The long-term care facility nurse is assessing the patient's sleep environment for safety. Which finding will cause the nurse to intervene as it is an unsafe situation for the patient?
a. A small night light left on in the bedroom
b. All clutter removed between the bed and the bathroom
c. Bed in high position with side rails up
d. Call bell at the bedside for the patient to alert family members
C
A bed in high position with side rails up is a safety hazard. Safety precautions are important for patients who awaken during the night to use the bathroom and for those with excessive daytime sleepiness. Set beds lower to the floor to lessen the chance of the patient falling when first standing. Remove clutter, and move equipment from the path a patient uses to walk from the bed to the bathroom. If patient needs assistance in ambulating from the bed to the bathroom, make sure the call light is within the patient's reach. The call light helps alert the nursing staff, not the family. A small night light is beneficial to help with vision
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