Safety & Infection ControlQuestion 22 of 120
A nurse is assessing fall risk. Which client is at highest risk for falling?
a.A 30-year-old ambulating independently
b.An 82-year-old taking a sedative who is confused
c.A 45-year-old on bed rest with side rails up
d.A 25-year-old awaiting discharge
Explanation
Advanced age, a sedating medication, and confusion together create a high fall risk. Interventions such as frequent rounding and bed alarms should be prioritized for this client.
Practice all 120 questions free — no signup required.
Related questions on this topic
- A nurse is caring for a client on contact precautions for Clostridioides difficile. Which action is correct?
- Which client requires airborne precautions?
- When donning personal protective equipment (PPE), which sequence is correct?
- Which action best prevents catheter-associated urinary tract infection (CAUTI)?
- A nurse discovers a small fire in a client's trash can. Using the RACE protocol, what is the first action?
- A client is receiving oxygen at 4 L/min by nasal cannula. Which instruction promotes safety?
Last reviewed: · editorial process
PrepPass Editorial Team · Verified against NCLEX-RN (National Council Licensure Exam — Registered Nurse) · How we review