A nurse at a long-term facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

Institute rounds every 2 hr. during the day to offer toileting.

Keep four side rails up on the beds at night

Apply vest restraints on the residents who are confused

Accompany residents older than 85 years of age during ambulation

Answer and Explanation

The Correct Answer is A

a.   Instituting rounds every 2 hours during the day to offer toileting can help prevent falls by addressing residents' toileting needs and reducing the risk of falls associated with attempting to ambulate to the bathroom independently.
b.   Keeping four side rails up on the beds at night may increase the risk of entrapment and should be avoided as a fall prevention strategy.
c.   Applying restraints, such as vest restraints, is not recommended as a fall prevention measure and may increase agitation and risk of injury.
d.   While providing assistance during ambulation is important, it is not necessary to accompany all residents older than 85 years of age. Ambulation assistance should be provided based on individual assessment of mobility and fall risk.

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Correct Answer is C

Explanation

a. Pharmacist: While a pharmacist may assist with medication-related concerns, they may not be able to address broader financial issues or access to resources.
b. Child protective services: Child protective services are not relevant in this scenario as there is no indication of child neglect or abuse.
c. Social worker: Social workers are trained to assist individuals and families with various social and financial issues, including accessing resources for medical needs.
d. Respiratory therapist: While a respiratory therapist may provide education and support related to asthma management, they may not be able to address the parent's financial concerns directly.

A. Ask the provider to delay the client's discharge home for a few more days. B. Recommend the partner place the client in a long- term care facility. C. Contact the case manager to discuss discharge options. D. Request another family member assist the client's partner with care.

Correct Answer is C

Explanation

a. Delaying the client's discharge without exploring other options may not address the partner's concerns and could lead to further issues.
b. While placing the client in a long-term care facility may be an option, it should be discussed with the case manager and considered alongside other options.
c. Contacting the case manager is appropriate to discuss the partner's concerns and explore alternative discharge arrangements that meet the client's needs.
d. Requesting another family member to assist may not be feasible or address the partner's ability to provide care.

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A nurse at a long-term facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

Nursing Test Bank

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