Question

Review Scenario. An adult client is admitted to the hospital for treatment during a relapse of m sclerosis. Upon assessment, a nurse notes several bruises on the client's righ forehead. The client demonstrates weakness and an unsteady gait. When ask reports experiencing a fall at home two days prior to hospitalization, resultin bruises. The client is taking several medications, including an antihypertens antidepressant. The client lives with their spouse and teenage children in a home. Respond to the following questions and provide an evidence-based rationale.

What relevant information is present in the client information related to fall risk?

Answer 1

The client's fall risk factors include bruises on the forehead, weakness, an unsteady gait, and a recent fall at home. Their medication history may also contribute to fall risk.

Step-by-step explanation:

The relevant information present in the client information related to fall risk includes the presence of bruises on the client's right forehead, weakness, and an unsteady gait. The fact that the client experienced a fall at home two days prior to hospitalization, resulting in bruises, is also important. Additionally, the client's medication history, which includes antihypertensives and antidepressants, may be relevant in assessing fall risk.