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The Nurse Admits an 80-Year-Old Client with an Altered Level

Question 142

Multiple Choice

The nurse admits an 80-year-old client with an altered level of consciousness and left-sided weakness following a recent stroke.  The client is dehydrated from multiple episodes of diarrhea.  Which interventions should the nurse implement to prevent falls?  Select all that apply.


A) Apply color-coded, nonslip socks to the client's feet
B) Move the client to a room closer to the nurses' station
C) Place a bedside commode to the right of the client
D) Raise all bed rails before leaving the room
E) Use a bed alarm to alert staff when the client gets up

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