NCLEX-RN (Registered Nurse) Practice Exam · Question
A nurse is caring for an older adult client who has a history of falls and is prescribed a new medication that causes dizziness. Which intervention should the nurse implement first to prevent falls?
Instructing the client to use the call bell before ambulating directly addresses the immediate risk of falling by ensuring assistance is available, making it th
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Question: A nurse is caring for an older adult client who has a history of falls and is prescribed a new medication that causes dizziness. Which intervention should the nurse implement first to prevent falls?
Answer options: ✅ Instruct the client to use the call bell for assistance before ambulating.
- Request a gerontology consult for a comprehensive fall risk assessment.
- Place a fall risk wristband on the client and a 'fall risk' sign on the door.
- Ensure the client's eyeglasses are within reach and properly cleaned.
Correct answer: Instruct the client to use the call bell for assistance before ambulating.
Explanation: Instructing the client to use the call bell before ambulating directly addresses the immediate risk of falling by ensuring assistance is available, making it the priority intervention. While other options are important, they do not provide immediate protection from a fall.
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