The nurse is providing care to a client who is confused and recently suffered a fall. The family is at the bedside and the nurse is discussing the use of side rails with them
Which statement made by the family indicates the need for additional instruction?
1. "We can leave one side rail up."
2. "We can leave all of the side rails down."
3. "We should not put all four side rails up."
4. "We can leave up the bottom two side rails."
Correct Answer: 2
Leaving all the side rails down is dangerous and the client should not be left alone as this could lead to a fall. This statement indicates the need for additional instruction. All the other statements made by the family indicate an appropriate understanding.
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Answer the following statement true (T) or false (F)