Difficulty: Medium
Average Score: 95%
Simulated
A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
Correct answer
D
Rationale
The correct answer is D: Orthostatic hypotension. This finding indicates a drop in blood pressure upon standing, which can lead to dizziness and falls. A 55-year-old age (choice A) does not inherently indicate fall risk. 20/20 vision (choice B) does not directly correlate with fall risk. Urinary continence (choice C) is not a significant fall risk factor. The presence of orthostatic hypotension (choice D) is a clear indicator of potential falls due to the risk of dizziness and loss of balance.