A nurse is caring for an elderly client living at home. What interventions can the nurse implement to reduce the client’s risk of falling? (Select all that apply)
Keep the stairs well-lit
Use shower chairs and raised toilet seats
Keep stairs free of clutter
Go upstairs swiftly while holding the side rail
Encourage the use of non-slip socks or shoes
Correct Answer : A,B,C,E
Adequate lighting is essential to help the client see the stairs and avoid tripping or falling. Using shower chairs and raised toilet seats can help the client maintain their balance while performing daily activities. Objects on the stairs can cause the client to trip and fall. Encouraging the use of non-slip socks or shoes can improve the client's grip and reduce the risk of slipping.
On the other hand, going upstairs swiftly while holding the side rail is not a recommended intervention as it can increase the risk of tripping or losing balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
False reassurance is a statement that may be intended to comfort or calm the parents, but does not provide any real information or address their concerns. An example of false reassurance in this scenario would be "Don't worry. I'm sure he will be fine."
While the statement "Your child will receive prompt care" and "We care for many 5-year-olds here" are appropriate and true statements, "I have been a pediatric nurse for ten years" is not relevant to the immediate situation and does not provide any information to the parents about their child's condition or care.
Correct Answer is C
Explanation
If a client begins to fall while the nurse is assisting with ambulation, the priority nursing intervention is to guide the client safely to the floor. The nurse should assist the client to fall as safely as possible to prevent further injury. The nurse should also stay with the client, assess their condition, and call for assistance if necessary.
Initiating a code or calling the client's doctor may not be necessary at this time, as the client's condition may not require such drastic measures. Similarly, calling the charge nurse may be helpful, but it is not the priority intervention in this scenario.
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