NCLEX-PN

Category - Safety

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A nurse is tasked to care for 4 clients during the shift. Which client has the greatest risk for falls?

A client who has an abnormal Weber test result
A client with Parkinson’s disease stage II
A young adult client who appears confused
An obese client

Explanation

Answer: B - A client with Parkinson’s disease stage II has the greatest risk for falls. A client with Parkinson’s disease has an unsteady gait and develops tremors that spread to both sides of the body. A client with hearing difficulties as evidenced by an abnormal Weber test result does not have the highest risk. A client with mental confusion has the ability to maintain a steady gait. An obese client is not at high fall risk.

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