To verify the correct patient, procedure, and surgery, which of the following should be done?

Choice A rationale
Ensuring that the patient has been adequately monitored is important, but it is not the first step when considering the use of restraints. The nurse should first explore alternative interventions.
Choice B rationale
Proceeding with the application of restraints without considering alternatives can lead to unnecessary use of restraints, which can cause physical and psychological harm to the patient.
Choice C rationale
Exploring alternative interventions to address the patient’s behavior is the first step. Restraints should only be used as a last resort when other interventions have failed.
Choice D rationale
Obtaining verbal consent from the patient’s family is important, but it is not the first step. The nurse should first explore alternative interventions.

Choice A rationale
Poor balance and muscle weakness are significant risk factors for falls among older adults. These conditions can make it difficult for individuals to maintain stability and recover from a loss of balance, increasing the likelihood of falls.
Choice B rationale
Vision impairment is a well-known risk factor for falls. Poor vision can make it difficult for individuals to see obstacles and navigate their environment safely, leading to an increased risk of falls.
Choice C rationale
Medications that cause dizziness are a common risk factor for falls. Many medications, including those for blood pressure, pain, and anxiety, can have side effects that affect balance and coordination, increasing the risk of falls.
Choice D rationale
Regular physical activity is not a risk factor for falls. In fact, regular exercise can improve strength, balance, and coordination, reducing the risk of falls. Physical activity is often recommended as a preventive measure to help older adults maintain their mobility and independence.