After administering triazolam to a hospitalized client the nurse should:
a. turn off the client's room lights.
b. raise the client's siderails.
c. take no special precautions, unless the nurse believes the client has difficulty ambulating.
d. place the client on a monitor.
ANS: B
Feedback
A Incorrect: Although an appropriate action, this is not the most important.
B Correct: The client is at risk for falls.
C Incorrect: The client is at risk for falls.
D Incorrect: This is not necessary.
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