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Which Nursing Intervention Is the Highest Priority When Caring for an Impulsive,forgetful

Question 18

Multiple Choice

Which nursing intervention is the highest priority when caring for an impulsive,forgetful stroke patient with right-sided paralysis?


A) Complete a fall risk assessment such as the Hendrich II Fall Risk Model.
B) Utilize a bed alarm and respond immediately when it is triggered.
C) Place the call light within easy reach and remind the patient to use it.
D) Apply a soft restraint to the patient's left wrist to prevent getting out of bed.

Correct Answer:

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