Author Question: An elderly patient presents to the hospital with a history of falls, confusion, and stroke. The ... (Read 29 times)

silviawilliams41 · **on:** Jul 23, 2018

An elderly patient presents to the hospital with a history of falls, confusion, and stroke. The nurse determines that the patient is at high risk for falls. Which of the following interventions is most appropriate for the nurse to take?

a. Place the patient in restraints.
b. Lock beds and wheelchairs when transferring.
c. Place a bath mat outside the tub.
d. Silence fall alert alarm upon request of family.

Question 2

The nurse is providing information regarding safety and accidental poisoning to a grandmother who will be taking custody of a 1-year-old grandchild. Which of the following comments would indicate that the grandmother needs further instruction?

a. The number for poison control is 800-222-1222.
b. Never induce vomiting if my grandchild drinks bleach.
c. I should call 911 if my grandchild loses consciousness.
d. If my grandchild eats a plant, I should provide syrup of ipecac.

vboyd24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Locking the bed and wheelchairs when transferring will help to prevent these pieces of equipment from moving during transfer and will assist in the prevention of falls. Patients are not automatically placed in restraints. The restraint process consists of many steps, including thorough assessment and exhausting of alternatives. All mats and rugs should be secured to help prevent falls. Silencing alarms upon the request of family is not appropriate and could contribute to an unsafe environment.

Answer to Question 2

ANS: D
Syrup of ipecac to induce vomiting after ingestion of a poison has not been proven effective in preventing poisoning. This medication should not be administered to the child. The poison control number is 800-222-1222. After a caustic substance such as bleach has been drunk, do not induce vomiting. This can cause further burning and injury as the medication is eliminated. Loss of consciousness associated with poisoning requires calling 911.