Difficulty: Medium
Average Score: 62%
Simulated
Which findings documented in the history of an older client should require the nurse to implement an accident prevention protocol? Select all that apply.
Correct answer
A,B,C,D,F
Rationale
The physiological changes that occur during the aging process increase the client's risk for accidents. Musculoskeletal changes include a decrease in muscle strength and function, lessened joint mobility, and limited range of motion. Sensory changes include a decrease in peripheral vision and lens accommodation, delayed transmission of hot and cold impulses, and impaired hearing as high-frequency tones become less perceptible. Nervous system changes include slowed voluntary and autonomic reflexes. Genitourinary changes may include nocturia.