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

Removing tripping hazards from the client's environment.

Providing the client with nonskid footwear.

Educating the client on the correct use of handrails.

Assisting the client with toileting and ambulation.

Answer and Explanation

The Correct Answer is A

Answer: a. Removing tripping hazards from the client's environment. Explanation: Removing tripping hazards from the client's environment is the most important intervention for preventing falls. It helps create a safe and hazard-free environment, reducing the risk of accidental falls.

Incorrect choices: b. Providing the client with nonskid footwear is important for promoting stability and preventing slips and falls but may not address all potential fall risks. c. Educating the client on the correct use of handrails is essential, but it may not be the most critical intervention compared to removing environmental hazards. d. Assisting the client with toileting and ambulation is important, but it focuses on direct assistance rather than eliminating hazards from the environment.

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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.

A. Providing the client with a walker for ambulation. B. Encouraging the client to perform regular exercise. C. Placing the client in restraints to prevent wandering. D. Administering sedative medications to promote rest.

Correct Answer is A

No explanation

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

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