To reduce an adult client's risk of falling, which of these ...

[jeatrice]

To reduce an adult client's risk of falling, which of these actions should the nurse take?
 
  a. Keep the bed locked in the upright position with the side rails up.
  b. Keep the lighting dim.
  c. Place the client's personal belongings and call light within easy reach.
  d. Remove walkers and wheelchairs from bedside.

Question 2

The patient has been diagnosed with progressive Alzheimer's disease. Characteristics of this disease include which of the following? (Select all that apply.)
 
  a. Delirium
  b. Agnosia
  c. Apraxia
  d. Aphasia
  e. Amnesia

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Answer to Question 1

C
Fall prevention is an ongoing process that includes wiping up spills, encouraging use of side rails, applying restraints when prescribed, encouraging use of assistive devices for walking, using proper body mechanics, ensuring adequate lighting, and removing environmental obstacles.

Answer to Question 2

B, C, D, E
Alzheimer's disease is the most common form of dementia. Alzheimer's disease is a progressive loss of memory (amnesia), loss of ability to recognize objects (agnosia), loss of the ability to perform familiar tasks (apraxia), and loss of language skills (aphasia). As the disease progresses, some patients also experience changes in personality and behavior, such as anxiety, suspicious-ness, or agitation, as well as delusions or hallucinations. Delirium is an acute confusional state and requires prompt assessment. It is a potentially reversible cognitive impairment that is often a result of physiological causes. Some of these causes include electrolyte imbalance, hypoglycemia, infection, and medications.