An older patient has recently been put on high fall precaution after a new medication was started. The patient's daughter questions why this precaution was put in place. How should the nurse respond to the daughter?
1. "Every older patient is automatically put on high fall risk."
2. "The patient was recently started on an intravenous fluid infusion."
3. "The patient has an order to get out of bed. Anyone with this order is put on high fall risk."
4. "The patient was recently started on a medication for high blood pressure that could impact balance and cause a fall."
4
Rationale: Every older patient is not automatically put on high fall risk.
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