he nurse is caring for a client who experienced a fall. Which action by the nurse is most appropriate

Documenting the fall incident in the client's medical record

Conducting a comprehensive fall risk assessment.

Implementing fall prevention interventions for the client.

Reporting the fall to the unit manager

Answer and Explanation

The Correct Answer is C

Answer: c. Implementing fall prevention interventions for the client. Explanation: After a fall, the most appropriate action for the nurse is to implement fall prevention interventions for the client. This includes reassessing the client's risk factors, modifying the environment, and providing necessary support and assistance to prevent future falls.

Incorrect choices: a. Documenting the fall incident in the client's medical record is an essential step but should follow the immediate implementation of fall prevention interventions. b. Conducting a comprehensive fall risk assessment is important, but it should be done as part of the ongoing care and assessment rather than immediately after a fall. d. Reporting the fall to the unit manager is necessary for organizational reporting purposes, but it does not directly address the client's immediate safety needs.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Answer: c. Implementing hourly rounding to assess the client's needs. Explanation: Implementing hourlyrounding to assess the client's needs is the most important intervention for preventing falls in a medical-surgical unit. Regular rounding allows the nurse to monitor the client's condition, address any immediate needs, and provide assistance with mobility or other activities, reducing the risk of falls.

Incorrect choices: a. Providing a bedside commode for toileting needs is important for promoting safe toileting, but it does not address the overall risk of falls. b. Placing the client in a private room near the nurses' station may enhance surveillance, but it does not actively prevent falls. d. Educating the client on proper use of assistive devices is essential, but it is not the most critical intervention for fall prevention in the medical-surgical unit setting.

A. Implementing a toileting schedule for the client B. Assessing the client's orthostatic blood pressure C. Providing the client with a bed alarm system D. Recommending the use of a cane or walker.

Correct Answer is D

Explanation

the client with a bed alarm system. d. Recommending the use of a cane or walker.

Answer: d. Recommending the use of a cane or walker. Explanation: Recommending the use of a cane or walker is the most appropriate intervention for an older adult client at risk for falls. Assistive devices can provide additional support and stability, helping to maintain balance and reduce the risk of falls.

Incorrect choices: a. Implementing a toileting schedule for the client is important but may not directly address the client's specific fall risk. b. Assessing the client's orthostatic blood pressure is essential for assessing orthostatic hypotension but may not be the most appropriate intervention for addressing fall risk in this scenario. c. Providing the client with a bed alarm system can help alert the nursing staff when the client is attempting to leave the bed, but it does not directly address the client's balance and stability needs.

View Question and Answer

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

he nurse is caring for a client who experienced a fall. Which action by the nurse is most appropriate

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client on a medical-surgical unit. Which intervention is most important for preventing falls in this client population?

Correct Answer is C

Explanation

The nurse is caring for an older adult client who is at risk for falls. Which intervention is most appropriate to address the client's specific fall risk

Correct Answer is D

Explanation

The nurse is caring for a client with a recent history of falls. Which intervention is most important for the nurse to implement?

The nurse is caring for a client with a history of falls. Which statement by the client indicates a need for further education on fall prevention?

A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?

The nurse is completing a fall risk assessment for a client. Which factor places the client at the highest risk for falls?

The nurse is providing discharge education to a client on fall prevention. Which statement by the client indicates understanding of the instructions

he nurse is caring for a client who experienced a fall. Which action by the nurse is most appropriate

The nurse is caring for an older adult client who is at risk for falls. Which action by the nurse is most appropriate?

The nurse is caring for a client who is at risk for falls. Which action by the nurse is most appropriate to prevent falls?