A client has neurological deficits that are causing tremors, unsteadiness and weakness. An appropriate diagnosis of Risk for Falls related to unsteady gait, secondary to neurological dysfunction has been formulated. A goal for this client is not to sustain any injuries for the next month. The client, however, has fallen several times. In this situation, the nurse should do which of the following?

Question

Quizplus · Accepted Answer

If the client is still falling despite the nursing interventions already in place, it is important to investigate whether the best nursing interventions have been selected. The assessment and diagnosis phases have already been completed, so discarding the plan and starting over or modifying the entire plan may not be necessary. However, the nursing interventions may need to be adjusted or different interventions may need to be implemented. Reviewing the data and ensuring the diagnosis is relevant can also be useful, but investigating the effectiveness of the nursing interventions is the most appropriate action at this point.

A Client Has Neurological Deficits That Are Causing Tremors, Unsteadiness