Which of the following fall prevention strategies should the nurse perform on all hospitalized patients? (Select all that apply. )

A) Conduct hourly rounds.
B) Provide the patient regular toileting.
C) Assess the patient's comfort needs.
D) Evaluate the effectiveness of pain medication.

A recent study shows that hourly nurse rounds are an effective strategy for reducing falls.Combining hourly rounds with activities such as regular toileting and assessing the patient's comfort needs manages those factors that often prompt patients to get out of bed without assistance.In the hospital setting,a variety of fall risk factor screening tools are available.Because multiple risk factors for falls are known,no single assessment tool is sensitive and specific for analyzing fall risk.