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

"I will use a nightlight in my bedroom and bathroom.

I will make sure to rush to answer the phone.

I will keep my medication bottles on the kitchen counter

I will wear socks with a smooth sole for better comfort.

Answer and Explanation

The Correct Answer is A

Answer: a. "I will use a nightlight in my bedroom and bathroom." Explanation: The statement "I will use a nightlight in my bedroom and bathroom" indicates understanding of the need for adequate lighting to prevent falls during nighttime activities.

Incorrect choices: b. "I will make sure to rush to answer thephone." This statement demonstrates a misunderstanding of the importance of prioritizing safety over rushing to answer the phone, which may increase the risk of falls. c. "I will keep my medication bottles on the kitchen counter." This statement suggests a potential hazard of leaving medication bottles on the counter, which can increase the risk of falls due to clutter and potential spills. d. "I will wear socks with a smooth sole for better comfort." This statement indicates a lack of understanding of the importance of wearing nonskid footwear to maintain traction and prevent slips and falls. Smooth-soled socks may increase the risk of slipping on smooth surfaces.

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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 a bedside commode for toileting needs B. Placing the client in a private room near the nurses' station. C. Implementing hourly rounding to assess the client's needs. D. Educating the client on proper use of assistive devices.

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.

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

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

Correct Answer is C

Explanation

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