Which action performed by the nurse will be the least effective to reduce the risk of client falls?
1. Orienting clients to the unit and explaining how the call bell system works
2. Encouraging clients to use call bells for assistance and ensuring that the call bell is within easy reach
3. Placing overbed and bedside tables out of the way
4. Using nonskid mats in the tub or shower
3
Rationale 1: Orienting clients to the unit and explaining how the call bell system works is a strategy to reduce the risk of falls.
Rationale 2: Encouraging clients to use call bells for assistance and ensuring that the call bell is within easy reach is a strategy to reduce the risk of falls.
Rationale 3: Tables should be placed within the reach of the client to avoid having her reach for something and fall out of bed.
Rationale 4: Using nonskid mats in the tub or shower is a strategy to reduce the risk of falls.
Global Rationale: Tables should be placed within the reach of the client to avoid having her reach for something and fall out of bed. Strategies to reduce the risk of falls include orienting clients to the unit and explaining how the call bell system works, encouraging clients to use call bells for assistance and ensuring that the call bell is within easy reach, and using nonskid mats in the tub or shower.
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