The nurse cares for a client with advanced Alzheimer disease who is not mobile. The nurse has assessed the client as high risk for falls. Which of the following should be included in the fall-prevention program? (Select all that apply.)
A) Bright orange sticker on the resident's door
B) Padded mattress on the floor next to the resident's bed
C) Use of chest restraints when in the wheelchair
D) Frequent assessment of resident for toileting needs
E) Keep lights on in room and bathroom
F) Place sensor pad alarm on bed
Ans: A, B, D, F
Bright ID stickers, padded mattress on the floor, frequent assessment, and a bed alarm are all appropriate interventions; lights on and use of restraints are not.
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