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Practice Question

An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)

Answer Choices:

Correct Answer:

Pressure ulcers.

Rationale:

Pressure ulcers

🔷 Physical restraints limit mobility, causing prolonged pressure over bony prominences.

🔷 This leads to tissue ischemia and necrosis, increasing the risk for pressure ulcers.

🔷 Immobile elderly clients are at highest risk due to fragile skin.

Death

🔷 Improperly applied restraints can cause asphyxiation, strangulation, or cardiac arrest.

🔷 Elderly patients have limited physiological reserves, making them more vulnerable to fatal complications.

Decreased circulation/perfusion to the extremities

🔷 Tight restraints impair venous return and arterial circulation, leading to ischemia, cyanosis, or nerve damage.

🔷 Prolonged impaired perfusion can cause tissue necrosis or permanent damage.

Fractures

🔷 Struggling against restraints can cause bone fractures, especially in frail older adults with osteoporosis.

🔷 The force applied during agitation increases the risk of musculoskeletal injuries.

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This question is from Smith Chason College- NURS 146 Gero Final Exam which contains 93 questions.

More Questions from This Exam
Diabetes, dementia, Parkinson’s disease, stroke, and vitamin B deficiencies may cause neurological damage leading to what condition?

Answer Choices:

A. Aphasia.
B. Traumatic brain injury (TBI).
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D. Postprandial hypotension (PPH).
E. Fallophobia.
When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

Answer Choices:

A. Heart failure.
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Which of the following is a true statement concerning suicide among older adults?

Answer Choices:

A. Older African American women have the highest risk of suicide among older adults.
B. Older adults and younger adults manifest suicidal intent in a similar manner.
C. A major crisis experienced by the client can contribute to the risk of suicide.
D. Ethics require that the nurse respects a person’s intent to terminate his or her own life.
Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. As a nurse, what do you know you must do to prevent pressure ulcers? (Select all that apply.)

Answer Choices:

A. Turn immobile clients every 2 hours off bony prominences.
B. Use lift or draw sheets to move clients in bed.
C. Keep the moist.
D. Ensure that your client maintains a healthy nutritional status.
E. Apply pressure-relieving devices to vulnerable areas.
From Exam
Smith Chason College- NURS 146 Gero Final Exam

93 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Adult Health
  • Answer Choices: 5
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