A nurse working in a long-term care facility is instituting interventions to prevent falls. Which intervention is an appropriate alternative to the use of restraints for ensuring client safety and preventing falls?
Keep the client sedated with tranquilizers.
Allow the client to use the bathroom independently.
Maintain a high bed position so the client will not attempt to get out unassisted.
Involve family members in the client's care.
The Correct Answer is D
A. Sedating clients with tranquilizers can increase fall risk due to dizziness and impaired cognition.
B. Allowing a client to use the bathroom independently without assessment may increase fall risk if the client requires assistance.
C. Maintaining a high bed position is unsafe and increases fall risk; beds should be kept in the lowest position to prevent injury from falls.
D. Involving family members in care provides additional supervision and support, promoting safety and reducing the need for restraints.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pain is expected but usually temporary and less harmful.
B. Minor bleeding is common and generally not serious.
C. Discomfort is temporary and less significant compared to other risks.
D. Infection poses the greatest harm because it can lead to serious complications such as bloodstream infections.
Correct Answer is B
Explanation
A. Renal insufficiency does not directly increase risk for foot problems as much as diabetes does.
B. Type 2 diabetes significantly increases the risk of foot difficulties due to potential neuropathy and poor circulation, making this client most at risk.
C. Paraplegia increases risk for skin breakdown but diabetes poses a higher risk for foot ulcers and infections.
D. Coronary artery disease affects the heart but is less directly linked to foot complications compared to diabetes.
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