Difficulty: Medium
Average Score: 70%
Simulated
Nurse is caring for newly admitted client with history of falls. Which is priority action by nurse?
Correct answer
A
Rationale
The correct answer is A, complete fall-risk assessment. This is the priority action because it helps identify specific risks the client faces, allowing for tailored interventions to prevent falls. Educating the client and family (B) is important but assessing risk comes first. Completing a physical assessment (C) is also important but not the priority in this case. Surveying belongings (D) is not as urgent as assessing the client's fall risk.