After assessing an older male adult in his bed, the nurse determines that he is at high risk for falls.The nurse leaves the room to get a fall risk sign and returns to find him on the floor pleading for help, saying he tried to get out of bed but felt dizzy What is the most important intervention the nurse should have implemented to prevent this event?

Question

Quizplus · Accepted Answer

Assessing for postural hypotension is the most important intervention because it could have caused the patient to feel dizzy and fall when attempting to get out of bed. Once identified, measures can be taken to prevent falls, such as adjusting medications or making environmental modifications. Providing a urinal and drinking water and showing the patient how to use the call bell are also important interventions, but assessing for postural hypotension takes priority in this scenario. Calling for someone to bring the fall risk sign is not as important as assessing and addressing the patient's immediate medical needs.

After Assessing an Older Male Adult in His Bed, the Nurse