Author Question: The nurse is preparing to ambulate the client in the hall. Which action by the nurse is a strategy ... (Read 38 times)

abc · **on:** Jun 25, 2018

The nurse is preparing to ambulate the client in the hall. Which action by the nurse is a strategy to reduce the client's risk of falls?

1. Encouraging client to wear nonskid footwear
2. Cautioning the client about cords or clutter on the floor
3. Encouraging the client to continue walking after complaints of feeling tired
4. Acting as the client's means of support instead of using a walker to provide additional support

Question 2

Which action performed by the nurse will not reduce the risk of client falls?

1. Orienting clients to the unit and explaining how the call bell system works
2. Encouraging clients to use call bells for assistance and ensuring that the call bell is within easy reach
3. Placing overbed and bedside tables out of the way
4. Using nonskid mats in the tub or shower

tanna.moeller · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

The client should be encouraged to wear nonskid footwear to prevent slipping on the floor. Instead of cautioning clients about cords and clutter, they should be removed to reduce risk. When a client states fatigue and can't walk farther, encouraging the client to continue could result in a fall. It is safer to allow clients to use familiar ambulation assistants when needed instead of the nurse acting to support the client.

Answer to Question 2

Correct Answer: 3

Tables should be placed within the reach of the client to avoid having her reach for something and fall out of bed. All of the other actions are correct strategies for reducing the risk of falls.