A practical nurse (PN) is assigned to care for a resident in a long-term care facility who recently fell while walking to the bathroom at night. The resident has a history of osteoarthritis and frequent nighttime urination (nocturia). Which of the following interventions should the PN implement to prevent future injuries? Select all that apply.
- Maintain a clear, unobstructed walkway between the resident's bed and the bathroom.Answer
- Keep a low-level light on in the bathroom during the nighttime hours.Answer
- Position a portable commode directly next to the resident's bed.Answer
- DInstruct the unlicensed assistive personnel to evaluate the resident's current fall risk.
- ESecure a torso belt around the resident at night to prevent them from getting up unassisted.
- FDisplay a note on the hallway door mentioning the resident's nocturia so visitors are aware.
Answer
The correct interventions are maintaining an unobstructed walkway, keeping a low-level light on, and positioning a portable commode next to the bed.
Interventions that address environmental hazards directly reduce the incidence of falls. Providing a clear pathway, utilizing nightlights, and offering a bedside commode directly accommodate the resident's mobility deficits and nighttime elimination needs without restricting their freedom of movement.
Step-by-Step Solution
Key Concept
Environmental safety modifications and fall prevention