Safety and Infection ControlQuestion 83 of 2368
A client who has frequent toileting needs is at higher risk for falls. Which intervention should the nurse include in the plan of care?
- Raise all four side rails and ask the client to call for help
- Limit the client's fluid intake to reduce urination
- Apply a vest restraint at night
- Take the client to the toilet regularly using a scheduled rounding protocol
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Correct answer: Take the client to the toilet regularly using a scheduled rounding protocol
Scheduled toileting meets the need before the client tries to get up alone.
Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Safety: Interventions Based on Risk Factors. Licensed under CC BY 4.0.
Practice the topic "Safety and Infection Control"Questions last reviewed: 18 October 2026