Fundamentals of Nursing Q 410
A client is hospitalized for the first time, which of the following actions ensure the safety of the client?
A. Keep unnecessary furniture out of the way.
B. Keep the lights on at all times.
C. Keep side rails up at all times.
D. Keep all equipment out of view.
Correct Answer: C. Keep side rails up at all time
Keeping the side rails up at all times ensures the safety of the client. The risk of falling increases with age and the number of times someone has been in hospital. During the client’s hospital stay, he may be more unsteady on his feet because of illness or surgery, or because he is unfamiliar with the hospital environment or is taking new medication.
Option A: Home health care providers need to know the risk factors for falls and demonstrate effective assessment and interventions for fall and injury prevention. Falls are generally the result of a complex set of intrinsic patient and extrinsic environmental factors. Use of a fall-prevention program, standardized tools, and an interdisciplinary approach may be effective for reducing fall-related injuries.
Option B: Make sure the client’s pajamas, dressing gown, and day clothes are the right length so they don’t trip over them. Check that their slippers or other footwear fit properly and are not slippery. If they have to wear pressure stockings, wear slippers over them so they do not slip.
Option D: Keep personal items and the call button within reach to avoid standing and walking to get them. Ask for help when in need to get out of bed to use the toilet if not feeling at all unsteady.