A major goal in all healthcare is the prevention of falls. What are examples of routine fall prevention measures that nurses must institute?
1 . Making sure wheelchairs are locked when the client is in bed
2 . Assisting with ambulation when needed
3 . Making sure spills are labeled with a sign and cleaned up within 1 hour
4 . Assessing clients and documenting in the client's record at least once every 24 hours
A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4
C
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A major goal in all healthcare is the prevention of falls. Routine fall prevention includes such factors as making sure wheelchairs are locked when the client is transferring, assisting with ambulation when needed, and making sure all spills are cleaned up immediately. Fall-Risk Assessment must be documented on the client's record at least once every 24 hours.
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