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During the Acute CVA Phase,a Risk for Falls Related to Paralysis

Question 23

Multiple Choice

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


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.

Correct Answer:

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