Patient Data Exhibits The client continues to have stable neurologic assessments. The nurse provides interventions to promote client safety while in the hospital. Click to indicate which interventions promote client safety. Each column must have at least one response selected.
Explanation & Rationale
Rationale: Initiate use of the bed alarm: This alerts staff when the client attempts to get out of bed, enabling quick assistance. It is especially crucial for clients with unilateral weakness and impaired mobility after stroke. Early response helps prevent falls and related injuries. Place all client belongings out of reach: Placing items out of reach encourages the client to stretch, reach, or attempt to get out of bed unsafely. Stroke patients may have limited strength and poor balance, making this dangerous. It increases the risk of injury and delays access to essential items. Instruct the client to call before getting up: Teaching the client to seek assistance before attempting to ambulate minimizes the risk of unassisted movement. Stroke patients often have impaired coordination or weakness, increasing the risk of falling. Provide a call button kept within reach: Keeping the call bell within the client’s reach promotes autonomy and timely communication with the care team. It enables the client to signal for help easily in case of urgent needs or sudden symptoms. Place the client in a room near the elevator: A room near the elevator may expose the client to high traffic, noise, and stimulation, which can increase confusion or anxiety. For a stroke patient needing rest and monitoring, this environment is not ideal. Complete a swallow study before giving anything by mouth: A bedside swallow evaluation identifies risk for aspiration, which is common in stroke clients with impaired speech and facial droop. Preventing oral intake until clearance protects against aspiration pneumonia and choking.