Because the 94-Year-Old Patient Is Receiving Gentamicin Sulfate (Garamycin)in a Continuous

Because the 94-year-old patient is receiving gentamicin sulfate (Garamycin) in a continuous intravenous (IV) infusion,the nurse will add to the nursing care plan the diagnosis,"Risk for injury" and will make implementation of:

A) Pulling side rails in place.
B) Assisting with ambulation.
C) Measuring intake and output.
D) Providing for a possible seizure.