A nurse is caring for a female patient who has been hospitalized for a right-sided cerebrovascular accident (CVA). The patient is impulsive and confused. She has weakness on the left side of her body and requires assistance when ambulating. The nurse's highest priority when caring for this patient is

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The patient's impulsivity and confusion puts her at risk for falls, making it essential to ensure that the bed alarm is turned on to prevent her from getting out of bed without assistance. Range-of-motion exercises and calorie counts are important aspects of care but are not the highest priority in this situation. A social service consult may be beneficial, but it is not the highest priority at this time.

A Nurse Is Caring for a Female Patient Who Has