The first priority for the nurse caring for a patient with a history of falls is:
A) Placing the call light for easy access.
B) Keeping the bed in the lowest possible position
C) Instructing the patient not to get out of bed without assistance
D) Keeping the bedpan available so the patient doesn't have to get out of bed
Ans: B
Chapter: 68
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Patient Needs: A-2
Feedback: Keeping the bed at the lowest possible position is the first priority for patients at risk for falling. Keeping the call light easily accessible is important but isn't a top priority. Instructing the patient not to get out of bed may not effectively prevent falls, for example, if the patient is confused. Even when assistance is required, the bed must first be in the lowest position. The patient may not require a bedpan.
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