RN Nursing · Client Safety · Practice question
A nurse just finished a complete bed bath for a patient with limited mobility. Which action is most important for the nurse to perform before leaving the room?
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Ensure the water pitcher has fresh water
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Raise all of the side rails
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✓
Lower the bed to the lowest position
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Position the bedpan in easy reach under the covers
Answer & explanation
Correct: Lower the bed to the lowest position
Client safety is the highest priority when leaving a patient's room, particularly for a patient with limited mobility who cannot independently reposition or respond to falls. Lowering the bed to its lowest position is the most important action because it minimizes the fall height if the client attempts to get out of bed or rolls toward the edge, significantly reducing the risk of injury. This is a fundamental safety standard endorsed by The Joint Commission and facility fall-prevention protocols. Ensuring the water pitcher has fresh water is an appropriate comfort measure but is not a safety priority. Raising all of the side rails is actually a safety concern rather than a safety measure — raising all four side rails can be considered a form of physical restraint, which is both legally and ethically problematic and requires a specific order. Standard practice is to raise two or three rails, not all four, unless specifically indicated. Positioning the bedpan under the covers is not an appropriate practice as it creates a risk for skin breakdown, infection, and discomfort for the patient. Among all these options, lowering the bed to its lowest position is the single most important action to protect the client from fall-related injury before the nurse exits the room.
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