ATI Leadership Level 3 | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Institute rounds every 2 hr. during the day to offer toileting. This intervention helps prevent falls by addressing the common cause of falls in older adults - the need to use the restroom. Offering regular toileting rounds minimizes the risk of residents rushing to the restroom independently and potentially falling. It promotes safety and reduces the likelihood of accidents.


Choice B: Keeping four side rails up on the beds at night can lead to entrapment and does not address the root cause of falls.
Choice C: Applying vest restraints is not recommended as it restricts residents' movement and can lead to physical and psychological harm.
Choice D: Accompanying older residents during ambulation is beneficial, but it may not be feasible at all times and does not address the toileting needs which are crucial in fall prevention.

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