A nurse is caring for an elderly client at risk of injury due to confusion. The client has a stable gait. Which of the following measures should the nurse first take?
A) Waist restraint
B) Locking lap tray chair
C) Alarm-activating bracelet
D) Vest restraint
C
Feedback:
The nurse should use an alarm-activating bracelet for the client because the client has a stable gait. This prevents unnecessary confinement to bed, and the client can move freely without getting off the premises. Waist restraints, vest restraints, and chair restraints are restrictive, and their use should be minimal.
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