Which assessment data gathered during the admission of an older client should alert the nurse to an increased risk for falls? (Select all that apply.)
A. Visual impairment
B. Use of a cane while walking
C. Hypertension
D. Obesity
E. Difficulty arising from a sitting position
F. Being male
A, B, E
Rationale: Vision, hearing, and mobility difficulties are associated with increased fall risk. Obes-ity is not a risk factor for falls.
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A child diagnosed with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized. Which nursing interventions are appropriate for this child?
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