A patient is brought to the emergency department after an unexplained fall. What actions by the nurse are most appropriate? (Select all that apply.)
a. Placing the patient on a cardiac monitor
b. Obtaining a urine sample for cultures
c. Checking a quick bedside blood glucose
d. Assessing the patient for asthma
e. Performing tests for orthostatic vital signs
A, B, C, D
Common causes of falls include cardiac dysrhythmias, urinary tract infection, hypoglycemia, and dehydration, so the nurse assesses for these conditions. Asthma most likely is not an issue.
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