What type of vital signs should be assessed when a patient reports feeling lightheaded when standing?
3 Medications That Increase Fall Risk Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Medications That Increase Fall Risk, test your knowledge, and prepare for your next test or exam.
For a complete medication reconciliation, include prescription, over-the-counter, and products.
An older adult feels drowsy and unsteady after starting a medicine for sleep. Which medication group is most likely contributing to these effects?
- A
Sedative-hypnotics
- B
Antacids
- C
Topical emollients
- D
Stool softeners
A patient taking a diuretic feels lightheaded when standing and is making more trips to the bathroom. What is the best nursing response?
- A
Tell the patient to stop taking the diuretic.
- B
Assess symptoms and orthostatic vital signs, assist with safe transfers and toileting, and report findings to the prescriber.
- C
Advise the patient to restrict fluids without further assessment.
- D
Document the complaint only if the patient falls.
Select all medication groups that may increase fall risk through effects such as sedation, dizziness, impaired balance, or slowed reaction time.
- A
Opioids
- B
Benzodiazepines
- C
Antidepressants
- D
Antipsychotics
- E
Anticonvulsants, including gabapentinoids
- F
Antihypertensives
According to the material, concurrent use of how many or more specified CNS-active medication classes is identified as increasing fall and fracture risk? Enter a number.
The fall risk associated with a medication can depend on the specific medicine, its dose, its combination with other medicines, and the patient.
- A
True
- B
False
During a fall-risk review, note when symptoms occur in relation to .
During a medication-related fall-risk assessment, which findings should the nurse ask the patient about? Select all that apply.
- A
Dizziness
- B
Drowsiness
- C
Unsteadiness
- D
Favorite foods
- E
Preferred television programs
A patient has fallen twice recently and takes an opioid, a benzodiazepine, and a gabapentinoid. Which concern and nursing action are most appropriate?
- A
The combination may increase sedation and fall risk; assess alertness, gait, and recent falls, then promptly coordinate a medication review with the prescriber or pharmacist.
- B
The medicines cannot affect falls when taken as prescribed.
- C
Stop all three medicines immediately.
- D
Focus only on the patient’s footwear.
A medication associated with falls should always be discontinued in an older adult.
- A
True
- B
False
After assessing a possible medication-related fall concern, what should the nurse do about treatment changes?
- A
Change the prescribed dose to reduce fall risk.
- B
Communicate the assessment findings to the prescriber or pharmacist for medication review.
- C
Tell the patient to stop the medicine until the next appointment.
- D
Wait to report the concern unless another fall occurs.
An older adult reports drowsiness, unsteadiness, and recent falls. Describe a safe nursing approach to assessing possible medication-related risk and responding to the findings.
What type of vital signs should be assessed when a patient taking a diuretic reports feeling lightheaded when standing?
A patient taking a diuretic feels lightheaded when standing and is rushing to the bathroom more often. What is the best nursing response?
- A
Tell the patient to stop taking the diuretic.
- B
Assess the symptoms and orthostatic vital signs, assist with safe transfers and toileting, and report findings to the prescriber.
- C
Advise the patient to restrict fluids without further assessment.
- D
Document the complaint only if the patient falls.
True or false: A diuretic can increase fall risk only by causing sedation.
- A
True
- B
False
During a fall-risk review, which approach best ensures a complete medication reconciliation?
- A
Review prescription medicines only.
- B
Review prescription and over-the-counter medicines, but exclude herbal products.
- C
Reconcile prescription, over-the-counter, and herbal products.
- D
Review herbal products only if the patient has already fallen.
Alongside the prescriber, which healthcare professional can help review a patient's medication regimen for fall risk?
A patient reports occasional dizziness during a fall-risk review. Which information would best help clarify possible patterns in the symptoms?
- A
Record whether symptoms occur after medication doses or position changes.
- B
Assume symptoms are unrelated to medicines unless a fall occurs.
- C
Ask only whether the patient has changed the dose independently.
- D
Record symptoms only when they occur during sleep.
A patient who has fallen twice recently takes an opioid, a benzodiazepine, and a gabapentinoid. Which concern and nursing action are most appropriate?
- A
The combination may increase sedation and fall risk; assess alertness, gait, and recent falls, then coordinate a medication review.
- B
The medicines cannot affect falls when taken as prescribed.
- C
Stop all three medicines immediately.
- D
Focus only on the patient's footwear.
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