A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Elevate full-length side rails on both sides of the client's bed.
Place the bedside table 0.9 m (3 feet) away from the bed.
Provide the client with a night light.
Keep the client's room temperature at 18° C (64.4" F).
The Correct Answer is C
A. Elevating full-length side rails on both sides of the client's bed is not recommended, as it can increase the risk of injury if the client tries to climb over them or gets trapped between them.
B. Placing the bedside table 0.9 m away is unrelated to fall prevention.
C. A night light can help the client see better in the dark and avoid tripping or falling over objects.
D. Maintaining the room temperature is important for comfort but doesn't directly prevent falls.
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Related Questions
Correct Answer is C
Explanation
A. Drinking a cup of hot cocoa before bedtime might not be advisable due to the caffeine content, which can interfere with sleep.
B. Exercising vigorously close to bedtime can increase alertness and make it harder to fall asleep.
C. Eating a light carbohydrate snack before bedtime, such as a small amount of cereal or a slice of bread, can promote sleep as carbohydrates increase the availability of tryptophan, which is a precursor to serotonin and melatonin, both associated with sleep.
D. Taking a nap during the day might interfere with nighttime sleep if done too close to bedtime.
Correct Answer is C
Explanation
A. Elevating full-length side rails on both sides of the client's bed is not recommended, as it can increase the risk of injury if the client tries to climb over them or gets trapped between them.
B. Placing the bedside table 0.9 m away is unrelated to fall prevention.
C. A night light can help the client see better in the dark and avoid tripping or falling over objects.
D. Maintaining the room temperature is important for comfort but doesn't directly prevent falls.
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