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    Ati med surg gerontology proctored exam

    What is the most effective intervention to reduce the risk of falls in older hospitalized clients?

    Explanation & Rationale

    A. Encouraging clients to use furniture for support while walking: Relying on furniture for stability is unsafe because objects may be unstable or out of reach, increasing fall risk rather than reducing it. Mobility aids like canes or walkers are safer alternatives. B. Performing regular medication reviews to identify drugs that increase fall risk: Many medications, including sedatives, antihypertensives, and anticholinergics, contribute to dizziness, orthostatic hypotension, or confusion. Regular medication review and adjustment is one of the most effective interventions to minimize fall risk in older hospitalized clients. C. Placing all clients on bed rest to prevent falls: Prolonged bed rest causes muscle weakness, joint stiffness, and deconditioning, which increase fall risk once the client attempts to mobilize. It also raises the risk of pressure injuries and thromboembolic events. D. Turning off all lights at night to ensure clients sleep well: Complete darkness can disorient older adults and make it harder to see when getting out of bed. Using night-lights or low-level lighting is safer to prevent falls during nighttime ambulation.

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