Difficulty: Medium
Average Score: 71%
Simulated
A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?
Correct answer
C
Rationale
The correct answer is C: Multiple sclerosis. Multiple sclerosis (MS) can lead to mobility issues, muscle weakness, and coordination problems, increasing the risk of falls. Inguinal hernia (A) is a localized condition and does not directly contribute to fall risk. Hyperlipidemia (B) and hyperthyroidism (D) are metabolic conditions that do not directly affect balance or coordination. In summary, MS is the only condition among the choices that impairs mobility and increases the likelihood of falls.