Safety measures

Safety measures ( 6 Questions)

Question 1 :
A nurse is caring for a 4-year-old child who is admitted to the hospital for pneumonia. The nurse observes that the child is restless, agitated, and frequently tries to get out of bed. What is the most appropriate nursing intervention to prevent falls in this child?


Correct Answer: D

Choice A reason: This is not the appropriate nursing intervention, as it may increase the risk of injury, agitation, or psychological trauma in the child. Restraints should only be used as a last resort and with a physician's order.

Choice B reason: This is not the appropriate nursing intervention, as it may not prevent the child from falling out of bed or wandering around the unit. Bed alarms are useful for alerting the staff, but they do not stop the child from moving.

Choice C reason: This is a possible nursing intervention, as it may facilitate closer observation and monitoring of the child. However, it may not address the underlying cause of the child's restlessness or agitation.

Choice D reason: This is the most appropriate nursing intervention, as it may reduce the child's boredom, anxiety, or fear and provide a sense of security and comfort. Diversionary activities may include toys, games, books, or music that are suitable for the child's age and developmental level. Parental supervision may also help prevent falls by assisting the child with toileting, positioning, or ambulation.


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