What is a priority nursing intervention to prevent falls for an older adult client with multiple chronic diseases?
a. Providing assistance to the client in get-ting out of the bed or chair
b. Placing the client in restraints to prevent movement without assistance
c. Keeping all four siderails up while the client is in bed
d. Requesting that a family member remain with the client to assist in ambulation
A
Advanced age and multiple illnesses, particularly those that result in alterations in sensation, such as diabetes, predispose this client to falls. The nurse should provide assistance to the client with transfer and ambulation to prevent falls. The client should not be restrained or maintained on bedrest without adequate indication. Although family members are encouraged to visit, their presence around the clock is not necessary at this point.
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