
following outcomes: (1) patient and family demonstrate use of call
light to obtain assistance, and (2) patient and family state reasons why
safety devices are used. What other expected outcome would be most
