Author Question: The nurse is caring for a patient with a frequent history of falls. The nurse notes that which ... (Read 135 times)

shenderson6 · **on:** Jun 25, 2018

The nurse is caring for a patient with a frequent history of falls. The nurse notes that which problems in the patient's history may contribute to frequent falls? (Select all that apply.)

a. Diplopia
b. Vertigo
c. Tinnitus
d. Cirrhosis
e. Ataxia

Question 2

The nurse is caring for a postoperative patient. After instructing the patient to cough and deep-breathe, what action should the nurse take next?

a. Offer a warm drink.
b. Perform mouth care.
c. Deliver oxygen by mask.
d. Take the patient's temperature.

dlook33 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A, B, E
Double vision affects visual acuity and depth perception, vertigo affects equilibrium and balance, and inability to control muscle movements leads to unsteady gaitall problems that may contri-bute to frequent falls. Ringing in the ears and cirrhosis do not overtly increase fall risk.

Answer to Question 2

B
Mouth care should be offered after deep breathing and coughing to clear the mouth of unpleasant taste.