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.

Answer and Explanation

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.

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Correct Answer is ["D","A","E","C","B"]

Explanation

A. Making sure the consent is signed and in the patient's chart in a timely manner. B. Verifying the necessity of the surgical procedure before placing the consent in the chart. C. Asking a family member to translate the consent into the language the patient understands. D. Explaining the risks and benefits of the surgical procedure prior to getting a signature.

Correct Answer is

Explanation

Choice A rationale:

Making sure the consent is signed and in the patient's chart in a timely manner is an important step in the consent process. However, the most appropriate action for the nurse in this situation is to verify the necessity of the surgical procedure before placing the consent in the chart. This is crucial to ensure that the patient fully understands the procedure they are consenting to and that it is medically necessary. Verifying the necessity of the surgical procedure helps in preventing unnecessary procedures, promoting patient safety, and adhering to ethical principles.

Choice B rationale:

Verifying the necessity of the surgical procedure before placing the consent in the chart is the most appropriate action for the newly licensed nurse. This step ensures that the procedure is medically necessary, aligns with the patient's condition, and promotes informed decision-making. By confirming the necessity, the nurse upholds the principle of beneficence, ensuring the patient's well-being, and autonomy, allowing the patient to make informed decisions about their healthcare.

Choice C rationale:

Asking a family member to translate the consent into the language the patient understands might be helpful in improving the patient's understanding of the procedure. However, the primary concern in this situation is verifying the necessity of the surgical procedure. While communication is essential, it does not address the core issue of confirming the medical need for the surgery.

Choice D rationale:

Explaining the risks and benefits of the surgical procedure prior to getting a signature is a vital step in the consent process. However, the question specifically asks for the most appropriate action, which is to verify the necessity of the procedure. Explaining the risks and benefits is an important follow-up step after ensuring the procedure's necessity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse identifies the presence of a fire on the medical unit and responds to keep patients as safe as possible.Place the following nurse's actions in correct order by dragging them to the correct order.Use all 5 options.Drag by clicking on the dots.

Correct Answer is ["D","A","E","C","B"]

Explanation

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Correct Answer is

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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?