Which nursing intervention is appropriate for preventing falls in a hospitalized patient with impaired mobility?

Providing a clutter-free environment with clear pathways.

Using bed rails to restrict patient movement.

Administering sedatives to promote restfulness.

Leaving the patient unattended during ambulation.

Answer and Explanation

The Correct Answer is A

Providing a clutter-free environment with clear pathways reduces the risk of falls and promotes a safe ambulatory environment for patients with impaired mobility.

Incorrect choices:

b. Bed rails are not recommended as a fall prevention measure due to the potential for entrapment and other associated risks. They should only be used when necessary and based on an individualized assessment.

c. Administering sedatives can increase the risk of falls by causing drowsiness and impaired cognition. It is not a suitable fall prevention intervention.

d. Leaving the patient unattended during ambulation increases the risk of falls. Patients with impaired mobility should not be left unattended.

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Correct Answer is B

Explanation

Patients who undergo surgery are at an increased risk for developing deep vein thrombosis (DVT) due to the immobility associated with the postoperative period.

Incorrect choices:

a. While hypertension is a risk factor for cardiovascular diseases, it does not increase the risk of DVT specifically.

c. Regular exercise is a protective factor against DVT, as it promotes circulation and venous return.

d. Diabetes is a risk factor for peripheral vascular disease, but it does not directly increase the risk of DVT.

A. Encouraging frequent ambulation and leg exercises. B. Administering sedatives to promote restfulness. C. Applying cold compresses to the lower extremities. D. Limiting fluid intake to prevent swelling.

Correct Answer is A

Explanation

Encouraging frequent ambulation and leg exercises helps prevent venous stasis and promotes blood flow, reducing the risk of venous thromboembolism (VTE) in immobile patients.

Incorrect choices:

b. Administering sedatives can increase the risk of VTE by promoting immobility and reducing leg movement. It is not an appropriate preventive measure.

c. Applying cold compresses to the lower extremities does not directly prevent VTE. Warm compresses may be used to promote circulation, but prevention strategies primarily focus on mobilization and blood flow promotion.

d. Limiting fluid intake does not directly prevent VTE. Adequate hydration should be maintained to promote circulation and prevent complications such as dehydration and urinary tract infections.

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Which nursing intervention is appropriate for preventing falls in a hospitalized patient with impaired mobility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient is at the greatest risk for developing deep vein thrombosis (DVT) due to immobility?

Correct Answer is B

Explanation

Which intervention is important for preventing venous thromboembolism (VTE) in an immobile patient?

Correct Answer is A

Explanation

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