A charge nurse is teaching a newly licensed nurse about fall prevention. Which of the following should the nurse include in the teaching?
Provide under-bed lighting at night
Lock the wheels on the bed
Keep the bed in the high position
Apply socks on clients when ambulating
Place brakes on the clients’ wheelchairs
The Correct Answer is A
Fall prevention involves managing a patient’s underlying fall risk factors and optimizing the hospital’s physical design and environment1. Providing under-bed lighting at night can help reduce the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Postural hypotension, also known as orthostatic hypotension, is a form of low blood pressure that occurs when standing up from a sitting or lying down position 1. An effective intervention for postural hypotension would be one that helps to prevent a significant drop in blood pressure when the client changes position. A small decrease in systolic blood pressure, such as from 110 mm Hg to 105 mm Hg, would indicate that the intervention is effective in preventing a larger drop in blood pressure.
Correct Answer is A
Explanation
To maintain skin integrity and decrease the risk of infection, it is important to keep the skin clean and well lubricated1. Using a moisturizer on your skin after cleaning can help to maximize lipid barriers and prevent dryness2. It is also important to avoid hot water during bathing as it can increase dryness and cause cracked skin2.
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