NCLEX-RN (Registered Nurse) Practice Exam · Question
A nurse is caring for a patient who is confused and at high risk for falls. Which intervention is most appropriate?
Placing the patient close to the nursing station allows for increased observation and quicker intervention, reducing fall risk without resorting to restraints o
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Question: A nurse is caring for a patient who is confused and at high risk for falls. Which intervention is most appropriate?
Answer options:
- Apply bilateral wrist restraints.
- Keep all four side rails up at all times. ✅ Place the patient in a room close to the nursing station.
- Administer a sedative to keep the patient calm.
Correct answer: Place the patient in a room close to the nursing station.
Explanation: Placing the patient close to the nursing station allows for increased observation and quicker intervention, reducing fall risk without resorting to restraints or sedation as first-line measures.
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