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During the Acute CVA Phase, a Risk for Falls Related

Question 9

Multiple Choice

During the acute CVA phase, a risk for falls related to paralysis is present.Which intervention best protects the patient from injury?


A) Keep the bed in a high position for ease of nursing care.
B) Keep the side rails up, according to agency policy.
C) Assess vision deficit related to ptosis.
D) Monitor the condition every 2 hours.

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