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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
b. Develop learning objectives for the program: This step is essential as it sets the foundation for what the educational program aims to achieve. Learning objectives define what participants should be able to do or know after completing the program. They guide the content and structure of the educational session.
a. Determine what skills to teach the staff members: Once the learning objectives are established, the nurse can identify the specific skills or knowledge areas that need to be taught to achieve those objectives. This step involves analyzing the functionality of the new intravenous pump and identifying the key competencies that staff members need to develop.
c. Identify resources available to meet objectives: After determining the skills to teach, the nurse should assess the resources available to deliver the educational content effectively. This may include educational materials, equipment, personnel, and facilities needed to conduct the training session.
d. Review the staff member's evaluation of the program: Evaluation is crucial to assess the effectiveness of the educational program and identify areas for improvement. By reviewing staff members' evaluations of the program, the nurse can gather feedback on the content, delivery, and overall impact of the training session, allowing for continuous quality improvement in future educational endeavors.
Correct Answer is A
Explanation
- A) Knowing the time the client received his last dose of pain medication is crucial for continuity of care, ensuring that the client receives their next dose on time and pain management is consistent.
- B) Personal beliefs about the client's relationships are not relevant to the medical care and should remain confidential unless it directly impacts the care plan.
- C) While important, the detailed steps for wound care will be included in the client's care plan and are not typically communicated during a change-of-shift report unless there is a change or an issue.
- D) The client's preferred time for bathing is a part of personal care preferences and, while important for client comfort, is not critical information for a change-of-shift report unless it affects immediate care needs.
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