💊 NCLEX-RN Exam Prep

A patient at high risk for falls, with a history of confusion, attempts to get out of bed unassisted despite repeated reminders. Which nursing intervention is most appropriate?

A Applying bilateral wrist restraints to prevent falls.
B Placing a bed alarm and instructing the UAP to respond immediately.
C Relocating the patient to a room closer to the nursing station.
D Administering a sedative to help the patient rest.

✓ Correct Answer: Option B

A bed alarm provides an immediate alert when the patient attempts to get up, allowing staff to intervene safely. This is a less restrictive intervention than restraints or sedatives, prioritizing safety.

💡 Why is B) the correct answer?

The correct answer to the question "A patient at high risk for falls, with a history of confusion, attempts to get out of bed unassisted despite repeated reminders. Which nursing intervention is most appropriate?" is Option B: Placing a bed alarm and instructing the UAP to respond immediately..

The other options — A) Applying bilateral wrist restraints to prevent falls., C) Relocating the patient to a room closer to the nursing station., D) Administering a sedative to help the patient rest. — are incorrect for this NCLEX-RN Exam Prep question. As explained above: A bed alarm provides an immediate alert when the patient attempts to get up, allowing staff to intervene safely. This is a less restrictive intervention than restraints or sedatives, prioritizing saf…

📚 About This NCLEX-RN Exam Prep Practice Question

This 2-level NCLEX-RN Exam Prep question from the Safe & Effective Care topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free NCLEX-RN Exam Prep practice test or use flashcards for spaced repetition review.

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