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The nurse is admitting an older adult female who uses two canes for ambulation. The patient is ...

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The nurse is admitting an older adult female who uses two canes for ambulation. The patient is ...

The nurse is admitting an older adult female who uses two canes for ambulation. The patient is attended by her daughter who quietly reorients her mother several times during the assessment process. The daughter reports that her mother was a smoker for many years, but has not smoked for the last 5 years. The patient wears incontinence underwear and has problems with constipation. The nurse would evaluate which of these findings as key risk factors from the Hendrich II Fall Risk Model?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The patient is female.
2. The patient has a history of using tobacco.
3. The patient wears incontinence underwear.
4. The patient requires frequent reorientation.
5. The patient uses a cane.

Textbook

High-Acuity Nursing

Edition: 6^th

Authors: Wagner, Hardin-Pierce

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