The nurse is caring for a client on a medical-surgical unit. Which intervention is most important for preventing falls in this client population?

Providing a bedside commode for toileting needs

Placing the client in a private room near the nurses' station.

Implementing hourly rounding to assess the client's needs.

Educating the client on proper use of assistive devices.

Answer and Explanation

The Correct Answer is C

Answer: c. Implementing hourly rounding to assess the client's needs. Explanation: Implementing hourlyrounding to assess the client's needs is the most important intervention for preventing falls in a medical-surgical unit. Regular rounding allows the nurse to monitor the client's condition, address any immediate needs, and provide assistance with mobility or other activities, reducing the risk of falls.

Incorrect choices: a. Providing a bedside commode for toileting needs is important for promoting safe toileting, but it does not address the overall risk of falls. b. Placing the client in a private room near the nurses' station may enhance surveillance, but it does not actively prevent falls. d. Educating the client on proper use of assistive devices is essential, but it is not the most critical intervention for fall prevention in the medical-surgical unit setting.

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Correct Answer is A

No explanation

A. "I will use a nightlight in my bedroom and bathroom. B. I will make sure to rush to answer the phone. C. I will keep my medication bottles on the kitchen counter D. I will wear socks with a smooth sole for better comfort.

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.

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The nurse is caring for a client on a medical-surgical unit. Which intervention is most important for preventing falls in this client population?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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