Safety & Infection ControlPregunta 22 de 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
Explicación
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.
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