Free NCLEX Basic Care & Comfort Practice Questions
Free NCLEX Basic Care and Comfort practice questions. Master mobility, hygiene, nutrition, elimination, sleep, and comfort measures.
Sample NCLEX Question
A client who had a stroke has left-sided weakness and is at risk for falls. Which nursing intervention is most effective for fall prevention?
AApply a bed alarm and keep the bed in low position
BPlace all four side rails in the up position
CAssign a sitter to stay with the client at all times
DEncourage the client to remain in bed and use a bedpan
Correct Answer: A
Bed alarms alert staff when a client at risk attempts to get up unassisted. Keeping the bed in low position reduces injury if the client does fall. Side rails are not restraints but when all four are up they may be considered a restraint.
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