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.
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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Related Questions
Correct Answer is B
Explanation
d. Ensuring the client has adequate lighting in the room.
Answer: b. Encouraging the client to use the call bell for assistance. Explanation: Encouraging the client to use the call bell for assistance is the most important intervention for fall prevention. It promotes the client's involvement in their own safety and ensures that help is readily available when needed.
Incorrect choices: a. Placing a sign on the client's room door indicating fall risk is a helpful visual reminder, but it does not actively prevent falls. c. Providing a nonskid mat on the floor beside the client's bed can reduce the risk of slipping but does not address other factors that contribute to falls. d. Ensuring the client has adequate lighting in the room is important for preventing falls, but it is not the most critical intervention. The client's ability to seek assistance when needed is more crucial.
Correct Answer is A
Explanation
Answer: a. Keeping the client's bed in the lowest position. Explanation: Keeping the client's bed in the lowest position is the most appropriate action to prevent falls. A low bed height reduces the risk of injury if the client accidentally falls out of bed.
Incorrect choices: b. Using bed rails to restrict the client's movement is not recommended as it can increase the risk of entrapment or injury. Bed rails should be used judiciously and with caution. c. Providing the client with nonskid footwear is important for promoting stability and preventing slips and falls, but it is not the most crucial intervention in this scenario. d. Administering sedative medications at bedtime increases the risk of falls by affecting the client's balance and alertness. Sedatives should be used sparingly and only when necessary.
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