What is the most appropriate nursing intervention after a patient has fallen?

a. Apply a vest restraint.
b. Have the patient begin ambulating as soon as possible.
c. Administer haloperidol (Haldol) as pre-scribed or as needed.
d. Apply wrist restraints.


B
The patient should begin ambulating as soon after a fall as possible to prevent the hazards of bed rest and to restore confidence. Applying restraints after a fall is tempting, but avoiding their use, if possible, is best.

Nursing

You might also like to view...

A client who has been undergoing treatment for chronic back pain has been considering complementary and alternative therapies to manage the pain. The nurse has assessed the client's needs about the more commonly used methods

The use of available methods has been discussed with the client. Which of the following statements by the client indicates the need for further instruction? A) " Glucosamine sulfate is a dietary supplement." B) "I may have some stomach upset associated with glucosamine sulfate." C) "Caution is needed with alternative therapies, as they have not been tested by the FDA." D) "I will need a prescription from my physician to obtain chondroitin sulfate."

Nursing

A client has an incision with a complex dressing change. The client is scheduled to be discharged home, and the wound will require continued dressings at home. Which statement by the client indicates a need to postpone teaching?

A) "I'm feeling nauseous, but go ahead and start anyway." B) "It's going to take time for me to understand this whole thing." C) "Let's make sure my spouse is around before you start explaining." D) "I wish my doctor would have explained this more in depth."

Nursing

The nurse is with a newborn that is having radiographic studies to determine if the newborn has esophageal atresia and if the newborn also has tracheoesophageal fistula

When the radiopaque nasogastric tube is passed through the nose to the stomach, it stops at 10 centimeters and the radiographic studies show air in the stomach. The nurse is aware that these finding indicate which of the following conditions? a. normal esophagus and stomach b. abnormal esophagus and normal stomach c. esophageal atresia without tracheoesophageal fistula d. esophageal atresia with tracheoesophageal fistula

Nursing

A client asks the nurse what has caused her allergic rhinitis. Which statements should the nurse include in the discussion?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A. "Allergic rhinitis can occur after exposure to animal dander." B. "Tobacco smoke can cause allergic rhinitis." C. "Exposure to pollens from weeds and grass causes an allergic rhinitis." D. "Asthma is associated with allergic rhinitis." E. "There is a strong genetic predisposition for allergic rhinitis."

Nursing