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A Nurse Has Received Report from the Off-Going Shift That

Question 186

Multiple Choice

A nurse has received report from the off-going shift that a client is confused and has been identified as a high risk for falls.  The nurse shares this information with the unlicensed assistive personnel (UAP) .  Which finding by the nurse requires intervention?


A) UAP has attached a bed alarm to the client's gown and bed
B) UAP has been making hourly rounds on the client
C) UAP has lowered the bed and raised all 4 side rails
D) UAP has placed a fall risk ID bracelet on the client's wrist

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