Difficulty: Medium
Average Score: 70%
Simulated
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct answer
B
Rationale
The correct answer is B: The client takes an antihypertensive medication. Antihypertensive medications can cause dizziness or orthostatic hypotension, increasing the risk of falls. Other choices are incorrect because: A: Secured wires are not a direct fall risk. C: Rubber-sole shoes may actually decrease fall risk by providing better traction. D: Visual acuity of 20/40 is suboptimal but not a direct fall risk.