A nurse completes the Pediatric Fall Risk Assessment on a patient who scores a 9. Which intervention by the nurse is most important to include on the care plan?
A.
Allow independent ambulation around the unit.
B.
Maintain forced bedrest with restraints if necessary.
C.
Provide assistance with transfers and ambulation.
D.
Use two individuals at all times for mobility.
ANS: C
A pediatric fall risk score of 0 to 7 demonstrates low risk for falls, whereas a score of 8 to 17 indicates a high risk for falls. Because this child demonstrates a high risk for falls he or she should have assistance with transfers and walking.
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