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    Ati Fundamentals Proctored Exam(Applied Nursing Skills)

    A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

    Explanation & Rationale

    A. While it may cause discomfort or pain, an inguinal hernia does not significantly increase fall risk. B. Elevated lipid levels primarily affect cardiovascular health and are not directly associated with falls. C. This condition can cause symptoms like weight loss, tremors, and palpitations, but it is not a primary risk factor for falls unless severe and untreated. D. MS can cause muscle weakness, spasticity, impaired balance, and coordination deficits, which significantly increase the risk of falls.

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