The nurse is caring for a client with a history of falls. Which statement by the client indicates a need for further education on fall prevention?

"I will make sure to wear my eyeglasses all the time.

I will use the handrails when going up and down the stairs.

I will ask for help when I need to use the bathroom at night

I will keep my room well-lit during the day and night."

Answer and Explanation

The Correct Answer is A

Answer: a. "I will make sure to wear my eyeglasses all the time." Explanation: The statement "I will make sure to wear my eyeglasses all the time" indicates a need for further education on fall prevention. While wearing eyeglasses can improve vision, it is not adirect fall prevention measure. It is important for the client to address other risk factors such as environmental hazards, balance, and mobility.

Incorrect choices: b. "I will use the handrails when going up and down the stairs." This statement demonstrates an understanding of using handrails for support and stability while navigating stairs, which is an appropriate fall prevention measure. c. "I will ask for help when I need to use the bathroom at night." This statement reflects the client's awareness of the need to seek assistance when necessary, reducing the risk of falls during nighttime bathroom visits. d. "I will keep my room well-lit during the day and night." This statement indicates an understanding of the importance of adequate lighting to enhance visibility and prevent falls in the client's room.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Answer: a. Keeping the client's bed in the lowest position. Explanation: Keeping the client's bed in the lowest position is the most appropriate action to prevent falls. A low bed height reduces the risk of injury if the client accidentally falls out of bed.

Incorrect choices: b. Using bed rails to restrict the client's movement is not recommended as it can increase the risk of entrapment or injury. Bed rails should be used judiciously and with caution. c. Providing the client with nonskid footwear is important for promoting stability and preventing slips and falls, but it is not the most crucial intervention in this scenario. d. Administering sedative medications at bedtime increases the risk of falls by affecting the client's balance and alertness. Sedatives should be used sparingly and only when necessary.

A. Implementing a toileting schedule for the client B. Assessing the client's orthostatic blood pressure C. Providing the client with a bed alarm system D. Recommending the use of a cane or walker.

Correct Answer is D

Explanation

the client with a bed alarm system. d. Recommending the use of a cane or walker.

Answer: d. Recommending the use of a cane or walker. Explanation: Recommending the use of a cane or walker is the most appropriate intervention for an older adult client at risk for falls. Assistive devices can provide additional support and stability, helping to maintain balance and reduce the risk of falls.

Incorrect choices: a. Implementing a toileting schedule for the client is important but may not directly address the client's specific fall risk. b. Assessing the client's orthostatic blood pressure is essential for assessing orthostatic hypotension but may not be the most appropriate intervention for addressing fall risk in this scenario. c. Providing the client with a bed alarm system can help alert the nursing staff when the client is attempting to leave the bed, but it does not directly address the client's balance and stability needs.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client with a history of falls. Which statement by the client indicates a need for further education on fall prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is at risk for falls. Which action by the nurse is most appropriate to prevent falls?

Correct Answer is A

Explanation

The nurse is caring for an older adult client who is at risk for falls. Which intervention is most appropriate to address the client's specific fall risk

Correct Answer is D

Explanation

The nurse is caring for a client with a history of falls. Which statement by the client indicates a need for further education on fall prevention?

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

The nurse is caring for a client with a recent history of falls. Which intervention is most important for the nurse to implement?

The nurse is caring for an older adult client who is at risk for falls. Which action by the nurse is most appropriate?

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

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

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

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