Should a CVA patient have all four side rails up at all times?

The correct answer emphasizes the importance of patient safety in the context of a cerebrovascular accident (CVA), or stroke, patient. After a CVA, individuals often experience decreased mobility, potential confusion, and impaired balance, which can significantly increase the risk of falls. Having all four side rails up provides a barrier that helps prevent the patient from accidentally rolling out of bed or moving unexpectedly. This protective measure is crucial in ensuring safety during the recovery phase, particularly when the patient may not be fully aware of their surroundings or may attempt to get out of bed independently.

The need for side rails is underpinned by the understanding that patients recovering from a CVA may struggle with motor skills and may not have the same level of judgement or physical control as before. Therefore, keeping all four side rails up acts as a safeguard against these potential hazards, promoting a safer environment during vulnerable moments in their recovery.

In contrast, the other options reflect considerations such as patient autonomy and comfort, which are important but should not compromise safety in a high-risk scenario like post-CVA care. These alternative approaches could lead to increased risk of falls and injury if not carefully managed in conjunction with appropriate safety measures.