CRNE Canadian Registered Nurse

Category - Professionalism

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A nurse is reviewing an elderly client’s records. The nurse determines that the risk of falls for the client is increased by which of the following?

Cranial nerve I dysfunction
A blood pressure of 120/90
Urinary tract infection diagnosis
A blood glucose of 100 mg/dl

Explanation

Answer: C - Urinary tract infections have been associated with changes in the sensorium. Cranial nerve VIII dysfunction, low blood pressure, and low blood glucose can increase the risk for falls.

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