Question

13. What is the most appropriate nursing intervention after a patient has fallen?

a. Apply a vest restraint.
b. Have the patient begin ambulating as soon as possible.
c. Administer haloperidol (Haldol) as prescribed or as needed.
d. Apply wrist restraints.

Answer 1

The most appropriate nursing intervention after a patient has fallen is to have the patient begin ambulating as soon as possible.

Step-by-step explanation:

The most appropriate nursing intervention after a patient has fallen is to have the patient begin ambulating as soon as possible. Ambulation, or walking with assistance if necessary, helps prevent complications such as muscle stiffness, joint contractures, and blood clots.

Applying restraints, such as a vest restraint or wrist restraints, is not recommended as it can lead to a decrease in mobility, loss of independence, and potential complications such as skin breakdown or injuries from attempting to remove the restraints.

Administering haloperidol, a medication used for managing psychosis or agitation, is not a necessary intervention in this case unless there are specific indications for its use.