Practice Question
The nurse assesses an older adult client who was bought to the emergency department after falling in the bathroom at home. The client says, “There was water on the bathroom floor, and I slipped and fell." What assessment finding leads the nurse to believe that the client’s fall may have been related to urinary incontinence?
Answer Choices:
Correct Answer:
Strong odor of urine on clothing.
Rationale:
🟢 The presence of a strong urine odor on the client’s clothing indicates that urinary incontinence likely occurred before or during the fall.
🟢 In older adults, incontinence often causes them to rush to the bathroom, increasing the risk of slipping on urine or falling due to urgency.
🟢 This finding links the fall directly to bladder control issues, rather than solely to mobility limitations or assistive device use.
🟢 Identifying incontinence as a contributing factor helps guide interventions such as toileting schedules, bladder training, or continence products.
🟢 Addressing the underlying urinary problem can reduce the risk of future falls and injuries.
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This question is from Examplify-Health Assessment 2025 which contains 43 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Health Assessment
- Answer Choices: 4