*NURSING > EXAM > NR 443 Chapter 20: Falls | VERIFIED SOLUTION (All)

NR 443 Chapter 20: Falls | VERIFIED SOLUTION

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What recommendation should a nurse make to the family of a patient diagnosed with ataxia when preparing discharge to home? a. Remove all scatter rugs from the home. b. Rearrange the bedroom furnitur ... e. c. Arrange for someone to stay with the patient 24 hours a day. d. Purchase oversized shoes so that they are easy to get on. What should be the first intervention when a nurse finds that a patient has fallen? a. Ask the patient to stand up. b. Document the fall according to agency policy. c. Remove or correct the cause of the fall. d. Assess the circumstances of the fall and any injuries sustained. What should discharge planning for a patient who lives alone and is at high risk for falling include? a. Cannot go home unless someone is with him all the time b. Must go to a long-term care facility c. Can wear devices around the neck that can signal for help d. Needs to be aware of the dangers of living alone . A nurse is caring for an older adult patient who has undergone a total hip replacement. What is the best action to reduce the risk of further injury? a. Leave all the lights on in the room at night. b. Leave the side rails down at all times to enable the patient to get to the bathroom quickly. c. Keep the call bell and other frequently used items in easy reach. d. Keep the bed in the high position to discourage the patient from getting out of bed without assistance. A nurse is talking to the family of a patient who has fallen several times. What should be the most important intervention for preventing falls for the nurse to relay to this family? a. Prevention b. Hospitalization c. Continuous observation d. Restraint [Show More]

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