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    Ati nurs 538 med surg proctored exam 2 (geatrics)
    Select All That Apply

    You are visiting a client in the home to conduct a fall risk assessment. The nurse assess the client and the home for extrinsic risk factors for falls. Which of the following are extrinsic risk factors? (Select all that apply.)

    Explanation & Rationale

    A. Using a cane that is not the appropriate size is an extrinsic (environmental or equipment-related) risk factor because it involves improper use of assistive devices. B. An unsteady gait is an intrinsic factor, related to the individual's physical condition or mobility. C. A cluttered home presents environmental hazards and is clearly an extrinsic factor that increases the risk of tripping or falling. D. Taking medications that cause orthostatic hypotension is an intrinsic factor because it relates to internal physiological effects of medication. E. Lack of grab bars in the bathroom is an extrinsic environmental hazard that limits safety and support during movement.

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