The nurse is implementing interventions to reduce the number of falls in the health care facility.
What action is best for the nurse to implement?
Provide non-slip footwear to patients during their stay.
Keep the bed in high position to allow for ease of care.
Institute a policy requiring a sitter for all patients above the age of 60.
Avoid using a night light in the room to promote sleep.
The Correct Answer is C
Choice A rationale:
Providing non-slip footwear to patients during their stay is a good preventive measure, but it only addresses the risk of falls related to slippery floors. It does not address the overall fall risk, especially for elderly patients who may need constant supervision and assistance.
Choice B rationale:
Keeping the bed in a high position for ease of care might seem practical, but it increases the risk of falls when the patient attempts to get out of bed. Lowering the bed reduces the risk of injury if a fall occurs and is a more appropriate intervention.
Choice C rationale:
Instituting a policy requiring a sitter for all patients above the age of 60 is the best option among the choices provided. Elderly patients are at a higher risk of falls due to various factors such as weakened muscles, balance issues, and medication side effects. Having a dedicated sitter ensures constant supervision, timely assistance, and prompt intervention if the patient attempts to get out of bed, significantly reducing the risk of falls.
Choice D rationale:
Avoiding the use of a night light in the room to promote sleep is not a recommended intervention. While promoting sleep is essential for overall patient well-being, patient safety should always be the priority. Providing adequate lighting, especially at night, reduces the risk of falls and other accidents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Sharing a positive and educational experience, such as witnessing a lung transplant, demonstrates enthusiasm for the nursing profession and a willingness to learn. It also respects patient privacy as it doesn't disclose any patient's personal information. This kind of post reflects professionalism and genuine interest in the field.
Choice B rationale:
Posting about working with prisoners from the federal prison can be inappropriate and breach patient confidentiality. It is essential to respect patients' privacy and not disclose sensitive information on social media platforms. Sharing such information can lead to legal and ethical consequences.
Choice C rationale:
Posting about having a great day at clinical is a positive and general statement. However, it lacks specific details and does not contribute significantly to the professional image of the nursing student. While it is not necessarily inappropriate, sharing more educational and insightful experiences would be more beneficial.
Choice D rationale:
Posting negative comments about the food at XYZ Hospital is unprofessional and disrespectful. It reflects negatively on the hospital and could damage professional relationships. Additionally, it does not contribute to the nursing student's growth or demonstrate any meaningful engagement with the nursing profession.
Correct Answer is ["B","E"]
Explanation
Choice A rationale:
Using correction fluid to correct an erroneous written entry is not appropriate as it can obscure the information and raise questions about the accuracy of the documentation. It is better to strike through the error with a single line, write the correct information, and sign and date the correction.
Choice B rationale:
Documenting changes in the patient's status is crucial for ensuring continuity of care and keeping all healthcare providers informed about the patient's condition.
Choice C rationale:
Leaving a blank line for the charge nurse to add additional documentation is not recommended. Each entry should be complete and include all relevant information at the time of documentation.
Choice D rationale:
Planning to finish charting the procedure after returning from a break is not appropriate. Charting should be done in real-time to ensure accuracy and timeliness of the information.
Choice E rationale:
Charting using military (24-hour) time is appropriate as it reduces confusion and ensures a standardized way of documenting time across different healthcare settings.
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