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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bed rest orders may limit activity, but leg exercises are usually encouraged as soon as possible to prevent venous stasis unless contraindicated by the doctor.
B. Performing leg exercises lying on the stomach is less common and may be uncomfortable or contraindicated depending on the surgery.
C. Starting leg exercises before and immediately after surgery promotes circulation and helps prevent venous stasis and deep vein thrombosis.
D. Lifting both legs off the bed at once is a strenuous activity not typically recommended for preventing venous stasis and may not be safe postoperatively.
Correct Answer is C
Explanation
A. The head nurse may supervise but does not assume full legal responsibility for another nurse’s actions.
B. Health care providers are responsible for their own orders and care, not the nurse’s actions.
C. The nurse is individually legally responsible and accountable for their own actions and decisions in client care.
D. The hospital may have some liability under certain circumstances, but legal responsibility primarily rests with the individual nurse.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.