Which intervention will best help to prevent a client from falling ?()
A.Monitor the client regularly or continually if his condition warrants it.
B.Keep the bed at a level where the nurse can easily provide care.
C.Make sure the side rails of the client's bed are down.
D.Restrain the client to prevent him from getting out of bed and falling.
参考答案:A
解析:
Monitoring the client regularly, especially if the client is elderly or confused, will help to prevent falls. The bed should be kept in its lowest position unless a member of the health care team is present and providing care. Side rails may be used judiciously to prevent the client from falling out of bed, but the client can crawl over side-rails. The nurse should refer to facility policy for information about side-rails. Restraints are used with a physician's order and only after other means have failed.