Home » NCLEX » NCLEX-PN » Which of the following is discovered?
The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?
A. history of dizziness
B. need for wheelchair due to reduced mobility
C. weakness and fatigue noted when climbing stairs
D. intact recent and remote memory
Correct Answer: D
Explanation/Reference:
Explanation:
Intact recent and remote memory indicates that a client is not at risk for falls. Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions.Safety andInfection Control
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