Angie is a disoriented client who frequently falls from the bed. Which of the following is the best intervention to prevent future falls?
  1. Tell Angie not to get up from bed unassisted.
  2. Put the call bell within her reach.
  3. Put bedside commode at the bedside to prevent Angie from getting up.
  4. Put the bed in the lowest position.
Explanation
Answer: D - Put the bed in the lowest position possible. The risk of falling increases with age. Most falls occur in the evening, between 6:00 PM and 9:00 PM. The care plan for preventing falls from bed includes:
Placing the bed in the lowest horizontal position, except when giving bedside care. The distance from the bed to the floor is reduced if the client falls or gets out of bed.
A special mattress or mat is on the floor next to the bed if ordered. This reduces the chance of injury if the person falls.
If the person uses bed rails, check the person often.
Furniture is placed for easy movement.
A telephone and lamp are placed within the person’s reach.
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