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A Patient Has Reduced Muscle Strength Following a Left-Sided Stroke

Question 14

Multiple Choice

A patient has reduced muscle strength following a left-sided stroke and is at risk for falling. Which intervention is most appropriate for the nursing diagnostic statement Risk for falls?


A) Keep all side rails down at all times.
B) Encourage patient to remain in bed most of the shift.
C) Place patient in room away from the nurses' station if possible.
D) Assist patient into and out of bed every 4 hours or as tolerated.

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