When completing an admission assessment on an older adult, the nurse gives the patient a high fall risk score. Which action should the nurse take first?
a. Use a bed alarm system on the patient's bed.
b. Administer the prescribed PRN sedative medication.
c. Ask the health care provider to order a vest restraint.
d. Place the patient in a "geri-chair" near the nurse's station.
ANS: A
The use of the least restrictive restraint alternative is required. Physical or chemical restraints may be necessary, but the nurse's first action should be an alternative such as a bed alarm.
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A nurse is served with a summons alerting him that he has been named in a malpractice lawsuit. What information can the nurse learn from this summons?
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The nurse is caring for a patient on an oncology unit who has been receiving androgen therapy for palliation for breast cancer. Which co-morbid condition in this patient would most concern the nurse?
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