The Nurse Knows the Following Items Should Be Included in the Documentation

question 21

Multiple Choice

The nurse knows the following items should be included in the documentation of the patient on falls precautions: (Select all that apply. )

• A) History of any falls
• B) Falls risk assessment scores
• C) Patient and family education
• D) Use of assist devices
• E) Any fall or reported fall
• F) None of above

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Definitions:

Birth Defect

A physical or biochemical abnormality that is present at birth and that may cause physical or mental disability.

Embryonic Period

A critical phase in development that spans from conception to the eighth week, where major organs and structures begin to form in an embryo.

Prenatal Development

The process of growth and development within the womb from conception to birth.

Uterus

A female reproductive organ where fetal development occurs during pregnancy.