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A 73 yo male pt presents to the emergency department following an unwitnessedmechanical fall at home down the front steps. The pt is confused and incontinent of urine.When RN attempted "get up and go" test, pt was unable to stand independently. Whatlevel of risk would you score this pt using the Hendrich II Fall Risk Model?a. High Riskb. Moderate Riskc. Low Riskd. No Risk
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