During the acute CVA phase,a risk for falls related to paralysis is present.The intervention that best protects the patient from injury is:
A) Keep the bed in a high position for ease of nursing care.
B) Keep the side rails up, according to agency policy.
C) Assess vision deficit related to ptosis.
D) Monitor the condition every 2 hours.
Correct Answer:
Verified
Q13: The patient recovering from a CVA asks
Q14: A patient in the acute phase of
Q15: The patient in the acute phase of
Q16: A patient experienced a period of momentary
Q17: The nurse recognizes that the acute phase
Q19: The nurse counsels that the patient at
Q20: In the rehabilitation phase of a CVA,patients
Q21: The nurse selects the most effective intervention
Q22: The nurse suspects a TIA has occurred
Q23: The nurse,using the nursing diagnosis,"Imbalanced nutrition,related to
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