An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia.She has a history of hypertension and congestive heart failure and is on a total of five different medications for these chronic conditions.The nurse caring for the woman develops a care plan that includes the diagnosis Risk for falls.A priority nursing intervention for this client is to:

Question

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Completing a fall assessment will enable the nurse to identify and correct the risk factors for this patient.Side rails have not been found to be effective in keeping a client in bed and may actually lead to injury.Maintaining a patient on bedrest can lead to deconditioning and actually contribute to falls.Assessing the client's dietary intake of calcium is a good intervention for this age group,but it is not a priority and will not prevent falls.

An 88-Year-Old Woman Is Admitted to the Hospital with a Diagnosis