Which action can help reduce the risk of falls in a patient with impaired mobility?

Correct Answer: D

Rationale: Using handrails and non-slip mats reduces fall risk in patients with impaired mobility by providing physical support and traction, countering weakness or unsteadiness. Walking unassisted heightens danger, especially without strength or balance. A dark room obscures hazards, increasing falls rather than preventing them rest doesn't trump safety. Placing items out of reach forces risky stretching or movement. Nurses implement these environmental aids to create a secure space, empowering safe mobility and minimizing injury, a critical aspect of care for vulnerable patients.

Correct Answer: D

Rationale: The Trendelenburg position, with the head lower than the feet, improves venous return by using gravity to enhance blood flow back to the heart, often used in shock or low blood pressure scenarios. Facilitating breathing aligns with Fowler's position, not this lungs may compress here. Digestion isn't directly aided; it's circulatory-focused. Social interaction is unrelated it's a clinical posture. Nurses employ this to stabilize hemodynamics, monitoring for respiratory strain, making it a targeted intervention for circulatory support in acute care.

Correct Answer: C

Rationale: A sitz bath cleanses the perineal area and provides pain relief for hemorrhoid patients by soaking in warm water, reducing swelling and soothing irritation while maintaining hygiene. Relaxation might occur, but it's secondary to therapeutic effects. Joint mobility isn't affected it's localized care. Cooling body temperature requires cold, not warm, water sitz baths warm. Nurses offer this to ease discomfort and promote healing, often post-surgery or for chronic cases, a targeted comfort measure.

Correct Answer: C

Rationale: Cleansing the perineal area from front to back after toileting prevents UTIs in female patients by keeping fecal bacteria away from the urethra, a short pathway prone to infection. Holding urine fosters bacterial growth, increasing risk. Back-to-front wiping introduces pathogens, the opposite of prevention. Limiting fluids concentrates urine, encouraging infection, not deterring it hydration flushes bacteria. Nurses teach and reinforce this technique, especially in dependent care, to minimize UTI incidence, a common yet avoidable issue.

Correct Answer: A

Rationale: A warm compress provides pain relief for muscle stiffness by increasing blood flow, relaxing tense fibers, and easing discomfort from spasms or immobility. Sweating might occur but isn't the goal relief is. Lowering temperature requires cold, not warmth heat does the opposite. Promoting contraction contradicts relaxation; it loosens, not tightens. Nurses apply it to soothe and improve flexibility, a targeted comfort measure leveraging heat's therapeutic effects on musculoskeletal pain.