he nurse is caring for a client who experienced a fall. Which action by the nurse is most appropriate

Documenting the fall incident in the client's medical record

Conducting a comprehensive fall risk assessment.

Implementing fall prevention interventions for the client.

Reporting the fall to the unit manager

Answer and Explanation

The Correct Answer is C

Answer: c. Implementing fall prevention interventions for the client. Explanation: After a fall, the most appropriate action for the nurse is to implement fall prevention interventions for the client. This includes reassessing the client's risk factors, modifying the environment, and providing necessary support and assistance to prevent future falls.

Incorrect choices: a. Documenting the fall incident in the client's medical record is an essential step but should follow the immediate implementation of fall prevention interventions. b. Conducting a comprehensive fall risk assessment is important, but it should be done as part of the ongoing care and assessment rather than immediately after a fall. d. Reporting the fall to the unit manager is necessary for organizational reporting purposes, but it does not directly address the client's immediate safety needs.

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Correct Answer is A

Explanation

Answer: a. "I will use a nightlight in my bedroom and bathroom." Explanation: The statement "I will use a nightlight in my bedroom and bathroom" indicates understanding of the need for adequate lighting to prevent falls during nighttime activities.

Incorrect choices: b. "I will make sure to rush to answer thephone." This statement demonstrates a misunderstanding of the importance of prioritizing safety over rushing to answer the phone, which may increase the risk of falls. c. "I will keep my medication bottles on the kitchen counter." This statement suggests a potential hazard of leaving medication bottles on the counter, which can increase the risk of falls due to clutter and potential spills. d. "I will wear socks with a smooth sole for better comfort." This statement indicates a lack of understanding of the importance of wearing nonskid footwear to maintain traction and prevent slips and falls. Smooth-soled socks may increase the risk of slipping on smooth surfaces.

A. Providing the client with a walker for ambulation. B. Encouraging the client to perform regular exercise. C. Placing the client in restraints to prevent wandering. D. Administering sedative medications to promote rest.

Correct Answer is A

No explanation

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he nurse is caring for a client who experienced a fall. Which action by the nurse is most appropriate

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge education to a client on fall prevention. Which statement by the client indicates understanding of the instructions

Correct Answer is A

Explanation

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Correct Answer is A

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The nurse is completing a fall risk assessment for a client. Which factor places the client at the highest risk for falls?

he nurse is caring for a client who experienced a fall. Which action by the nurse is most appropriate

A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?