A Patient Has Reduced Muscle Strength After a Left-Sided Stroke

question 13

Multiple Choice

A patient has reduced muscle strength after a left-sided stroke and is at risk for falling.Which intervention is most appropriate for the nursing diagnosis Risk for falls?

• A)Encourage patient to remain in bed most of the shift.
• B)Keep all side rails down at all times.
• C)Place patient in room away from the nurses' station if possible.
• D)Assist patient into and out of bed every 6 hours,or as tolerated.