PN Adult Medical Surgical Practice Exam

What factor can increase a client's risk for falls after total knee arthroplasty?

1. Being active the previous day.

2. Confusion or disorientation.

3. Wearing compression stockings.

4. Increasing fluid intake.

The correct answer is: Confusion or disorientation.

Confusion or disorientation significantly increases a client's risk for falls after total knee arthroplasty. These cognitive impairments can lead to decreased awareness of surroundings, impaired judgment, and difficulty with spatial orientation. Clients may not recognize their limitations or the need to use assistive devices, such as walkers or crutches, which are essential for maintaining safety during the recovery process. After surgery, clients may also be on pain medications that can further contribute to confusion or disorientation. This combination of factors makes it crucial for healthcare providers to assess cognitive function regularly and implement safety measures, such as a fall risk assessment and appropriate supervision. In contrast, being active the previous day typically indicates a level of mobility that can promote recovery, while wearing compression stockings is designed to prevent venous thromboembolism and should not inherently increase fall risk. Similarly, increasing fluid intake, when done appropriately, supports hydration and can aid recovery without directly impacting fall risk, provided that it’s managed to prevent excessive urgency or frequency issues.