You have just administered furosemide (Lasix®) to an older, confused patient. What intervention is MOST important to keep the patient safe?

Administering furosemide (Lasix®), a diuretic, can lead to increased urine output and potential dehydration, especially in older adults who may already have compromised physiological responses. Given that the patient is older and confused, they are at an increased risk of falls. Therefore, adhering to fall precautions is the most critical intervention to ensure the patient's safety after administration.

This involves measures such as keeping the environment clear of obstacles, ensuring the patient is wearing non-slip footwear, and using assistive devices if necessary. Monitoring the patient closely for any signs of confusion or disorientation is crucial, as these can heighten the risk of falls, particularly when the patient needs to get up to use the bathroom.

While ensuring adequate hydration is important, addressing fall risks takes precedence here due to the immediate safety concerns associated with confusion and the effects of the medication. Checking vital signs frequently is essential in many clinical situations but does not directly prevent falls. Providing environmental safety measures can be beneficial, but the most effective strategy remains to uphold dedicated fall precautions in this scenario to ensure the patient's safety.