NursingPlex
    Sign In
    Ati 0926 Beg Med Surg Proctored Exam Cms Equivalent
    Select All That Apply

    A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse plan to include in the plan? (Select all that apply)

    Explanation & Rationale

    A. Administer a sedative at bedtime: Sedatives increase the risk of dizziness, confusion, and impaired coordination, particularly in older adults. This intervention would heighten fall risk instead of preventing it. B. Lock beds and wheelchairs when not providing care: Locking wheels prevents unintended movement and ensures stability during transfers, which helps reduce the likelihood of falls. This is an essential safety practice. C. Teach balance and strengthening exercises: Exercises that improve balance, flexibility, and strength enhance mobility and reduce fall risk. Encouraging physical activity supports long-term fall prevention strategies. D. Provide information about home safety checks: Teaching clients about environmental modifications, such as removing clutter and installing grab bars, empowers them to reduce hazards in their living space and prevent falls. E. Place the bedside table within the client’s reach: Keeping frequently used items close reduces the need for reaching or stretching, which may cause instability. This simple adjustment supports safety and independence.

    🔒 Submit your answer to reveal