The nurse providing care for a patient with Cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk?
A) Establish falls prevention measures.
B) Encourage bed rest whenever possible.
C) Encourage the use of assistive devices.
D) Provide constant supervision.
Ans: A
Feedback:
The nurse should take action to prevent the patient's risk for falls. Bed rest carries too many harmful effects, however, and assistive devices may or may not be necessary. Constant supervision is not normally required or practicable.
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a. true b. false