Which nursing intervention is appropriate for preventing falls in a hospitalized patient with impaired mobility?

Providing a clutter-free environment with clear pathways.

Using bed rails to restrict patient movement.

Administering sedatives to promote restfulness.

Leaving the patient unattended during ambulation.

Answer and Explanation

The Correct Answer is A

Providing a clutter-free environment with clear pathways reduces the risk of falls and promotes a safe ambulatory environment for patients with impaired mobility.

Incorrect choices:

b. Bed rails are not recommended as a fall prevention measure due to the potential for entrapment and other associated risks. They should only be used when necessary and based on an individualized assessment.

c. Administering sedatives can increase the risk of falls by causing drowsiness and impaired cognition. It is not a suitable fall prevention intervention.

d. Leaving the patient unattended during ambulation increases the risk of falls. Patients with impaired mobility should not be left unattended.

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Correct Answer is A

Explanation

Encouraging frequent changes in position helps prevent contractures by promoting joint mobility and preventing prolonged pressure on specific areas.

Incorrect choices:

b. Applying heat packs to stiff joints may provide temporary relief but does not address the underlying issue of immobility or prevent contractures.

c. Administering muscle relaxants is not the standard intervention for preventing contractures. The focus should be on promoting mobility and range of motion exercises.

d. Using soft restraints to immobilize the extremities is not an appropriate intervention for preventing contractures. Restraints should only be used when necessary and as a last resort, considering the patient's safety and autonomy.

A. Encouraging the patient to remain in bed to conserve energy. B. Assisting the patient with passive range of motion exercises. C. Restricting the patient's movement to prevent falls. D. Using restraints to ensure patient safety during ambulation.

Correct Answer is B

Explanation

Assisting the patient with passive range of motion exercises promotes joint mobility and prevents contractures and muscle atrophy when the patient is unable to move independently.

Incorrect choices: a. Encouraging the patient to remain in bed perpetuates immobility and can lead to further complications such as deconditioning and reduced muscle strength.

c. Restricting the patient's movement can worsen immobility-related complications and increase the risk of falls. Appropriate interventions should be implemented to facilitate safe mobility.

d. Restraints should be avoided as much as possible and only used as a last resort to ensure patient safety. Restraints do not promote mobility and can have negative physical and psychological effects.

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Which nursing intervention is appropriate for preventing falls in a hospitalized patient with impaired mobility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Explanation

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