The client has been admitted and placed on fall precautions. The nurse explains to the patient that interventions for the precautions include: (Select All that Apply)
Placing a high risk for falls armband on the patient
Checking on the patient once a shift
Keep the bed in the lowest position
Placing all four side rails in the "up" position
Maintain call light within reach of the patient
Correct Answer : A,C,E
A. Placing a high risk for falls armband on the patient: An armband alerts all healthcare providers to the patient's fall risk, helping to ensure appropriate precautions are taken.
B. Checking on the patient once a shift: This is not sufficient; patients on fall precautions should be checked more frequently, such as every hour or according to the facility's protocol, to ensure their safety.
C. Keep the bed in the lowest position: Keeping the bed at its lowest position reduces the risk of injury from falls and helps ensure the patient can easily get in and out of bed.
D. Placing all four side rails in the "up" position: Using all four side rails is not recommended as it can increase the risk of entrapment and may not be effective in preventing falls. Side rails should be used appropriately and in accordance with safety protocols.
E. Maintain call light within reach of the patient: Ensuring the call light is within reach helps the patient call for assistance if needed, which can help prevent falls.
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Related Questions
Correct Answer is C
Explanation
A. Being a victim of a crime: This is typically considered an acute stressor as it represents a single, intense event.
B. Motor vehicle accident: This also represents an acute stressor because it is a specific event with a defined beginning and end.
C. Living in poverty: This is an example of chronic stress as it involves ongoing, persistent stress over an extended period of time, affecting multiple aspects of life.
D. Loss of a loved one: While this is a significant stressor, it is often acute because it refers to a specific event. Chronic stress involves continuous or repeated stress over time.
Correct Answer is B
Explanation
A. Inhibits release of endorphins: Exercise actually stimulates the release of endorphins, which are chemicals in the brain that help reduce pain and improve mood. Thus, this statement is incorrect.
B. Improves sleep: Exercise is known to enhance sleep quality by promoting better sleep patterns and reducing insomnia. This is a well-documented benefit of regular physical activity.
C. Decreases energy: Exercise typically increases overall energy levels rather than decreasing them. Regular physical activity helps in maintaining stamina and reducing fatigue.
D. Decreases stress: While exercise does help in managing stress, the primary benefit related to the is the improvement in sleep. Stress reduction is also a significant benefit but not the focus here.
E. Increases mood: Exercise can indeed elevate mood through the release of endorphins and other neurochemicals. However, improving sleep is a more direct and specific benefit related to the about exercise's benefits.
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