Exam 11: Falls

In reviewing a patient's medication administration record, a nurse is aware that some medications are considered to be chemical restraints.Which medication is considered a chemical restraint?

A nurse is aware that of all the reported falls in the United States, only 1% to 5% result in a ______.

A nurse in a long-term care facility determines the need to place a vest restraint on a patient.The patient does not want the vest restraint applied.What nursing action should be implemented?

A nurse is admitting a new patient to the nursing unit.When conducting the admission procedure, what is important for the nurse to ask in order to assess the patient's risk for falling?

What is the most appropriate nursing intervention after a patient has fallen?

A nurse is aware that many residents in a long-term care facility refuse to wear the hip protector garment.What reason do residents state makes them resistive to wear this protective garment?

A nurse suggests that a resident who is at risk for falling come to the _______ class to improve balance.

A patient has asked a nurse to assist him to ambulate to the bathroom.The nurse is aware that the patient is currently taking an antidepressant medication.What action should the nurse implement?

A nurse is trying to keep a confused resident from removing a feeding tube by following the "rule of least restriction." What should replace the wrist restraint?

What should the home health nurse recommend to a patient if a fall occurs at home?

A nurse is teaching a patient methods for getting up after a fall.The nurse instructs the patient to pull up to a sitting position on the floor, shuffle the buttocks to a nearby piece of furniture, and pull up on the knees in front of the furniture.What should the nurse instruct the patient to do next?