A client has neurologic deficits that are causing tremors,unsteadiness,and weakness.An appropriate diagnosis of Risk for Falls related to unsteady gait,secondary to neurologic dysfunction has been formulated.A goal for this client is not to sustain any injuries for the next month;however,the client has fallen several times.In this situation,what should the nurse do?
A)Review the data and make sure that the diagnosis is relevant.
B)Investigate whether the best nursing interventions were selected.
C)Modify the whole nursing plan.
D)Discard the nursing plan and start over from the assessment phase.

Question

Quizplus · Accepted Answer

The nurse should investigate whether the best nursing interventions were selected as falls have still occurred despite the established nursing plan. This may involve reassessing the client's needs and identifying any gaps in the nursing interventions provided. Modification of the nursing plan may be necessary to increase effectiveness in preventing falls. Reviewing the data and diagnosis, as well as discarding the nursing plan and starting over, may not necessarily address the issue of falls and may not be the most appropriate course of action.

A Client Has Neurologic Deficits That Are Causing Tremors,unsteadiness,and Weakness